Guest guest Posted February 1, 2000 Report Share Posted February 1, 2000 I would be greatful for any help with the following patient: 69 yr female C/O: 1. Recurrent cystitis for the last 5 years. Symptoms: Not necessarily dysuria. Initially, general feeling of unwelness, foul smelling urine followed by lethargy and fatigue. Infections confirmed by urine culture. Frequent AB's in the past - at o/s of treatment, every 4 -6 weeks. Thrush following AB's. Caniston cream/pessaries prn. 2. Acne rosacea (mild) diag. in '92. Typical facial distribution - cheeks and bridge of nose. Also eyes affected - sticky and gritty with mucus discharge, lids sore. GP Rx oxytetracycline with minimal effect. 3. Alopecia (mild), gradual hair thinning in last year. PMH: Dilatation of urethra and bladder due to incomplete bladder emptying - unsuccessful op. Varicose vein op. Appendectomy 19 yrs. MS: OA in cervical spine, thumbs, fingers and Knees. Much pain, stiffness and swelling. NS: Much stress in past few years. Mild shingles out-break in December GIT: BMvt: 0-1/d, no sig. constipation Gyn: Menopause 45yrs RS: Infrequent colds Pulse: 69b/m reg, light BP: 130/80 Diet: Very good. Reg.execise. DH: Currently taking Kwai garlic, Glucosamine sulphate, flax seed caps 2000mg/d. This patient has been taking herbal medicine on and off for the last 3 years with variable effect on her health problems. (She tried homeopathy for two years prior to that with minimal success). She has been given a wide range of tinctures and herbal teas in different formulas - none of which seem to acheive a sustained improvement. For example, the following Rx aggrivated both the cystitis and OA. Apium 1:1 10 Berberis aq. 15 Piper methisticum 20 Barosma betulina 30 Arctium lappa 10 Echinacea purp 30 Calendula 10 Sig. 7ml tds ac c aq The patient responded better to the following Rx: Apium 1:1 30 Echinacea purp 30 Menyanthes 15 Tarax rad 1:1 10 Juniperus 20 Sig. 5ml tds ac c aq Plus a decotion of Equisetum with sugar and an infusion with Zea mays, Barosma, Agropyron, and Althea Eventually, after one year of herbal medicine, the UTI's became less frequent and there was a general improvement in her skin and joints. For the last two years, she had been AB free although had periods of feeling unwell/fatigued most months and about 6 episodes of dysuria which resolved on their own.Then in December '99 she had a heavy fall, a bad cold followed by an out break of shingles and two UTI's which required AB's. Since then she feels she has been constantly " fighting off an infection. " I have prescribed the following tonic tincture on which she feels brighter but is still aware of a sub-clinical UTI: Equisetum 20 Urtica fol 20 Astragalus 20 Eleutherococcus 40 Sig: 5ml tds Overall, this patient tends to be better on the herbs than off, with more energy, fewer UTI's, less joint pain and less florid Acne R. However, nothing resolves completely and there have been continual flare-ups - when the cystitis is good the OA is bad and vica versa. The patients main concern is the recurrent UTI's and is disappointed that her immune system does't seem to be able to cope when she is not taking herbs and she is worried that with this recent state of lowered immunity, she will never be with out medication - herbal or otherwise. Things appear to have got stuck. Any suggestions ? Charlotte Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2000 Report Share Posted February 1, 2000 Hi Charlotte, You might try elderberry juice,it can be of use for UTI's and help prevent against other infections also. All the best > Recurrent UTI > > > I would be greatful for any help with the following patient: > > 69 yr female C/O: > 1. Recurrent cystitis for the last 5 years. > Symptoms: Not necessarily dysuria. Initially, general feeling of > unwelness, > foul smelling urine > followed by lethargy and fatigue. > Infections confirmed by urine culture. > Frequent AB's in the past - at o/s of treatment, every 4 -6 weeks. Thrush > following AB's. Caniston cream/pessaries prn. > 2. Acne rosacea (mild) diag. in '92. Typical facial distribution - cheeks > and bridge of nose. Also eyes affected - sticky and gritty with mucus > discharge, lids sore. GP Rx oxytetracycline with minimal effect. > 3. Alopecia (mild), gradual hair thinning in last year. > > PMH: Dilatation of urethra and bladder due