Pain and anti-depressant withdrawal with Bisoma acupuncture and Sasang herbs.

David Lee
David Lee
Acupuncture,Herbal Therapy
Very Poor Poor Fair Good Very Good
California, United States
 20 years exp 
March 12, 2019
52 YearsFemaleWhite

Medical Condition:

Chronic Foot And Ankle Pain, Depression, Lower Back Pain, Sciatica


Acupuncture Herbal Therapy

Type of Outcome:

Very Poor Poor Fair Good Very Good

Case Management:

Complaints: A sudden pain began in the left sacro-iliac area with sciatica radiating down the whole leg into foot. Chronic left foot pain, which was aggravated when standing for a prolonged period. She recently weaned off a 7-year anti-depressant Lexapro and was not taking any for 2 weeks. She had withdrawal symptoms of weeping and impatience.   

Acupuncture: Left-side yang horary points in Wood-Order of GB44, SI2, ST43, LI5, and ST36 (ST36 is as good as UB40). Herbal formula Jing Fang Si Bai San (Sheng Di Huang, Fu Ling, Ze Xie, Zhi Mu, Shi Gao, Qiang Huo, Du Huo, Jing Jie, and Fang Feng) because her constitution is a Lesser Yang and Greater Yang combination (aka Pitta-Vata in Ayurveda, Sanguine in Unani, and Soyangin in Sasang, and LangGang in Tetrasoma).

Treatment process: Her visits were twice a week initially for 3 weeks and had gradually tapered down. 32 acupuncture treatments in 10 months had mostly reduced the problems. 7 months later, the patient resumed anti-depressant due to significant recurrence of crying, low appetite, panicking, and feeling overwhelmed. Acupuncture again had helped, and she took Jing Fang Si Bai San for a better improvement. In addition, she was advised to reduce 90% of dairy and chicken, which she was consuming daily since childhood as a major part of her diet. Every week she experienced increased sense of well-being and health.    

Discussion: This patient had inadvertently caused and aggravated her mind and body problems by consuming wrong food ingredients significantly and for prolonged time. Because this patient is a hot constitution, warming food ingredients such as chicken harms the mind and body. Furthermore, dairy is bad for a damp constitution, because it is dampening.


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