Acupuncture & TCM Discussion Forum Weblog
Acupuncture & TCM Discussion Forum Weblog
Hello,
I just started learning Chinese Medicine. Recently my Mom has a medical condition and I am trying to describe her condition using TCM theory through the application of Yin/Yang, five elements and pathogenic factors, etc.
I appreciate if anyone can help me to explain her syndromes from the TCM point of view, and discuss any possible TCM treatment.
My Mom’s condition follows.
She has been suffering from Type II diabetes since 1993 and has been on medication.
In August this year, she had complaint of palpitation with her heart. The medical tests show that one of the valves in her heart does not perform pumping function properly. This condition creates possibility of blood clotting at the valve that could lead to heart failure.
She was then prescribed 2 drugs (one of them is Aspirin). To my knowledge, Aspirin is a blood thinner and the other drug also includes this same property.
After a month of medication (i.e. for both diabetes and palpitation), she suddenly develops the following syndrome in mid October:
1. Dizziness (poor appetite and tiredness when she is dizzy, she had vomiting during the first incident),
2. Pale complexion, and
3. warm / hot sensation.
To the date of this writing, dizziness occurs on the average of once every 10 days.
I am sorry that I have no information about her tongue colour and pulse.
Thank you very much in advance.
Joe
November 21st, 2006 at 3:00 pm
Hello Joe
The dizziness, pale complexion, poor appetite, tiredness are all symptoms of spleen deficiency.
The warm/hot sensations could be a number of different patterns.
Are there any other symptoms you can give us (sleep/emotions/…)
This will be a good case study
Ryan
November 21st, 2006 at 9:53 pm
Hi Ryan,
Thanks for your reply.
As you mentioned, the warm/hot sensations could be due to a number of different reasons.
But she has no other symptom.
In terms of emotion, she felt a bit of worry because of this unknown condition.
Other than that, she does not really have any other symptom.
Do you have any herbal formula in mind that could help to relief the syndrome?
If it was an acupuncture treatment, which acu-points do you think would be appropriate?
Thank you very much.
Joe
November 24th, 2006 at 3:25 pm
Hey Joe
Any spleen tonic (bu zhong yi qi tang, Si Jun Zi Tang, …) can help with the dizziness, tiredness, …
to address the other symptoms you need to varify if there is anything else going on, there must be another pattern !
the warm hot conditions need to be explained a little more, is it a fever and chill ?
it may be a Liver Depression (Qi Stagnation) with spleen deficiency, Shao Yang syndrome
in this case something like Xiao Chai Hu Tang can be administered.
is the warm hot condition more Hot at night and warm during the day?
is there sweating with the heat? sweating during the day and at night or just during the night?
that could be a yin deficiency or a damp heat or a Qi deficiency ? … … …
can you do another diagnosis and see if you missed any other symptoms/patterns which can help us diagnose her
Looking forward to hearing your reply
ryan
November 25th, 2006 at 9:00 am
Hey Ryan,
Thanks for reply.
I asked my Mom all the details this time. No new surprise. The symptoms that she has are:
1. Dizziness comes suddenly. It usually lasts for about a day or two.
The dizziness happens intermittantly if it lasts for two days.
2. When dizziness attacks, she has warm sensation in general, no fever, no sweating or chilling.
She feels tired, poor appetite and just want to sleep. Her limbs do not feel cold or hot.
The limbs have no shaking motion. She feels better after sleeping and able eat a little bit.
But, the dizziness might come back again. That’s how it happens intermittantly.
3. During dizziness, she feels a bit of dry throat, but no sputum.
4. No pain in the abdominal region or diarrhea.
In fact she has been OK for more than two weeks now and looks like she has recovered.
The family doctor suspected her dizziness may due to flu or minor stroke. Her ordered blood tests and CT scan.
Blood tests show normal considering her diabetes, and CT scan shows nothing either.
Ryan, I think the pathogenic evil was wind as wind causes dizziness.
But the other symptoms seems to be manifestation of spleen deficiency. I really don’t know.
Your help is very much appreciated.
Thanks.
Joe
November 26th, 2006 at 9:32 pm
I have to double check Joe but does External wind cause dizziness ? off the top of my head I only believe that internally generated wind can cause dizziness ? (liver yang rising, bood deficiency, Extreme Heat, …)
I will double check but if you could as well and post what the symptoms are of external wind i would appreciate it.
There definitly is a spleen Qi deficiency. (tired, poor appetite, wanting to sleep). A spleen deficiency can lead to blood deficiency which can lead to internal wind (dizziness), but also a spleen deficiency can lead to dizziness as well. If there is a blood deficiency, then this can lead to a warm sensation (deficiency heat).
Ask your mom about blood deficiency symptoms - pale face, dry symptoms, dry stool, poor vision at night, floaters, …
what is the age of your mother? at the age of 40 yin is automatically halved and a common pattern with Kidney yin deficiency is a liver blood deficiency. (Liver yin deficiency is only a text book pattern and according to my practice is not common in real life diagnosis).
