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Uterine Fibroids
Uterine Myoma, Leioma, Fibroma, Fibromyoma, Hysteromyoma
Uterine Fibroids are benign Uterine growths. They can be smaller than a pea up to larger than a grapefruit. They can be singular, often having several (2–4), and occasionally, multiple.
Uterine Fibroids are common, affecting around 20% of all menstruating women, being most common between the age of 35 and menopause. Often there is aggravation in the years before cessation of menstruation, followed by decline in symptoms and growth after menopause.
Small Fibroids usually have no symptoms. The most common presenting symptom is heavy menstrual bleeding which is seen in medium-to-large growths (over 2–3cm).
Herbal medicine may help resolve small to medium growths (less than 3cm), and may help stop growth or reduce the size of larger growths.
Pathophysiology is usually Damp/Melancholy with Qi and Blood Stasis. It may be caused after infection, Trauma or irritation. In modern understanding, Hormones are recognised to have a major role, and emotions also have a pivotal role, these being the origin of Qi stagnation.
Treatment aims to resolve Damp or Melancholy, move Qi and Blood and resolve Tumors.
Uterine Fibroids are common, affecting around 20% of all menstruating women, being most common between the age of 35 and menopause. Often there is aggravation in the years before cessation of menstruation, followed by decline in symptoms and growth after menopause.
Small Fibroids usually have no symptoms. The most common presenting symptom is heavy menstrual bleeding which is seen in medium-to-large growths (over 2–3cm).
Herbal medicine may help resolve small to medium growths (less than 3cm), and may help stop growth or reduce the size of larger growths.
Pathophysiology is usually Damp/Melancholy with Qi and Blood Stasis. It may be caused after infection, Trauma or irritation. In modern understanding, Hormones are recognised to have a major role, and emotions also have a pivotal role, these being the origin of Qi stagnation.
Treatment aims to resolve Damp or Melancholy, move Qi and Blood and resolve Tumors.
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Western Tradition
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Chinese Classification
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Simples
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Simples
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Rue
Dodder Bitter Almond Rhubarb Zedoary Bdellium Agaric Black Nightshade |
Agnus Castus
Fumitory Saffron (Safflower) Madder Turmeric Myrrh Turpeth Pill Millipedes |
Citrus Qing Pi
Costus Mu Xiang Paeonia Mu Dan Pi Zedoary (E Zhu) Turmeric (Jiang Huang) Peach kernel (Tao Ren) Tripterygium Lei Gong teng |
Citrus Zhi Ke
Cyperus Xiang Fu Poria Fu Ling Sparganium San Leng Scutellaria Ban Zhi Lian Safflower Hong Hua Eupolyphaga Tu Bie Chong |
Strong Medicines to 'Break' Tumors:
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Prepared Arum root
Cyclamen root Pill Millipedes |
Arisaema Tian Nan Xing
Tripterygium Lei Gong teng |
1. Turmeric: "The size, volume, and proliferative activity of UF were significantly reduced when patients took 1.2 g of curcumin orally every day for 6 months, with no adverse effects observed" (see here)
Sample Combinations
1. Broom with Rue
2. Rhubarb, Madder, Bitter Almond, Saffron
3. Decoct Paul's Betony with Agrimony, Fumitory and Dodder, and take with Confectio Hamech
4. Madder with Round Birthwort, Agaric, Cinnamon (as in Pills of Madder)
5. Madder with Round Birthwort, Savin, Cretan Dittany, Myrrh (as in Powder of Myrrh)
6. Myrrh with Lacca, Saffron, Costus, Madder, Licorice, Black Pepper, Rhubarb
7. Bauhinia with Myrrh, Turmeric, Saraca (Ayurveda)
8. Frankincense, Asparagus racemosus, Rose, Safflower (Ayurveda)
9. Citrus Zhi Ke, Citrus Qing Pi, Costus, Cyperus rotundus, Fennel, Clove (as in Xiao Leng Wan from TCM)
10. Citrus Chen Pi, Costus, Zedoary, Cyperus rotundus, Pinellia Ban Xia, Poria Fu Ling, Ginger, Atractylodes Bai Zhu, Licorice (as in Kaiyu Erchen Tang)
11. Zedoary, Sparganium, Dang Gui, Persica Tao Ren, Cyperus rotundus, Prunella Xia Ku Cao, Dipsacus Xu Duan, Laminaria (as in Gong Zheng Tang from An Illustrated Guide to Antineoplastic Chinese Herbal Medicine, 1990)
