I suggested the following treatment plan.
Organic fresh shredded carrot poultice covering all lesions, left on for 20-30 minutes and changed out for another round until weeping wounds are dry.
Salt and black tea poultice on all lesions to continue drawing fluids out of the tissue.
Healing herbs bath with Calendula officinalis, Centella asiatica, Plantago major & lanceolate, Jinuperus berry and Rosmarinus spp.
Rx: Fresh Shredded Raw Organic Carrot Poultice
Sig: Approx. 1 carrot per application, peeled into strips, covering wounds for 20-30 mins TID-QD x 2 wks.
Qty: 10 lbs fresh organic carrot (shredded)
Refills: prn x 3 months
Patient Instructions: after a shower, pat yourself dry with a newly cleaned towel and apply 1 layer of shredded fresh organic carrot to lesions and wrap with plastic wrap to hold in place for 20-30 mins. then replace with fresh carrot and fresh plastic wrap.
Rx: Camilla Sinensis bulk herb
Sig: 1 tbsp. dry herb per cup hot a.q. and add 1 tsp table salt TID x 2 wks.
Qty: Disp. 1 oz.
Refills: prn x 3 months
Patient Instructions: Add one tablespoon of herb to one cup of hot water and cover with a tight-fitting lid for 15 mins. Spill condensed fluid from underside of lid into the cup to capture all the medicinal constituents in the condensed vapor.
Rx: Bulk Herbs for Herbal Wound Soak (2 oz Calendula officinalis; 2 oz Centella asiatica; 2 oz Plantago lanceolata; 2 oz powdered Jinuperus berry, 2 oz Rosmarinus spp.)
Sig: 2 tbsp of each herb added to 10 cups hot a.q. Steep w/ tight-fitting lid 15 mins, strain and add to half-filled bathtub and soak for 20+ mins. qd x 2 weeks
Qty: Disp. 10 oz
Refills: 1 refill.
Follow up visit: 5 weeks later:
S//: This combination cleared up the weeping wounds and healed the tissue over a 3.5 week period. The carrot poultice seemed to really make the biggest impact right away and the repeat application of the wound soak helped her heal nicely.
CC1: acid reflux – constant but worse after meals and at night. Started after GI surgery and progressively worsening. Omeprazole helps but wonders if there is another way. Still regularly drinking liquor – ½ – 1 whole bottle over a weekend alone, watching TV.
Denies that drinking causes issues in her social or family life and fails to see the link between drinking and the acid reflux. She thinks the alcohol helps calm down the reflux.
O//: Vitals: BP: 125/80; HR 70; RR 20; Temp 98.7
Skin: All prior wounds are closed, pink/non-erythematous, non-tender to palpation. No new wounds.
Psych: Apparent depression in office but denies any current or past depression; no sign of anxiety; thoughts are clear and expresses no desire to harm self
A//: While AS’s external wounds are healing nicely, she is clearly suffering inside.
Tea: Gotu kola for adaptogenic and tissue healing effects; Licorice for reflux; Rose for mental health and astringent effects
Rx: Bulk Herbs (Centilla asiatica, Glycyrrhiza glabra, rose.
The patient felt much better after treatment as described above.