Lyberty. coms weeklymonthly splash page. Yes, a splash page is old fashioned, but its been a tradition here since 1999. I/51XSu9c1nlL._SR600%2C315_PIWhiteStrip%2CBottomLeft%2C0%2C35_SCLZZZZZZZ_.jpg' alt='Ren Shen Gui Pi Wan Ingredients In Diet' title='Ren Shen Gui Pi Wan Ingredients In Diet' />Citrus and Pinellia Combination Er chen tang or Two Cured Decoction Pinellia Ban Xia 15gms Pinellia ternata. Citrus Peel Chen Pi 15gms Citri reticulatus. Shingles Part II TCM Differentiation and TreatmentCaution for my readers The information in this post is intended for healthcare practitioners. Do not attempt to administer any of the suggested medicinals or supplements to yourself at the doses suggested here. Not all of the substances mentioned here are safe for every patient and they should only be prescribed by licensed practitioners. I have treated many cases of shingles since I started treating patients in 1. Recently I actually broke out in shingles myself and my experience as a patient suffering from this condition taught me more about it than I ever wanted to know. Here is what I have been taught and what I have learned over the last 1. Traditional Chinese Medicine. The Three Most Important Things To Keep In Mind About Treating Shingles Herpes Zoster ACUPUNCTURE IS AMAZING AT RELIEVING THE ACUTE PAIN FROM SHINGLES. Everyone who is unfortunate enough to develop shingles should get acupuncture treatment as soon as possible. Not only does it alleviate the horrible pain, but acupuncture treatment during an acute shingles outbreak can significantly reduce the risk of post herpetic neuralgia. Practitioners, YOU MUST NOT BE WUSSY when treating shingles. You must be assertive and you must treat quickly and frequently. Acupuncturists, please forget about that once per week for 1. You start herbs and acupuncture IMMEDIATELY upon diagnosis. If the patient can get to you within the first couple days of the rash, you treat every day for the first 5 7 days. Dont make these patients wait, not even a day if you can help it. Treat even if they are also taking a pharmaceutical antiviral. Some patients may choose to let this self limiting disease just burn itself out. That is fine, but realize there is increased risk of post herpetic neuralgia and scarring. I always choose to treat in the elderly and for cranial nerve cases affecting face and eye region. Acute attack of herpes zoster is always an excess shi condition. At least to some degree. There may be deficient conditions underlying the development of this illness especially in the elderly and those with suppressed immune systems, but the acute attack is always excess and must be treated aggressively to spare the patient post herpetic neuralgia and scarring of the skin which is rare but is especially a concern when shingles appear on the face. Acute pain from this condition is easy to treat and responds exceptionally well to acupuncture treatment, but post herpetic neuralgia can be stubborn and sometimes does not respond to acupuncture treatment. So it is vital that you educate your patients about how to recognize shingles immediately so they can seek treatment as soon as possible. Patients should start antiviral therapy western pharmaceutical or herbal within 7. FYI, Famvir is the best choice for pharmaceutical antiviral therapy against Herpes Zoster it is more effective than Acyclovir or ValcyclovirValtrex. Ren Shen Gui Pi Wan Ingredients In Diet' title='Ren Shen Gui Pi Wan Ingredients In Diet' />For many people, shingles will resolve with no problems even if they do not treat it. But I would not leave it up to such chance. And I would never let a case of shingles go untreated in a person over age 5. Be aware that there is a version of shingles in which no lesions actually manifest on the skin. This is called zoster sine herpete and will present similar to the prodromal phase of herpes zoster without the visible rash ever coming out to the surface. It often gets misdiagnosed. Look for one sided pain along the rib cage, at the sternocostal joints of ribs, down one leg or one side of the face that the patient reports as severe, burning, searing, disproportionately tender or sudden and intense, when they cannot recall any trauma or physical activity as a possible trigger. TCM Differentiation and Herbal Treatment of Acute Herpes Zoster. Acute herpes zoster typically is either Liver Gallbladder Damp Heat with Fire Toxin the most common pattern, or Damp Heat in the Spleen with Fire Toxin. Either of these patterns can lead to Stagnation of Qi Blood which is seen in post herpetic neuralgia. From this photo alone, I would guess this was Fire in LivGB Channels but Damp Heat in the Spleen is possible, too, since those are rather large vesicles with much fluid. More info is needed for proper differentiation. Liver Gallbladder Damp Heat with Fire Toxin usually arises from emotional stress that caused Stagnant Liver Qi that then was constrained for a long period. This stagnant Qi develops into Heat that then blazes out from the channel to the skin. In all practicality, the differentiation of Liver Gallbladder Damp Heat with Fire Toxin is not an indication that the symptoms are strictly confined to those channels alone. The patches of blisters most often will appear on the torso in the hypochondriac region the flanks or the lumbar region. They typically will show up first on the back just lateral to the spine or on lateral aspect of the torso and can progress along the dermatome to the anterior midline. Lumbar region vesicles can spread into the groin or even down the thigh any aspect anterior, lateral or posterior thigh. Sometimes the eruptions will begin on the shoulder blade or just lateral to the spine of the upper back. In cases of shingles involving the 5th cranial nerve, pain and vesicles will erupt right along the Gallbladder channel on the scalp and forehead. Know your dermatomes this will help you predict the progression of the eruptions and head them off at the pass via acupuncture, which will be discussed momentarily. In this syndrome, the vesicles usually are small and clumped close together appearing very similar to poison ivy in patches that form relatively linear trails and the pain from the shingles often has a burning quality to it. In Liver Gallbladder Damp Heat with Fire Toxin, accompanying symptoms may include bitter taste in the mouth, constipation, darker or scanty urine, dizziness, restlessness, red eyes, red facial complexion, irritability or outright anger. But lets be realisticwhen the patient is experiencing this much pain shingles is disproportionately painful to what you will see on the surface of the skin and itching the lesions can get crazy itchy, it is near impossible to be anything but restless and irritable. So that is not really very helpful diagnostic criteria. The patients tongue will likely be red with a yellow sticky coating, but this may not be the case if there is much underlying deficiency. The pulse will likely be wiry and rapid, even if there is underlying deficiency, as this is an indication of the acute pain and inflammation. Compare this to the photo below. This looks more like Fire in LivGB Channels. The vesicles are small and tightly clumped with little fluid. Volcanoes and volcanology Geologyhome. Piton de la Fournaise of witches in salem massachusetts. Ant Industrial Studio Scada 3D Ultrasound. Pacaya es. golden fastigiate beech. Piton de la Fournaise s from the 9. Whakaari or White Island s with love quotes. 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