Combining Treatment Methods

29 Combining Treatment Methods


In this section I report on a case from Diana Pinheiro, a colleague in Lisbon, Portugal. Diana is a TCM practitioner and teacher who has made special pediatric treatment studies in five different pediatric departments/hospitals in China. She studied shonishin in Amsterdam a number of years ago and has been using it in combination with her usual treatment of children. In the following remarkable case she reports on the treatment of Nillian, who, at the start of December in 2005 was a 5-year-old girl with trisomy, a very severe disease, which from birth usually leaves children crippled and nonfunctional. Many do not survive. Diana used shonishin as one of a number of tools to treat Nillian. In China, if acupuncture is used for a child with such problems, the tendency is to use very strong techniques, because it can work when no other treatments are available. Some of the methods Diana used come out of this tradition in China. We include the case here not only to show how shonishin can be successfully integrated into other styles of practice, but also to demonstrate how this child has progressed far beyond what any doctor would have said was possible. Diana, Nillian, and her parents have done a remarkable job.



Case 1
Nillian, Girl Age 5 Years
1


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1 Case history from Diana Pinheiro, Lisbon, Portugal.


Main complaints:


image Gastrostomy (with a gastric button); she could only be fed by the gastric button, she was unable to eat through the mouth


image Hypotonia of the body (all muscles)


image Hypertonia of the Achilles tendon


image Vomiting


image Renal failure, with cysts in the kidneys


image Tendency to become hypoglycemic easily


image Tendency to catch cold easily


History: Nillian was born with a genetic mutation. She had a genetic translocation of chromosomes, monosomy of the ninth chromosome, associated with the 11th chromosome, resulting in the very severe disorder called trisomy. There was no family history of such problems. She was born 2 months premature (at 2.62 kg, 50 cm tall) and required hospitalization after birth. At birth she had edema and required ventilation for 2 months. At age 2½ years she needed heart surgery to correct a heart defect. The Western medical prognosis was not good: she would never eat through her mouth; she would not easily get strength in her legs, which meant that she would be unable to walk, with or without help.


Initial visit


Observations:


image Red face all over, not only on the cheeks


image Hot face, throat and chest


image Legs and feet very cold, with cyanotic feet


image Runny nose with yellow mucus; cough with yellow, greasy sputum; mucus in the stools


image Yellow mucus coming out of both ears


image Constant asthenia and apathy


image Vocalizations only with sounds


image The legs were the weakest part of the body during the movement, after motor stimulation


image Tongue: red body with thin white coating; coating more greasy and yellow on the sides, the tongue marked by the teeth; the tongue without tonus and slightly pale in the area of the lung


image Vein of the finger: purple, up to the middle phalanx


Diagnosis:


image Gallbladder damp-heat


image Liver qi stagnation


image Spleen and lung qi vacuity


Treatment principles:


image Clear the heat, remove the dampness


image Promote the free liver qi circulation


image Reinforce the spleen and lung qi to reinforce the kidneys


Methods and techniques: Shonishin was applied on the four limbs, the face, behind the ears, chest, and on the back, to regulate the yang qi circulation in the body,2 to expel the excessive and toxic heat; stroking was applied downward.


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2 As a TCM practitioner this is how Diana has understood and translated the basic shonishin treatment protocol; it is not the language of shonishin, but is an interesting perspective.


Ear candles were used to clean the ears, to remove the mucus-dampness directly from the inside of the ears, and release the sinuses and throat.


Acupuncture with semi insertion was applied3 along the lung, spleen, stomach channel, and locally on: ding chuan, ST-36, ST-40, CV-12, SP-6, SP-9, LR-2, GB-34, LR-14.


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3 The “Semi-insertion” technique involves the following: using needles (in this case 0.22-mm gauge) inserted rapidly to a depth of only 1–2 mm without retention. There is often a soft and comfortable itching or soft heat sensation and the skin reddens slightly. The child finds the technique comfortable.


Flash cupping was applied4 on LU-1 and LU-2, CV-12, and BL-13.


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4 “Flash cupping” involves the application and immediate removal of the cup, so that it remains for only a few seconds.


Tui na massage was performed on the chest to open it and alleviate cough, on the legs and feet to promote blood circulation.


Mustard seeds were left on: ST-36, CV-12, SP-6, SP-9, BL-13, BL-23; on the ear points: liver, lung, spleen, and stomach.


The parents were instructed to perform shonishin treatment with a stainless-steel spoon, and press on the mustard seeds, every day. It was recommended that the shonishin be done in the evening/night, just before bedtime.


These treatments were repeated weekly in the clinic.


Nillian’s reactions: After two treatments, the runny nose, the cough, and the mucus coming from the ears stopped completely, the face was not so red and hot any more.


After 1 month the legs became less cold; the muscles of the legs started to become stronger.


Two months from the first treatment, Nillian started to eat through her mouth, and the gastric feeding button was removed!


These treatments were given over an extended period. At the time of writing, almost 4 years since treatments began, Nillian is 10 years old. She has shown the following changes and responses:


She continues to eat through her mouth. She does not easily catch cold anymore. She has real strength in her legs to the extent that she started to stand and walk with assistance. At about the age of 6½ she started to stand up with help. By her eighth birthday she was walking with assistance. Now she walks on her own, using a “wanderer,” a support with four legs, provided someone walks behind her for security.


Her body temperature is uniformly distributed, all over the body.


She now comes for treatment just when the seasons change, to strengthen the wei qi (immune system), and the organ qi, or occasionally, when she gets cold at school. If she is in a weakened state the treatment dose is reduced and, for example, seeds are left only on the ear points, ST-36 and CV-6.


The shonishin is still applied regularly before sleeping; I feel it is helpful to regulate Nillian’s yang qi circulation, and to reinforce her wei qi system.5 It seems to me to be a wonderful method to help to maintain Nillian’s vitality, with more energy and strength.


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5 This is Diana’s TCM conceptual translation of shonishin treatment effects.


It was possible to help this child so effectively with all the team’s effort and collaboration: Nillian, her parents, I, and all the knowledge that my teachers, here in Portugal, China, and in Amsterdam shared with me, for which I am very grateful.

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Jul 11, 2016 | Posted by in PEDIATRICS | Comments Off on Combining Treatment Methods

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