post partum / gyne
LR / SP disharmony with depressive heat LR blood xu with qi stag
Sp qi xu with phlemg damp accumilation and nodulation
(dampheat in liver channel?)
I am looking for ideas and support to help us along with this. I have also started recommending castor oil packs for ab and breast which she enjoys
I am wondering about an herbal vaginal wash to help with tissue repair and discharge
We have been doing acu every two weeks (she lvies out of town)
I have been giving her two formulas
Period formula day 1 – day 14
Mod xiao chai hu tang with dang shen, sheng di, qian cao gen, bai shao, shan yao, dang gui, han lian cao, dan pi, e jiao, zhi shi
PMS formula form day 14- onset of menstruation
Same base of essential xiao chai hu tang… with yu jin, da huang, chuan lian zi, li zhi he, xia ku cao, zhi zi, zhi shi
- we have been working together for two cycles, the first of which her BM responded so strongly to the herbal work that she had loose stools and ab pain, however this intense movement seemed to really help her breasts because the pain decreased by half
- she has noticed the moodiness has softened completely since on herbal rx
- this past cycle I modified her formula to be easier on her stools (so she has mostly pellets stools again and 2-3 formed stools per week) but her breasts have been more tender again (not as bad as before, but not as good as last month)
- bleeding has lessened and shortened, but no change in irregular nature of spotting or discharge
- she complains of a lot of phlegmatic symptoms, both allergic and general congestion
- history of back trauma and back pain that bothers her enough we cannot have her go face down on the table
Female age 37
c/c 1. Breast tenderness (fibrocystic breast pain and nodulation) left side
Premenstrually with pronounced moodiness 1-2 weeks (since recent baby)
2. Irregular and prolonged bleeding with period (since recent baby)
3. Vaginal discharge (for many years)
4. Constipation (as long as she can remember)
- Mother of three (eldest 7, youngest 2)
- Since birth of youngest child c/c 1 and 2 have developed and persisted, her doctor has recommended hormone therapy (progesterone creams etc...) yet she is not interested.
- Experienced 4th degree external and internal tearing with first two births and C section for the third
- Took over 1 year to heal from the first, and has had repeated micro tearing, with vaginal pressure, throbbing, and pain ever since
- Thin body type, with a pale complexion and a reddish undertone (subtle)
- Her abdomen has no tone and appears soft and weak
1. Breast tenderness with two to three large nodules forming every premenstrual period. Her breast can be so painful they cannot be touched with large palpable nodules.
2. Period in the past year has had many changes. The first few periods after her most recent baby were extremely heavy (changing pad very hour, clots thick darkish blood) and bleeding for up to 14 days
-more recently , and since we have started working together the bleeding is much less 2-3 pads per day, day 1-4, then irregular stopping and starting of brownish spotting until day 14 and now day 9
-the length has decreased as has the amount, no clots, brighter red and on the thinner end of quality
-after the brownish spotting ends…
3. Vaginal discharge begins after spotting….
-yellowish green, thick profuse discharge for 4 days
- No itching, redness or swelling
4. Constipation – years of pellet like difficult stools
-has never had a satisfying BM