to incomplete bladder > emptying - > unsuccessful op. > Varicose vein op. > Appendectomy 19 yrs. > > MS: OA in cervical spine, thumbs, fingers and Knees. Much pain, > stiffness > and swelling. > NS: Much stress in past few years. Mild shingles out-break in December > GIT: BMvt: 0-1/d, no sig. constipation > Gyn: Menopause 45yrs > RS: Infrequent colds > Pulse: 69b/m reg, light BP: 130/80 > Diet: Very good. Reg.execise. > DH: Currently taking Kwai garlic, Glucosamine > sulphate, flax seed caps 2000mg/d. > > This patient has been taking herbal medicine on and off for the > last 3 years > with variable effect on her health problems. (She tried homeopathy for two > years prior to that with minimal success). She has been given a wide range > of tinctures and herbal teas in different formulas - none of which seem to > acheive a sustained improvement. For example, the following Rx aggrivated > both the cystitis and OA. > > Apium 1:1 10 > Berberis aq. 15 > Piper methisticum 20 > Barosma betulina 30 > Arctium lappa 10 > Echinacea purp 30 > Calendula 10 Sig. 7ml tds ac c aq > > The patient responded better to the following Rx: > > Apium 1:1 30 > Echinacea purp 30 > Menyanthes 15 > Tarax rad 1:1 10 > Juniperus 20 Sig. 5ml tds ac c aq > > Plus a decotion of Equisetum with sugar > and an infusion with Zea mays, Barosma, Agropyron, and Althea > > Eventually, after one year of herbal medicine, the UTI's > became less frequent and there was a general improvement in her skin and > joints. For the last two years, she had been AB free although had > periods of > feeling unwell/fatigued most months and about 6 episodes of dysuria which > resolved > on their own.Then in December '99 she had a heavy fall, a bad > cold followed > by an out break of shingles and two UTI's which required AB's. Since then > she feels she has been constantly " fighting off an infection. " > > I have prescribed the following tonic tincture on which she feels brighter > but is still aware of a sub-clinical UTI: > > Equisetum 20 > Urtica fol 20 > Astragalus 20 > Eleutherococcus 40 Sig: 5ml tds > > Overall, this patient tends to be better on the herbs than off, with more > energy, fewer UTI's, less joint pain and less florid Acne R. However, > nothing resolves completely and there have been continual flare-ups - when > the cystitis is good the OA is bad and vica versa. The patients > main concern > is the recurrent UTI's and is disappointed that her immune > system does't seem to be able to cope when she is not taking herbs and she > is worried that with this recent state of lowered immunity, she will never > be with out medication - herbal or otherwise. > > Things appear to have got stuck. Any suggestions ? > > Charlotte > > > > > ------------------------------------------------------------------------ > List Owner Graham White, MNIMH > > ------------------------------------------------------------------------ > GET A NEXTCARD VISA, in 30 seconds! Get rates as low as 0.0% > Intro APR and no hidden fees. Apply NOW! > http://click./1/967/4/_/32528/_/949409876/ > > -- 20 megs of disk space in your group's Document Vault > -- /docvault/ukherbal-list/?m=1 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2000 Report Share Posted February 1, 2000 Dear Charlotte, An interesting case history... One idea I tried on a Px with extremely chronic cystitis, and got very lucky... Px paraplegic so wheelchairbound due to spinal injury in RTA, was on intravenous ABS after very long H. of oral ABS Tx. Urethral catheterisation had to be terminated due to complications, and an abdominal wall ctheter inserted. Doctors were despairing of what to do radically next. As patient could feel nothing we had three points of reference:- 1) sense of well-being 2) smell of urine 3) (condition of) infection at catheter site. A combination of Hydrastis 10-15g + Thymus 15-20g mixed and capsuled (size 00) dosage 2 tid and a tea of Arctostaphylos, Zea and Agropyron at 1oz in one pint of boiling water etc. taken as three divided doses through the day and night. Calendula cream with Tea tree oil for application to the abdomen. Echinacea did feature mildly early on, but the capsules were the mainstay. Tx. brought (over a few months) no smell in urine, generally healed abdo. wall and an improvement in well-being. In your Px. Hydrastis would help cool and clear the ? heat