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Hans J. (Unregistered Guest)
Posted on Tuesday, September 26, 2006 - 07:37:   

Hello everybody. I am an acupuncturist from Austria and i shuld like to consulting you about Bolimia. I have now a patient, girl age 22 with sever Bolimia. Sinse I have no experience in treting this disorder I shall be very gratefull if somebody can advice me. Or point me to a text about it.
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Shmuel Halevi
Posted on Wednesday, September 27, 2006 - 11:28:   

Bolimia, as much as considered hard to cure in w.medicine, has usually very good results when treated by acupuncture. In fact, in the past year I have had two cases of bolimia, both cured, one of them came for treatment right after a suicide attempt!
You may need to differentiate very carefully which syndrome is predominant here, as there are usually a few syndromes overlapping each other. Most often, there is a spleen xu underlying condition, but in many instances there is also severe constipation involved. When this happens, i.e., a shi constipation with a xu spleen functioning, a blockage of the middle burner may arrise, a condition that will easily lead to vomitus. The patient may need to vomit in oreder to relieve herself physiologically, but at the same time may develop a psychological hysterical dependency arround this need. In many occasions the opposite exists. The psychological obsession to loose weight may damage the spleen qi, a damage that will cause the physiological need to vomit the meals out.
Other syndromes, as said above, may be involved too. A liver yang penetrating the spleen (due to the latter's deficiency), an anxiety syndrome related to the whole condition on a mere psychological apprehension, or blood deficiency related to the spleen xu which undernourish the heart, thus giving rise to an unstable shen. You need to evaluate all these factors, assess their relative relation to the condition as well as their relative predominance and strength in contributing to the disease, and build your treatment plan accordingly.

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