I guess what I”m saying is that my diagnosis is a spleen deficiency pattern with liver blood deficiency.
Anybody followin this have any other ideas ?
November 30th, 2006 at 8:13 pm
Hi Ryan,
Sorry for for the delay responding you.
I have actually taken my Mom to visit a TCM practitioner. His conclusion was:
1. It’s the emotional disturbance such as anxiety causing internal liver wind, and then leading to hyperactivity of the liver yang. Yang is hot in nature and a hyperactivity of liver yang rises up and attacks the brain resulting in dizziness.
2. Deficiency of the spleen due to over subjugation by the liver. This affects the production of bile and that damaging the spleen as well as the digestive system. The spleen deficiency may be aggravated by overeating of greasy food and improper diet. This may result in phlegm and dampness in the spleen, which hinder the flow of Qi and blood to the brain causing dizziness.
3. Blood deficiency to nourish the liver meridian.
He has given us a recipe which contains 6 herbs. If you want to know what they are, let me know.
I can tell you.
Thanks.
Joe
November 30th, 2006 at 8:15 pm
Oh! Ryan,
I forgot to tell you my Mom is 72 years old.
Thanks.
Joe
December 10th, 2006 at 1:22 pm
Hello Joe
what are the herbs given? keep this Discussion alive by posting how your mom reacts on this formula!
Hope your mom does well
ryan
December 10th, 2006 at 8:14 pm
You can go to www.acuclinic.org to contact with Dr. Amanda Liu. She might help you!!!
December 10th, 2006 at 8:14 pm
Oh, She is in Toronto.
December 10th, 2006 at 9:22 pm
Hi Ryan and Long Huang,
Sorry for the delay replying you.
The herbs that the TCM practitioner specified include:
Tian Ma, Chen Pi, Dan Shen, Fu Shen, Bai Shao, Ban Xia.
The practitioner mentioned that the herbs would tonify both liver and kidney.
By studying these herbs, they mostly calm emotion, clear liver wind / heat, nourish blood
and dry dampness.
I don’t see any herb tonifying kidney.
I believe there should be a couple herbs for the kidney???
Thanks.
Hi Long Huang,
I am from Toronto too. Can you tell me the contact information of the practitioner you suggested.
Thank you.
Joe
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I was searching for ‘pain relief wrist’ at google and got this your post (’Palpitation and dizziness’) in search results. Not very relevant result, but still interesting to read
December 12th, 2007 at 10:53 am
Hello webmaster…Thanks for the nice read, keep up the interesting posts about yi yang..what a nice Wednesday .
December 12th, 2007 at 4:16 pm
Hi there…Man i love reading your blog, interesting posts ! it was a great Wednesday .
December 12th, 2007 at 6:43 pm
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December 12th, 2007 at 8:20 pm
I was searching for ‘magnetic pain relief’ at google and got this your post (’Palpitation and dizziness’) in search results. Not very relevant result, but still interesting to read
December 12th, 2007 at 11:05 pm
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December 13th, 2007 at 3:17 am
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December 13th, 2007 at 3:25 pm
Hello…I found your site via Yahoo! when i was searching for yi yang, and this post regarding Palpitation and dizziness really sounds very interesting to me.. Thanks.
December 13th, 2007 at 6:44 pm
Hey!…Man i just love your blog, keep the cool posts about Palpitation and dizziness comin..holy Thursday .
December 13th, 2007 at 10:21 pm
Hi…Man i love reading your blog, interesting posts ! it was a great Thursday .
December 14th, 2007 at 1:22 am
Hey!…. i was searching for yi yang and i came across your post and it is definitely the most sensible thing i have seen in a long time, and in my opinion you got something good going here, i have to get my friends to subscribe to your post about Palpitation and dizziness.
December 14th, 2007 at 1:47 am
Thanks to Oprah, Obama camp claims biggest crowd yet
December 18th, 2007 at 4:20 am
I was searching for ‘pain relief wrist’ at google and got this your post (’Palpitation and dizziness’) in search results. Not very relevant result, but still interesting to read
December 23rd, 2007 at 8:21 am
I was searching for ‘magnetic pain relief’ at google and got this your post (’Palpitation and dizziness’) in search results. Not very relevant result, but still interesting to read
December 26th, 2007 at 3:14 pm
Palpitation and dizziness thanks for this post!
December 31st, 2007 at 1:13 am
Pretty much nothing seems worth doing. I’ve just been letting everything happen without me these days. I’ve just been sitting around waiting for something to happen, but whatever.
January 1st, 2008 at 8:37 am
I’ve basically been doing nothing worth mentioning. Today was a total loss. That’s how it is. Today was a loss. Basically nothing seems important, but eh. My mind is like an empty room. Bas