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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.
See also Polcystic Ovary Syndrome
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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) Peach kernel (Tao Ren) Tripterygium Lei Gong teng |
Citrus Zhi Ke
Cyperus Xiang Fu Poria Fu Ling Sparganium San Leng 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 |
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
1. 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)
2. 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
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)
2. 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