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Sunday, 1 December 2013

Anorexia nervosa - Treatments In Traditional Chinese medicine perspective

Anorexia nervosa
Anorexia nervosa is a type of eating disorder usually develop in the teen years and effect over 90% of female, because of excessive food restriction and irrational fear to become fat due the wrongly influenced media as attractiveness is equated to thinness.
Treatments
In traditional Chinese medicine  
According to Perspectives on Eating Disorders and Traditional Chinese Medicine Norman Kraft, LST, DCH, MTOM, Dipl.Ac., L.Ac(60) 
1. Kidney deficiency 
a. Kidney deficiency (primarily of Yin and Essence) leads to Empty Fire (pathological Will) and poor control of the Heart’s Fire.
b. Chinese herbal formula: Liu Wei Di Huang Wan, ingredients include
b.1. Sheng Di Huang (Rhemannia) 15-20 gm
b.2. Shan Zhu Yu (Cornus) 12-15 gm
b.3. Shan Yao (Dioscorea) 10-15 gm
b.4. Ze Xie (Alisma) 9-12 gm
b.5. Mu Dan Pi (Moutan) 6-9 gm
b.6. Fu Ling/Fu Shen (Poria/Poria Spirit) 9-12 gm
Fu Shen is preferred over Fu Ling in this formula

2.   Kidney Yang Deficiency 
a. But One must be careful in using Yang tonics and warming herbs with bulimia in particular, for while the overall picture may be Yang Deficiency the constant abuse of the stomach tends to quickly lead to Stomach Yin Deficiency with Heat.
b. Chinese herbal formula: Jin Gui Shen Qi Wan, ingredients include
b.1. Fu Zi (Aconite) 6 gm
b.2. Rou Gui (Cinnamomum)  6 gm
b.3. Shu Di Huang (Rehmannia) 20-30 gm
b.4. Shan Zhu Yu (Cornus)  10-15 gm
b.4. Mu Dan Pi (Moutan) 10-12 gm
b.4. Fu Ling/Fu Shen (Poria/Poria Spirit) 10-15 gm
b.5. Shan Yao (Dioscorea) 10-15 gm
b.6. Ze Xie (Alisma) 10-15 gm

3. Fire/Heart deficiencies
a. Fire/Heart deficiencies than Water/Kidney issues,
b. Chinese Modification of Gui Pi Tang, ingredients
b.1. Ren Shen (Ginseng) 6-9gm
b.2. Huang Qi (Astragalus) 9-12gm
b.3. Bai Zhu (Atractylodes)  9-12gm
b.4. Dang Gui (Angelica) 6-9gm
b.5. Fu Shen (Poria) 6-9gm
b.6. Suan Zao Ren (Zizyphus) 9-12gm
b.7. Long Yan Rou (Euphoria) 9-12gm
b.8. Yuan Zhi (Polygala) 3-6gm
b.8. Mu Xiang (Saussurea) 3-6gm
b.9. Zhi Gan Cao (Glycyrrhiza)  3-6gm
b.10. Hong Zao (Jujuba) 3-5 pc
b.11. Bai Zi Ren (Biota) 6-9gm
b.12. He Huan Pi (Albizzia) 6-9gm
b.13. Shi Chang Pu (Acori) 6-9gm
b.14. Bai He (Lilii) 6-9gm

4. The author also notes that with care in formulation taking into account the cold temperature of the herb, Bai He could be added to the other two formulas above as well. In Liu Wei Di Huang Wan I usually combine Bai He with Zhi Mu (Anemarrhena) as these two herbs work very well together to calm Shen disturbed by interior Heat due to Deficiency of Yin.

Eating Disorders At Home - A Parent's Guide
An Invaluable Resource For Parents Of Sufferers Of 
Anorexia Or Bulimia, And Other Eating Disorders. Critical Information 

Chinese Secrets To Fatty Liver And Obesity Reversal
Use The Revolutionary Findings To Achieve 
Optimal Health And Loose Weight

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Sources
(60) http://www.myacudoc.com/images/ED.article.pdf