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Roger Hanney
Posted on Tuesday, October 05, 2004 - 09:31:   

Hi, does anybody have a recommended treatment approach to endometriosis? I've looked at combinations for tonifying blood and spleen and was wondering if anybody can offer more specific advice from their own experiences in working with this condition.
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Shmuel Halevi
Posted on Wednesday, October 06, 2004 - 18:08:   

Endometriosis is basically considered a blood stasis disorder Roger, as do most tumors, growths, myomas etc.
Therefore, the main treatment approach must be to invigorate the blood and disperse stasis. Thus, points such as Sp-6 and St-29 which have a strong blood invigorating properties must be chosen as the basis for the formula. After constructing the basis of the formula, one needs to comprehend what has caused this blood stasis which formed the endometriosis. Is this a blood Xu disorder? Is it an excessive dampness? or is it an endogenous cold? In order to diagnose correctly you must run a complete diagnosis routine and come to a conclusion. Only then you will be able to add components to your formula in order to achieve decisive clinical results.
No cook-book prescriptions will do the job instead.
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Roger Hanney
Posted on Wednesday, October 06, 2004 - 19:34:   

Thankyou for your prompt response. Judging by tongue, palpation and symptoms I would say it's definitely a cold condition. She has a stubborn pulse running from the umbilicus to the centre of her abdomen with a strong spleen deficiency, and her san jiao is also somewhat down. A strong but choppy pulse during menses also points to blood stagnation. So far I've worked into the girdle and tried to really open up the waist and hips, with an emphasis on the spleen, kidneys, and large intestine, coupled with work into the liver and gall bladder as we're coming into spring here. We're also using wintergreen and castor oil packs to pull energy into the lower abdomen and around the descending colon, recommended a warming diet, and added some new movements into her yoga regime. I don't know that it would be appropriate to go into any more detail on a public forum - sorry, this is my first time. With these things in mind any further recommendations you could make would be welcome. We're going to work together for a few cycles and see what happens, and as we've just started I'd like to be on the right path as early as possible - you're so right about the cookbook approach by the way. TCM's a thing of beauty isn't it!
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Roger Hanney
Posted on Wednesday, October 06, 2004 - 19:37:   

That diagnosis and treatment might make more sense if I explain that I'm a shiatsu practitioner.
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Shmuel Halevi
Posted on Thursday, October 07, 2004 - 16:17:   

If fthis is a cold condition, or rather a spleen yang xu according to your findings, it definitely calls for intense moxa treatment along with all your other methods. Still, I am afraid that Shiazu alone will not provide the merchandise in this case. Acupuncture will + an appropriate herbal prescription. Shiazu may be used side by side with acupuncture in order to enhance the treatment and her general condition. Acupuncture can, when done properly, cause a significant blood dispersion in a way that may dissolve the endometrial tissues - quite often. This should be done primarily. Shiazu and moxa may well address the underlying pattern of yang deficiency.
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Roger Hanney
Posted on Friday, October 08, 2004 - 17:43:   

I've used acupuncture effectively in the past with shiatsu and moxa to relieve menstrual cramping. Are there any additional points you'd recommend be used?
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Shmuel Halevi
Posted on Saturday, October 09, 2004 - 09:32:   

There are many points that may be utilized for endometriosis, most of them that have a blood dispersing ability. There is actually no point in discussing them here, as the most important aspect of the treatment is the needling technique, frequency of treatment and the balance of the prescription. You may actually use any point in the lower abdomen as your main point. What matters, is how you manipulate it, etc.
References for symptomatic attributions to points may be found in any text book such as: A manual of acupuncture by Peter Deadman, etc.
I would also recommend that you read my work: Classical Points Combinations on my homepage. That may help you construct your prescription appropriately.
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Roger Hanney
Posted on Tuesday, October 12, 2004 - 04:13:   

thankyou Shmuel

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