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Author Topic: (304) Lipoma  (Read 162568 times)

HB KIM

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(304) Lipoma
« on: August 18, 2010, 06:26:19 AM »

WHAT IS LIPOMA?

Definition: A lipoma is a slow-growing benign tumor which is not cancer and is usually harmless. They are the most common form of soft tissue tumor and are most often located between the skin and the underlying muscle layer;  Shape: They are soft and doughy to the touch. They are usually movable with slight finger pressure and are generally painless. They commonly occur in the neck, shoulders, back, abdomen, arms and thighs;  Size: Many lipomas are typically less than 1 inch in diameter, but they can grow to larger than 2 inches;  Age: The most common age group lipomas are found in is between 40 and 60 years old. They can be found in children but this is rare;  Cause: The exact cause of lipomas is unknown but genetic factors likely play a role in their development. Additionally, there are theories that lipomas are caused by trauma or injury to the site of origin, or that dietary factors play a role, such as fat and sugar consumption.



TCM PATTERNS & HERBAL FORMULAS

1. Qi & PHLEGM ACCUMULATION
Signs & Symptoms:  lipoma, chubby body, slippery-full pulse
Tx principle:  move qi and dissipate nodule, dry damp-phlegm
Formula:  Er Chen Tang + Bai Jie Zi, Dan Nan Xing, Qing Meng Shi, Hai Zao, Kun Bu, Zhi Shi
Ingredients:  Ban Xia 12g,  Chen Pi 12g,  Fu Ling 9g,  Zhi Gan Cao 4.5g,  Bai Jie Zi 4.5g,  Tian Nan Xing (prepared) 4.5g,  Qing Meng Shi 4.5g,  Hai Zao 4.5g,  Kun Bu 4.5g,  Zhi Shi 4.5g

2. QI DEFICIENCY WITH PHLEGM
Signs & Symptoms:  increase in size of a lipoma, indigestion, poor appetite, easily fatigued, possible edema, loose stool, white-greasy tongue coating, soft-moderate pulse
Tx principle:  strengthen SP and benefit Qi, transform Phlegm
Formula:  Gui Pi Tang + Dao Tan Tang
Ingredients:  Bai Zhu 12g,  Fu Shen 12g,  Huang Qi 12g,  Long Yan Rou 12g,  Suan Zao Ren (fried) 12g,  Ren Shen 6g,  Mu Xiang 6g,  Zhi Gan Cao 3g,  Ban Xia 6g,  Tian Nan Xing (prepared) 12g,  Chen Pi 12g,  Chi Fu Ling  12g

3. LV & SP DISHARMONY
Signs & Symptoms:  lipoma, chest fullness, hypochondriac fullness, irritability, easily angered, no appetite, white tongue coating, wiry-thready pulse
Tx principle:  Soothe LV Qi, harmonize the SP, Move Qi and activate Blood
Formula: Shi Quan Liu Qi Yin
Ingredients:  Chen Pi 9g,  Chi Fu Ling 9g,  Wu Yao 9g,  Chuan Xiong 9g,  Dang Gui 9g,  Bai Shao 9g,  Xiang Fu 6g,  Qing Pi 4.5g,  Gan Cao 3g,  Mu Xiang  2g



EMPIRICAL FORMULAS

1. FORMULA A
Indications:  multiple lipoma syndromes
Tx principle:  Benefit Qi and nourish Blood, Open the channels and regulate the Ying level
Ingredients: Dang Gui 12g,  He Shou Wu 12g,  Bai Shao 4.5g,  Chi Shao 4.5g,  Zhi Gan Cao 4.5g,  Chuan Xiong 3g,  Bai Ji Li 9g,  Huang Qi 18g,  Hu Ma Ren (sesame) 7.5g,  Rou Cong Rong 7.5g

2. FORMULA B
Indications:  multiple lipoma syndromes, chronic lymphadenitis
Tx principle:
  Benefit Qi and nourish Blood, Open the channels and regulate the Ying level
Ingredients:  Dang Gui 12g,  He Shou Wu 12g,  Bai Shao 4.5g,  Chi Shao 4.5g,  Zhi Gan Cao 4.5g,  Chuan Xiong 3g,  Bai Ji Li 9g,  Huang Qi 18g,  Hu Ma Ren (sesame) 7.5g,  Rou Cong Rong 7.5g,  Sheng Di Huang  9g



ACUPUNCTURE SESSION

1st Tx:  Great Gate opening
LI4, LV3, Yintang, DU20 + PC9, SJ1

2nd Tx:  Meridian connecting (Yin)
ST36, GB41, SP4, PC6, LV14, RN12, Yintang

3rd Tx:  Four needle technique
RIGHT: SP tonficiation (+HT8, +SP2, -LV1, -SP1)
LEFT:  ST40

4th Tx:  Four needle technique
RIGHT: SP tonification (+HT8, +SP2, -LV1, -SP1)
LEFT: GB tonification (+UB66, +GB43, -LI1, -GB44)

5th Tx:  Four needle technique
LEFT:  LU tonfication (+SP3, +LU9, -HT8, -LU10)
RIGHT:  SJ tonification (+GB41, +SJ3, -UB66, -SJ2)

6th Tx:  Meridian flow
GB41, LV8, PC3, SJ5, GB24, RN5, Sishengchong (2 side points)

7th Tx:  Meridian connecting (Yang)
ST36, GB41, SP4, SJ5, LV14, RN12, Yintang

8th Tx:  Gate opening
SP4, SJ4, Yintang, DU20
« Last Edit: September 02, 2010, 06:50:47 PM by HB Kim »
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