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t Office}{\info {\title Ano-Genital Itch and Burn: A Tale of Four Patients}{\cre
atim \yr2016 \mo10 \dy1 \hr14 \min37 }{\revtim \yr2411 \mo12 \dy30 \hr0 \min0 }{
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ng2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 Ano-Genita
l Itch and Burn: A Tale of Four Patients}{\b1 \fs42 \kerning2 \dbch \af2 \hich \
af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \plain \qj \li0 \ri0
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\hich \af0 \loch \af0 \cgrid1 \langfe2052 \langfenp2052 \cf13 \ul1 }{\fs21 \kern
ing2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \cf13 \ul
1 HYPERLINK "http://i0.wp.com/catstcmnotes.com/wp/wp-content/uploads/2015/08/Han
dmade-trigonous-acupuncture-needle-Three-edged-needle-with-bleeding-groove.jpg"}
}{\*\fldrslt {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 \cgrid1 \langfe20
52 \langfenp2052 \cf13 \ul1 }{\field {\*\fldinst {\fs21 \kerning2 \dbch \af2 \hi
ch \af0 \loch \af0 }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 INCLUDEPICT
URE "http://i0.wp.com/catstcmnotes.com/wp/wp-content/uploads/2015/08/Handmade-tr
igonous-acupuncture-needle-Three-edged-needle-with-bleeding-groove.jpg?resize=30
0,300"}}{\*\fldrslt {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 }}}{\fs21
\kerning2 \dbch \af2 \hich \af0 \loch \af0 }}}{\fs21 \kerning2 \dbch \af2 \hich
\af0 \loch \af0 \cgrid1 \langfe2052 \langfenp2052 \cf13 \ul1 }{\fs21 \kerning2 \
dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 Now that\uc1 \u

8217 ?s a headline you don\uc1 \u8217 ?t see every day, isn\uc1 \u8217 ?t it? We
ll, then again, I guess it depends on your profession.}{\fs21 \kerning2 \dbch \a
f2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \plain \qj
\li0 \ri0 \widctlpar \aspalpha \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2
\dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f
0 \cgrid1 \langfe2052 \langfenp2052 Nevertheless, I have had several recent pati
ents who came in complaining of lesions, itching, and burning in the ano-genital
area. One patient had a diagnosis of genital herpes, another was undiagnosed, o
ne has chronic eczema that has spread and become infected from scratching, and a
couple more have a diagnosis of lichen sclerosus. That last one is unusual and
I was surprised to see it, but there it was. It affects a very small portion of
the population and there is precious little information on it from an Asian medi
cine perspective.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \lang
fe2052 \langfenp2052 \par }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \adju
stright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs
21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 E
ach of these cases has a common element: heat in the blood and stress. I fully e
xpected each of them to have signs of heat and damp in the Liver channel, but th
at does not seem to be true. In two cases the pulse, tongue, and supporting symp
toms just aren\uc1 \u8217 ?t there.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch
\f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \plain \qj \li0 \ri0 \widctlp
ar \aspalpha \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \a
f0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe20
52 \langfenp2052 The eczema patient responded well to TCM and herbs and we are n
ow moving on to the deeper symptoms that have made the ano-genital itching possi
ble in the first place \uc1 \u8211 ? namely asthma, an ancient grief that has be
en affecting her lungs, and some other stuff. The genital herpes patient did gre
at with long dan xie gan tang and TCM, but the turn-around was slower than I wan
ted it to be.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe20
52 \langfenp2052 \par }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \adjustri
ght \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \
kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 Now t
hat brings me to the lichen sclerosus patients. Lichen sclerosus, or LS, is an a
uto-immune condition that causes the skin in the external genital area to get dr
y, thin, and to break very easily. It often forms patchy white skin and it itche
s like a mother. And that\uc1 \u8217 ?s a bummer because you scratch it anywhere
in the ano-genital area and the skin breaks and then it hurts, burns and itches
all at the same time. It can occur anywhere but seems to prefer the anus, vulva
r areas and the head of the penis. As you can imagine, that puts a real damper o
n your love life.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \lang
fe2052 \langfenp2052 \par }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \adju
stright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs
21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 I
put these patients on herbs, I prescribed sitz baths, and I did acupuncture, al
l for blood heat, damp heat in the liver channel, and spleen deficiency. For the
record, this is the internal powdered formula that worked the best for the lich
en sclerosus patients and this is the dose }{\i1 \fs21 \kerning2 \dbch \af2 \hic
h \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 per day}{\fs21 \kerning2 \dbc
h \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 :}{\fs21 \kerning2
\dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \
plain \qj \li0 \ri0 \widctlpar \aspalpha \adjustright \lin0 \rin0 \itap0 \fs21 \
kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0
\loch \f0 \cgrid1 \langfe2052 \langfenp2052 15g He Shou Wu}{\fs21 \kerning2 \db
ch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \line }{\fs21 \ke
rning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 10g Bei
Sha Shen}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \
langfenp2052 \line }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \la
ngfe2052 \langfenp2052 10g Huang Jing}{\fs21 \kerning2 \dbch \af2 \hich \af0 \lo
ch \f0 \cgrid1 \langfe2052 \langfenp2052 \line }{\fs21 \kerning2 \dbch \af2 \hic
h \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 10g Gou Qi Zi}{\fs21 \kerning