behind the cea and deal with the catarrh etc. I would be very tempted to try a nervine support for your Px. perhaps Verbena, this could help move any emotions that may be stuck, and Bach flower remedies. I can make you capsules if you require, let me know by direct email: benn@... All the best, and good luck, Benn Recurrent UTI > I would be greatful for any help with the following patient: > > 69 yr female C/O: > 1. Recurrent cystitis for the last 5 years. > Symptoms: Not necessarily dysuria. Initially, general feeling of unwelness, > foul smelling urine > followed by lethargy and fatigue. > Infections confirmed by urine culture. > Frequent AB's in the past - at o/s of treatment, every 4 -6 weeks. Thrush > following AB's. Caniston cream/pessaries prn. > 2. Acne rosacea (mild) diag. in '92. Typical facial distribution - cheeks > and bridge of nose. Also eyes affected - sticky and gritty with mucus > discharge, lids sore. GP Rx oxytetracycline with minimal effect. > 3. Alopecia (mild), gradual hair thinning in last year. > > PMH: Dilatation of urethra and bladder due to incomplete bladder emptying - > unsuccessful op. > Varicose vein op. > Appendectomy 19 yrs. > > MS: OA in cervical spine, thumbs, fingers and Knees. Much pain, stiffness > and swelling. > NS: Much stress in past few years. Mild shingles out-break in December > GIT: BMvt: 0-1/d, no sig. constipation > Gyn: Menopause 45yrs > RS: Infrequent colds > Pulse: 69b/m reg, light BP: 130/80 > Diet: Very good. Reg.execise. > DH: Currently taking Kwai garlic, Glucosamine > sulphate, flax seed caps 2000mg/d. > > This patient has been taking herbal medicine on and off for the last 3 years > with variable effect on her health problems. (She tried homeopathy for two > years prior to that with minimal success). She has been given a wide range > of tinctures and herbal teas in different formulas - none of which seem to > acheive a sustained improvement. For example, the following Rx aggrivated > both the cystitis and OA. > > Apium 1:1 10 > Berberis aq. 15 > Piper methisticum 20 > Barosma betulina 30 > Arctium lappa 10 > Echinacea purp 30 > Calendula 10 Sig. 7ml tds ac c aq > > The patient responded better to the following Rx: > > Apium 1:1 30 > Echinacea purp 30 > Menyanthes 15 > Tarax rad 1:1 10 > Juniperus 20 Sig. 5ml tds ac c aq > > Plus a decotion of Equisetum with sugar > and an infusion with Zea mays, Barosma, Agropyron, and Althea > > Eventually, after one year of herbal medicine, the UTI's > became less frequent and there was a general improvement in her skin and > joints. For the last two years, she had been AB free although had periods of > feeling unwell/fatigued most months and about 6 episodes of dysuria which > resolved > on their own.Then in December '99 she had a heavy fall, a bad cold followed > by an out break of shingles and two UTI's which required AB's. Since then > she feels she has been constantly " fighting off an infection. " > > I have prescribed the following tonic tincture on which she feels brighter > but is still aware of a sub-clinical UTI: > > Equisetum 20 > Urtica fol 20 > Astragalus 20 > Eleutherococcus 40 Sig: 5ml tds > > Overall, this patient tends to be better on the herbs than off, with more > energy, fewer UTI's, less joint pain and less florid Acne R. However, > nothing resolves completely and there have been continual flare-ups - when > the cystitis is good the OA is bad and vica versa. The patients main concern > is the recurrent UTI's and is disappointed that her immune > system does't seem to be able to cope when she is not taking herbs and she > is worried that with this recent state of lowered immunity, she will never > be with out medication - herbal or otherwise. > > Things appear to have got stuck. Any suggestions ? > > Charlotte > > > > > ------------------------------------------------------------------------ > List Owner > > Graham White, MNIMH > > ------------------------------------------------------------------------ > GET A NEXTCARD VISA, in 30 seconds! Get rates > as low as 0.0% Intro APR and no hidden fees. > Apply NOW! > http://click./1/967/4/_/32528/_/949409876/ > > -- 20 megs of disk space in your group's Document Vault > -- /docvault/ukherbal-list/?m=1 > > Quote Link to comment Share on other sites More sharing options...
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