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Smoked cannabis for chronic neuropathic pain: a randomized controlled trial.

CMAJ. 2010 Aug 30

Just a thought...

Frances E MBHMA, MNIMH

Medical Herbalist

www.holisticherbal.co.uk

020 8948 2140 (h)

07855 783255 (mob)

________________________________

To: ukherbal-list

Sent: Fri, 3 September, 2010 12:01:44

Subject: Pain

I have a long-term patient, male, aged 60 with ME and a long history of

depression. His main problems are migraines (largely sorted), poor sleep

patterns (much improved) and a pattern of becoming hyper/ adrenalised very

easily (improved somewhat but very difficult to get on top of).

He recently went on retreat for a month, the disruption of which has (possibly)

resulted in him being in severe pain. The pain moves around his body, but mostly

centres on the gut, adrenal area, groin and legs. His skin and flesh feel numb,

especially in a band around his abdomen. Pain is constant, and worse at night

preventing him sleeping, and even walking - he is crawling around. The doctor

prescribed him Neurofen (he is extremely sensitive to any drug), which stopped

bowel movements completely for a week, but did enable him to get some sleep. He

has no appetite and is nauseous when he does eat. He is very distressed,

obviously.

I have prescribed him Gelsemium, for the pain, but have used this only

previously for epsiodic gallbladder pain, where it works very well. I don't know

yet how well this has worked. Epsom salts bath provide a little relief.

What I am asking for is experience of delaying with pain, but also how to stop

this dramatic episode as soon as possible.

I wondered about a coffee enema, to clear the liver of toxins, but he is

reluctant as although we have had good results with them for migraine relief, it

does make him hyper and unable to sleep.

Any ideas and input gratefully received, as always.

Thanks

Sara Southgate MURHP

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Important for this to be an indica strain or resin or oil as sativa would have

stimulant effect. I have seen cannabis oil used smoked and ingested

successfully for neuropathy this can be made using ethanol(harsher as sugars are

extracted and caramalised, using isopropyl alcohol to which a few drops of water

are added as solvent is evaporated, this increases boiling point of solution

with an aim to get rid off traces, acetone is easier to evaporate off, and

butane method involving a piece of copper pipe gives clearer product. Good

quality hashish or an indica straine.g northern lights/hindu

kush/blueberry/white rhino etc. are mostly indica

(http://weedreview.com/weed-reviews-menu/tag/characteristics/Pure-indica/criteri\

a:1/

http://www.cannabis-seeds.co.uk/indica-strains.html,http://www.growhigh.co.uk/ca\

talog/product_info.php?products_id=2159 )smoked through a pipe or bong taking a

pull or two at a time waiting for half an hour before resuming again would be an

effective method for ingestion as would Depression would be helped by both

indica and sativa, can patients in England get prescriptions for sativex(GW

pharma 1:1 THC:CBD and other constituents) through doctor?.

The cannabis would help with neuropathy, migrane, depression. However cannabis

is illegal to suggest using it would be counterproductive to treatment.

To: ukherbal-list

From: frankieewalker@...

Date: Fri, 3 Sep 2010 15:23:50 +0000

Subject: Re: Pain

Smoked cannabis for chronic neuropathic pain: a randomized controlled trial.

CMAJ. 2010 Aug 30

Just a thought...

Frances E MBHMA, MNIMH

Medical Herbalist

www.holisticherbal.co.uk

020 8948 2140 (h)

07855 783255 (mob)

________________________________

To: ukherbal-list

Sent: Fri, 3 September, 2010 12:01:44

Subject: Pain

I have a long-term patient, male, aged 60 with ME and a long history of

depression. His main problems are migraines (largely sorted), poor sleep

patterns (much improved) and a pattern of becoming hyper/ adrenalised very

easily (improved somewhat but very difficult to get on top of).

He recently went on retreat for a month, the disruption of which has (possibly)

resulted in him being in severe pain. The pain moves around his body, but mostly

centres on the gut, adrenal area, groin and legs. His skin and flesh feel numb,

especially in a band around his abdomen. Pain is constant, and worse at night

preventing him sleeping, and even walking - he is crawling around. The doctor

prescribed him Neurofen (he is extremely sensitive to any drug), which stopped

bowel movements completely for a week, but did enable him to get some sleep. He

has no appetite and is nauseous when he does eat. He is very distressed,

obviously.

I have prescribed him Gelsemium, for the pain, but have used this only

previously for epsiodic gallbladder pain, where it works very well. I don't know

yet how well this has worked. Epsom salts bath provide a little relief.

What I am asking for is experience of delaying with pain, but also how to stop

this dramatic episode as soon as possible.

I wondered about a coffee enema, to clear the liver of toxins, but he is

reluctant as although we have had good results with them for migraine relief, it

does make him hyper and unable to sleep.

Any ideas and input gratefully received, as always.

Thanks

Sara Southgate MURHP

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Dear Sara, regarding moving pains around the body and being distressed after a

one month retreat:

what retreat was it, and what did he do there?

Too much focusing or long sitting in meditation posture without relaxation can

be the cause.... the remedy: relaxants and go for walks, stay in a warm place

and do not strain the mind. best wishes, Marilena.

To: ukherbal-list

From: frankieewalker@...

Date: Fri, 3 Sep 2010 15:23:50 +0000

Subject: Re: Pain

Smoked cannabis for chronic neuropathic pain: a randomized controlled trial.

CMAJ. 2010 Aug 30

Just a thought...

Frances E MBHMA, MNIMH

Medical Herbalist

www.holisticherbal.co.uk

020 8948 2140 (h)

07855 783255 (mob)

________________________________

To: ukherbal-list

Sent: Fri, 3 September, 2010 12:01:44

Subject: Pain

I have a long-term patient, male, aged 60 with ME and a long history of

depression. His main problems are migraines (largely sorted), poor sleep

patterns (much improved) and a pattern of becoming hyper/ adrenalised very

easily (improved somewhat but very difficult to get on top of).

He recently went on retreat for a month, the disruption of which has (possibly)

resulted in him being in severe pain. The pain moves around his body, but mostly

centres on the gut, adrenal area, groin and legs. His skin and flesh feel numb,

especially in a band around his abdomen. Pain is constant, and worse at night

preventing him sleeping, and even walking - he is crawling around. The doctor

prescribed him Neurofen (he is extremely sensitive to any drug), which stopped

bowel movements completely for a week, but did enable him to get some sleep. He

has no appetite and is nauseous when he does eat. He is very distressed,

obviously.

I have prescribed him Gelsemium, for the pain, but have used this only

previously for epsiodic gallbladder pain, where it works very well. I don't know

yet how well this has worked. Epsom salts bath provide a little relief.

What I am asking for is experience of delaying with pain, but also how to stop

this dramatic episode as soon as possible.

I wondered about a coffee enema, to clear the liver of toxins, but he is

reluctant as although we have had good results with them for migraine relief, it

does make him hyper and unable to sleep.

Any ideas and input gratefully received, as always.

Thanks

Sara Southgate MURHP

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