2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \line }{\fs2
1 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 4g
Wu Wei Zi}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052
\langfenp2052 \par }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \adjustright
\lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \ker
ning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 The sitz
baths helped with the external symptoms. Here\uc1 \u8217 ?s the formula I used
for that. Again, this is a powdered herbal formula made into a thin water-based
wash.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \lang
fenp2052 \par }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \adjustright \lin
0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2
\dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 12g Bai Bu}{\
fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052
\line }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \la
ngfenp2052 15g Ku Shen}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1
\langfe2052 \langfenp2052 \line }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f
0 \cgrid1 \langfe2052 \langfenp2052 9g Bai Xian Pi}{\fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \line }{\fs21 \kerning2 \d
bch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 9g Ye Ju Hua}{\f
s21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052
\line }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \lan
gfenp2052 9g Tu Fu Ling}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1
\langfe2052 \langfenp2052 \par }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha
\adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af
0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp
2052 Both patients reported that the sitz bath felt awesome, but other than that
there was insufficient relief overall and in one case symptoms actually got wor
se.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfe
np2052 \par }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \adjustright \lin0
\rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \
dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 About the time
all three of us were getting really discouraged I came across Susan Johnson\uc1
\u8217 ?s Master Tung DVDs (see the links below) and watched through them again.
One of the demos she did was for a genital herpes patient who was having an out
break. She bled the }{\b1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid
1 \langfe2052 \langfenp2052 Shang Chun or Upper Lip (77.15)}{\fs21 \kerning2 \db
ch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 point, which is
at the laterodistal edge of the patella just below Stomach 35. My ears perked up
and my eyes opened wider. This point treats stuff in the genital area (and stuf
f around the lips of the mouth like cold sores). I wondered if it would work for
the LS patients.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \lang
fe2052 \langfenp2052 \par }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \adju
stright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs
21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 A
couple of days later in comes one of the LS patients. Now, I will confess I\uc1
\u8217 ?d never bled that point before, but she was up for the experiment and I
decided to go for it. We did a standard TCM type treatment and then I bled her
knee. No small task, I gotta tell you! There\uc1 \u8217 ?s not a lot of real-est
ate in that area. I prepped (alcohol, gloves, cotton balls, paper towels, etc.)
kneaded the knee (see what I did there? ha!) until it turned pink, then used a 3
edged needle to poke the hole. Squeeze, squeeze, squeeze\uc1 \u8230 ?..nothing.
Tried again, squeezed, wiped with alcohol swab and got a drop of blood! Yay! Sw
iped with alcohol again and got more. I did that for a hot minute, getting proba
bly 10 small drops out of each knee. I cleaned up, sent her home, and prayed for
the best.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052
\langfenp2052 \par }\pard \plain \qj \li0 \ri0 \widctlpar \aspalpha \adjustright
\lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \ker
ning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 The next
day I called her to check on the progress and got voicemail. No reply. Same thi
ng on day 2. And day 3. And day 4. \uc1 \u8220 ?Well, that\uc1 \u8217 ?s it,\uc1

\u8221 ? I thought. \uc1 \u8220 ?Lost a patient.\uc1 \u8221 ? On day 5 she call
ed me back. }{\i1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langf
e2052 \langfenp2052 No}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1
\langfe2052 \langfenp2052 symptoms. NONE. Nothing! No burning, no itching, and
the lesions were healing. She waited to call me because she could barely believe
it herself and didn\uc1 \u8217 ?t want to jinx it!}{\fs21 \kerning2 \dbch \af2
\hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \plain \qj \l
i0 \ri0 \widctlpar \aspalpha \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \db
ch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \
cgrid1 \langfe2052 \langfenp2052 We were both elated. I immediately called the o
ther LS patient and asked her if she wanted to try it too. She was skeptical, bu
t agreed it was worth a try. Same results!}{\fs21 \kerning2 \dbch \af2 \hich \af
0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \plain \qj \li0 \ri0 \
widctlpar \aspalpha \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \l
angfe2052 \langfenp2052 Since I saw them both the genital herpes patient has com
e back in after a very stressful work week which resulted in another outbreak. I
did the same procedure for this patient and the results were obvious within 24
hours. Her 77.15 points were far more giving and the blood that came out was so
dark it was almost black. I was able to put a small silicone cup over those poin
ts which drew the blood out pretty nicely.}{\fs21 \kerning2 \dbch \af2 \hich \af
0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \plain \qj \li0 \ri0 \
widctlpar \aspalpha \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \l
angfe2052 \langfenp2052 So that\uc1 \u8217 ?s my tale. Master Tung\uc1 \u8217 ?s
}{\b1 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langf
enp2052 }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \
langfenp2052 magic point really does seem to be magic. If you decide to incorpor
ate it into your practice I would encourage you to watch the DVD if you can. Als
o, if the points are reluctant to bleed, sit the patient up with legs off the ed
ge of the table to encourage better blood flow to the legs and swipe the points
with alcohol between each squeeze to keep the blood flowing.}{\fs21 \kerning2 \d
bch \af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \pla
in \qj \li0 \ri0 \widctlpar \aspalpha \adjustright \lin0 \rin0 \itap0 \fs21 \ker
ning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \l
och \f0 \cgrid1 \langfe2052 \langfenp2052 Happy healing!}{\fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \plain \
qj \li0 \ri0 \widctlpar \aspalpha \adjustright \lin0 \rin0 \itap0 \fs21 \kerning
2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch
\f0 \cgrid1 \langfe2052 \langfenp2052 Cat Calhoun}{\fs21 \kerning2 \dbch \af2 \h
ich \af0 \loch \f0 \cgrid1 \langfe2052 \langfenp2052 \par }\pard \plain \qj \li0
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f0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \par }}}}}}}}}}}}}}}}}}}}}}