Friday, July 3, 2009

Chemo Side Effects

One of my new patients today was a fifty year old woman undergoing chemotherapy. She asked to be treated for the side effects of the chemo, and had already had a bout of it today. She reports that the effects don't hit her right away, but that by this evening, she would have aching limbs, a frontal headache, runny nose, and nausea. She reported that she had had some nausea earlier, but had eaten some bread and that calmed her stomach.
The woman herself is overweight, but has no other complaints aside from the cancer and chemo. Her pulses were fine, soft in the cun positions, and slippery. Her chi positions were somewhat deep as well.
Her tongue was extremely scalloped, with a thick but patchy, greasy coat, and a red body. Some spots of her tongue coat were yellow, others seemed whiter.
Her pattern I decided was one of Dampness and Phlegm in the Middle jiao, with some Qi and Blood deficiency. Points used were:
  • Shousanli LI 10: To augment Qi and Blood, along with Zusanli Stomach 36.
  • Zusanli St 36: To augment Qi and Blood. According to Deadman, this point is also good for relieving Fire, and as she has some component of heat, it's doubly useful in her case.
  • Neiguan Pc 6: Since the Pericardium channel goes to the Middle Jiao, this point is useful for nausea, and can harmonize the Stomach, and regulate Blood.
  • Hegu LI 4: I used this for her frontal headache and nasal problems, as this is the Command point of the face.
  • Fenglong St 40: For Phlegm and Dampness.
  • Yintang: To help calm her mind.
  • Sanyinjiao Spleen 6: This tonifies the Spleen and Stomach and also helps resolve Damp. It also harmonizes the Liver and Lower Jiao.
  • Zulinqi GB 41: To resolve Damp-Heat.
Patient got up from the table reporting feeling much better, but the proof will be after tonight, which is when her post-chemo symptoms usually start. I'll know more next Thursday, after the Fourth of July holiday.

1 comment:

  1. In bodywork we have to be careful about cancer. I always recommend seeing an acupuncturist. Though i never trained in herbs I've read a lot about the Taoist herbs or good foods. Hwang Qi or astragalus extract seems to be good for restoring the immune system during chemo as it is indeed the major Taoist herb for wei qi. Of course, with your more complete diagnosis and knowledge you could find a formula to address her more complex and unique imbalance.
    I like the points. All favorites of acupressure and Shiatsu. I don't know of any condition that doesn't respond to LI4,LI10,ST36 and SP6. Like astragalus these are Taoist points and used regularly in daily health practices and basic Shiatsu. But again, I would be wary of using even these points without an acupuncturist's recommendation.

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