12. Black Cohosh, Blue Cohosh, Agnus Castus, Dioscorea villosa, Dandelion
13. Fomentation, White Lily with Marshmallow, Violet, Mugwort, Linseed and Fenugreek
14. Boil Oregano in wine, strain and mix with Olive oil, apply linen cloths and apply warm over the Uterus.
1. Broom with Rue
2. Rhubarb, Madder, Bitter Almond, Saffron
3. Decoct Paul's Betony with Agrimony, Fumitory and Dodder, and take with Confectio Hamech
4. Madder with Round Birthwort, Agaric, Cinnamon (as in Pills of Madder)
5. Madder with Round Birthwort, Savin, Cretan Dittany, Myrrh (as in Powder of Myrrh)
6. Myrrh with Lacca, Saffron, Costus, Madder, Licorice, Black Pepper, Rhubarb
7. Bauhinia with Myrrh, Turmeric, Saraca (Ayurveda)
8. Frankincense, Asparagus racemosus, Rose, Safflower (Ayurveda)
9. Citrus Zhi Ke, Citrus Qing Pi, Costus, Cyperus rotundus, Fennel, Clove (as in Xiao Leng Wan from TCM)
10. Citrus Chen Pi, Costus, Zedoary, Cyperus rotundus, Pinellia Ban Xia, Poria Fu Ling, Ginger, Atractylodes Bai Zhu, Licorice (as in Kaiyu Erchen Tang)
11. Zedoary, Sparganium, Dang Gui, Persica Tao Ren, Cyperus rotundus, Prunella Xia Ku Cao, Dipsacus Xu Duan, Laminaria (as in Gong Zheng Tang from An Illustrated Guide to Antineoplastic Chinese Herbal Medicine, 1990)
12. Black Cohosh, Blue Cohosh, Agnus Castus, Dioscorea villosa, Dandelion
13. Fomentation, White Lily with Marshmallow, Violet, Mugwort, Linseed and Fenugreek
14. Boil Oregano in wine, strain and mix with Olive oil, apply linen cloths and apply warm over the Uterus.
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Formulas
General Formulas Syrup of Mugwort Antimoron (Nicholas) Troches of Myrrh (Rhasis) Qi Stagnation Syrup of Mugwort Phlegm and Damp Decoction of Dodder of Thyme (Rhasis) Decoction of Dodder of Thyme (Mesue) Pills of Rhubarb (Greater) (Pil. de Raved Sceni) (Mesue) Blood Stagnation Emmenagogue Syrup Powder of Gum Lacca Lesser (Dialacca Minor) (Rhasis) Powder of Gum Lacca Lesser (Dialacca Minor) (Mesue) Powder of Gum Lacca Greater (Dialacca Majores) (Mes) Troches of Myrrh (Rhasis) To Purge Melancholy Decoction of Dodder of Thyme (Rhasis) Decoction of Dodder of Thyme (Mesue) Syrup of Fumitory Lesser (Mesue) Pills of Lapis Lazuli-1 (Mesue) Indian Pills Arabian Confect Purging Melancholy (Confectio Hamech) Triphera Persica (Mesue) |
Formulas
Qi Stagnation Distention in the chest, epigastric and hypochondric regions; Hyper-emotional, depression; pulse is tight Dan Zhi Xiao Yao San Chai Hu Shu Gan San Mu Xiang Shen Qi San Phlegm and Damp Abdominal pain, heavyness, poor appetite, thick tongue coating, slippery pulse Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang Liu Me Tang Blood Stagnation Fixed pain, dark or cyanotic tongue, nail bed, dull complexion, tight or choppy pulse. Initial stages are less severe, pain may come and go and the fibroids are smaller and soft. Later stages the pain in constant, mass is hard with symptoms being more pronounced. Gui Zhi Fu Ling Wan Tao Hong Si Wu Tang Ge Xia Zhu Yu Tang Shao Fu Zhu Yu Tang Sheng Hua Tang Huo Luo Xiao Ling Dan Da Huang Zhe Chong Wan Di Dang Tang Qi Deficiency with Blood Stagnation Chronic cases have more severe blood stasis along with both Qi stagnation and Qi deficiency. There is fatigue, discomfort when overly active with a heavy, dragging sensation. Liu Jun Zi Tang + Shao Fu Zhu Yu Tang |
Special Formula
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1. GUI ZHI FU LING WAN
