TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS
Prolapse
A Prolapse is a the falling of a body part or organ from its normal place, usually due to loss of tone of the muscles and soft tissues supporting the part. The main type dealt with here is Pelvic Organ Prolapse where the Uterus, Intestines or Bladder fall from the natural place.
This usually occurs in middle age or older and is generally as a result of lack of tone in the lower abdomen (Core muscles). This is usually related to lack of exercise as well as Qi or Yang deficiency, or an excess of Damp or Fluid in the lower abdomen.
While herbal medicine can help, it is difficult to treat in chronic cases. Furthermore, Pelvic Floor exercises and core-strengthening exercise are essential. Lower abdomen massage, and Cupping, especially on the Umbilicus are useful adjuncts to treatment.
Other Prolapses include Mitrial Valve Prolapse (see Heart Disease), and Intervertebral Disc Prolapse (Slipped Disc), dealt with under Back Pain.
Western Tradition
Of the Rectum
1. Take fresh Galls, boil in wine, powder and apply to the Anus. Or use a decoction of Galls topically, or as a Sitz bath.
2. Acorn cups, Frankincense, burnt Wormwood, Galls, burnt Pomegranate flowers, burnt Mussel shells (topically)
3. Wash with a decoction of Plantain, then apply a poultice of Agrimony made with wine and vinegar. (Medicina Britanica, Thomas Short, 1746)
Of the Uterus:
1. Wash with Decoction of Acacia, or Madder, or Lentils, or Sumac
2. Use a douche of Raspberry or Blackberry leaf while simultaneously taking a decoction of Black Cohosh and Blackberry root internally. (King’s Dispensatory)
3. Comfrey root, Elecampane, Horehound as an internal decoction.
4. Salve of Marshmallow topically
5. Hops, Peach leaf, Soloman’s Seal as a douche
6. Comfrey root, Bistort, Pomegranate flower, Rupturewort, Yarrow, Mugwort. Boil in red wine and use as a douche. (Culpeper’s Directory for Midwives)
7. Pomegranate peel & flowers, Cypress nuts, Oak bark, Alum (equal parts). Sew into a bag; seethe together in red wine and apply.
Formulas
Compound Syrup of Mugwort
Astringent Strengthening Decoction
Topically (applied to lower abdomen)
Astringent Ointment
Plaster for Hernia
Plaster for the Uterus
Greater Plaster of the Surgeons
TCM Classification
General
Qi Deficiency, Sinking Qi
Bu Zhong Yi Qi Tang (with Sinking of Spleen Qi)
Jian Pi Wan (Spleen weakness with Food Stagnation)
Shi Quan Da Bu tang
Zhi Zhu Wan
Stomach Cold / Spleen Yang Deficiency
Kidney Yang Deficiency
Shen Qi Wan
Zhen Ren Yang Zang Tang
Gastric Prolapse
Bu Zhong Yi Qi Tang (with Sinking of Spleen Qi)
Fu Zi Li Zhong Wan
Fu Zi Tang
Jian Pi Wan (Spleen weakness with Food Stagnation)
Zhi Zhu Wan
Uterine Prolapse
Bu Zhong Yi Qi Tang
Fu Zi Tang
Sang Piao Xiao San
Intestinal / Rectal Prolapse
Bu Zhong Yi Qi Tang
Shen Qi Wan
Fu Zi Li Zhong Wan
Zhen Ren Yang Zang Tang
Zhi Zhu Wan
Special Formulas
ASTRINGENT STRENGTHENING DECOCTION
Comfrey root
Madder 2 drams ea.
Sage
Pennyroyal, of each 1 handful
Oak leaves
Red Roses, of each ½ handful
Cumin seed
Crude Alum, of each 2 drams
Form a decoction in 3 lbs. of Red Wine. (Marrow of Chirurgery, James Cooke, 1685)
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