Clinical Information For the Treatment Of Fibroids

What Is Fibroids?

whatisfibroids?

Fibroids - Basics

Fibroids are benign masses of muscle cells and tissue that grow in and on the uterus. These growths can be as small as one millimeter or as large as 8 inches across. They can also occur as a single mass or grow in clusters. Many women with fibroids do not experience any symptoms, however; some women can have heavy or painful menstrual periods, lower back pain, excessive urination, pain during sex, pelvic pressure or reproductive issues such as miscarriages or infertility. Although fibroids occur in at least 25 percent of U.S. women of childbearing age, there is no known cause.

Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for fibroids.

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The Following (7)Formulas TCM Herbal Formulas May Be Useful For Fibroids

Er Chen Wan (Two Aged Herbs)

Clinical Usages

  • The primary base formula to resolve phlegm damp, particularly in the lungs and GI system - cough (with white mucus), plugged ears, sinus blockage - along with GI symptoms of nausea, vomiting.
  • Upper respiratory tract infections, bronchitis, emphysema, COPD - when arising from phlegm damp.
  • Phlegm accumulation in the head symptoms such as dizziness, insomnia, meniere's disease, alcohol hangover.
  • Cysts from phlegm accumulation - fibroids, breast cyst, ovarian cyst, thryoid cysts, goiter. 

    Clinical Categorization

    Cautions

      • Avoid in patients with yin deficiency - i.e. cough from dryness.

        Ge Xia Zhu Yu Wan (Drive Out Blood Stasis Below The Diaphragm Decoction)

        Clinical Usages

        • For blood stasis below the diaphgram - abdominal masses, liver and spleen masses/swelling, colitis.
        • A range of liver disorders are possibly applicable - cirrhosis, hepatic hemangioma, hepatitis, jaundice.
        • Spleen disorders - splenomegaly.
        • Pleural adhesions.
        • A range of menstrual disorders - fibroids, endometriosis, dysmenorrhea (although Shao Fu Zhu Yu Wan may be more appropriate as that targets more the lower jiao).
        • Pelvic inflammatory disease.
        • May be used to help expel ectopic pregnancy.

          Clinical Categorization

          Cautions

          • Avoid during pregnancy.
          • Use only under direction during menstruation.
          • Use only under direction if you are taking blood thinners.
          • Generally not for long term use.

            Huo Luo Xiao Ling Wan (Miraculously Effective Pill To Invigorate The Collaterals)

            Clinical Usages

            • A range of pain related issues when they arise from qi and blood stagnation (both acute and chronic) - pain essentially anywhere in the body, bruises and swelling and other signs of stasis.  May often be combined with other formulas which deal more with the root issues.
            • Abdominal masses, fibroids, cysts as well as organ related issues such as cirrhosis, appendicitis and inflammatory conditions such as endometriosis.
            • May be used to help clear an ectopic pregnancy with the right factors.

              Clinical Categorization

              Cautions

              • Avoid during pregnancy.
              • Avoid with heavy menstrual bleeding.
              • Use only under direction if you are taking blood thinners.
              • Generally not for long term use.

                Nei Xiao Luo Li Wan (Internally Reducing Cervical Lymphadenitis Pills)

                Clinical Usages

                • Phlegm obstructions - generally benign masses, lumps, swellings such as lymph nodules, breast cysts, thyroid nodules, goiter, ovarian cysts, fibroids, etc.
                • If used, it may often be combined with deeper formulas for the more systemic underlying pattern.

                  Clinical Categorization

                  Qing Shu Yi Qi Tang Wan (Clear Summer Heat and Augment the Qi)

                  Clinical Usages

                  • Please note that there are two formulas with the same name but slightly different compositions.  One is from Wang's Wen Re Jing Wei and tonifies the yin more strongly, the other (which is the one discussed here) is from Li's Pi Wei Lun (Discussion of the Spleen and Stomach) and tonifies the spleen more strongly.  Both have similar usages but are not directly interchangeable.  
                  • Clears summerheat and dries dampness - summer colds and flus, heatstroke - fever, fatigue, excessive sweating with loose stools and heaviness in the body.
                  • Along with respiratory infections in the right cases certain types of asthma may be appropriate for this formula.
                  • Dampheat related inflammatory condtions such as Colitis are approprirate with the right underlying factors.
                  • Chronic Fatigue Syndrome with symptoms of spleen deficiency and heat.
                  • Wtih the right underlying factors the range of perimenopausal symptoms may be appropriate - low libido, fatigue, water retention, fibroids, heavy cycles.  Where this appear with spleen qi deficiency signs and kidney weakness, this formula may be appropriate.

                    Clinical Categorization

                    Shao Fu Zhu Yu Wan (Abdominal Stasis Relief Pills)

                    Clinical Usages

                    • Qi and blood stagnation in the lower jiao - lower abdominal masses, fibroids, ovarian cysts, endometriosis.
                    • Fertility issues in both men and women with the right underlying signs - amenorrhea, dysmenorrhea, irregular cycles, uterine bleeding.
                    • Can be used to dispel ectopic pregnancy.
                    • Ulcerative colitis, urinary stones.

                      Clinical Categorization

                      Cautions

                      • Avoid during pregnancy.
                      • Not generally applicable to heavy menstrual bleeding coming from deficiency.

                        Tao Hong Si Wu Wan (Four Substances Pills With Safflower And Peach Pit)

                        Clinical Usages

                        • A modified version of si wu tang with the inclusion of tao ren and hong hua which make it slightly more moving for the blood - for blood deficiency with blood stagnation with particular emphasis on the lower jiao - dysmenorrhea, irregular menstruation, heavy bleeding, other stasis symptoms such as fibroids, blocked fallopian tubes, endometriosis, etc. as well as related psychological issues such as depression.
                        • Can be used post-delivery for retained lochia.

                          Clinical Categorization

                          Cautions

                            • Avoid during the early phases of a cold or flu.

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