Cinnamon twig Gui Zhi Poria Fu Ling Peach kernel (Tao Ren) Paeonia Bai Shao Paeonia Mu Dan Pi This formula was sown to relieve excess Bleeding and Dysmenorrhea in 90% of patients, and reduced Uterine Fibroid size in approximately 60% of cases. (see here) 2. SAN LENG E ZHU TANG Sparganium San Leng 9 grams Curcuma E Zhu 9 grams "When both of these herbs are used together in the treatment of UF, the uterine mass was found to be decreased significantly with a significantly lowered progesterone and estradiol level". (see here) 3. LI CHONG TANG Astragalus Huang Qi 9 grams Codonopsis Dang Shen 6 grams Atractylodes Bai Zhu 6 grams Dioscorea Shan Yao 15 grams Trichosanthes root 12 grams Anemarrhena Zhi Mu 12 grams Sparganium San Leng 9 grams Curcuma E Zhu 9 grams Chicken Gizzard Ji Nei Jin 9 grams 4. A FORMULA OF DR. SHEN: Dang Gui 6 grams Salvia Dan Shen 6 grams Corydalis Yan Hu Suo 9 grams Rehmannia Shu Di 6 grams Mugwort (Ai Ye) 3 grams Zedoary (E Zhu) 2.4 grams Paeonia Bai Shao 6 grams Dodder seed (Tu Si Zi) 9 grams Ligustrum Nu Zhen Zi 9 grams Decoct. (The Formulas of Dr. John H.F. Shen) 5. Many practitioners treat the condition with different formulas during different times of the cycle: a. During Menstruation: Codonopsis Dang Shen Atractylodes Bai Zhu Astragalus Huang Qi Polygonum He Shou Wu Oyster shell (Mu Li) Leonurus Yi Mu Cao Litchi seed Li Zhi He Madder (Qian Cao) b. During the non-menstruation period: Atractylodes Bai Zhu Oyster shell (Mu Li) Turtle shell (Bie Jia) Litchi seed Li Zhi He Fritillaria Zhe Bei Mu Sparganium San Leng Zedoary (E Zhu) Citrus Qing Pi 6. Hedyotis Bai Hua She She Cao Scutellaria Ban Zhi Lian Cremastra Shan Ci Gu Curcuma Yu Jin Salvia Dan Shen Angelica Dang Gui Ligusticum Chuan Xiong Paeonia Bai Shao Licorice (Gan Cao) |
AYURVEDIC TREATMENT
A combination of Three formulas has been successfully used to treat Uterine Fibroids in Ayurveda: (see here) KANCHANAR GUGGULU Bdellium (Guggulu) Bauhinia (Kanchanar) Triphala (3 Fruits) Trikatu (3 pungents) Crataeva (Varuna) Cardamon (Ela) Cinnamon (Tvak) Indian leaf (Tamalpatra) 500mg twice daily. SHIGRU GUGGULU Bdellium (Guggulu) Moringa (Shigru) Salvadora (Pilu) Cinnabar (Ras Sindur) 500mg twice daily. HARIDRA KAND Turmeric (Haridra) Triphala (3 Fruits) Trikatu (3 Pungents) Turbith (Nishoth) Cyperus (Nagarmotha) Picrorrhiza (Kutki) Plumbago (Chitraka) Cardamon (Ela) Cinnamon (Tvak) Cumin (Jirak) Coriander (Dhanyaka) Trachyospermum (Ajamoda) Sugar Iron Bhasma Mica Bhasma (Abhrak) 3 grams twice daily. |
Research:
1. Herbal preparations for uterine fibroids (Review)
2. Chinese herbal medicine Guizhi Fuling Formula for treatment of uterine fibroids: a systematic review of randomised clinical trials.
3. Pharmacotherapeutic effects of kuei-chih-fu-ling-wan (keishi-bukuryo-gan) on human uterine myomas.
4. Effect of Unani treatment in Sala’ al-Rahim (Leiomyomata): A case report
5. Evidence-Based Management of Uterine Fibroids With Botanical Drugs-A Review
6. Prescription patterns of Chinese herbal products for patients with uterine fibroid in Taiwan: A nationwide population-based study.
7. Ayurvedic intervention in the management of uterine fibroids: A Case series
8. Acupuncture for uterine fibroids.
2. Chinese herbal medicine Guizhi Fuling Formula for treatment of uterine fibroids: a systematic review of randomised clinical trials.
3. Pharmacotherapeutic effects of kuei-chih-fu-ling-wan (keishi-bukuryo-gan) on human uterine myomas.
4. Effect of Unani treatment in Sala’ al-Rahim (Leiomyomata): A case report
5. Evidence-Based Management of Uterine Fibroids With Botanical Drugs-A Review
6. Prescription patterns of Chinese herbal products for patients with uterine fibroid in Taiwan: A nationwide population-based study.
7. Ayurvedic intervention in the management of uterine fibroids: A Case series
8. Acupuncture for uterine fibroids.