A Case Study: Edema

Edema is the build up of fluid that usually is a product of some central illness. In the most basic sense, it is the build up of fluids in body. Swelling usually results wit the continual advent of Edema. The seriousness of Edema shouldn’t be taken lightly. Heart failure and hypothyroidism are disorders that may manifest from it.

In TCM clinical terms, Edema is related to many diagnoses. As in most TCM illnesses, there is a Yin and a Yang aspect. The Yang disorders are most consistent with Damp-Heat or just the accumulation of Dampness. What I look for to substantiate these diagnoses are the classic associated symptoms. I look at the tongue for a thick, greasy coat. The pulse should be deep and wiry or hesitant.

Since this is an internal disorder, a herbal formula will most likely be prescribed. For Damp heat, Ma Huang Lian Qiao Chi Xiao Dou Tang is a very popular formula to give out. The herbs, in this formula, essentially purge out the dampness and cool the heat. For Damp Heat accumulation, the formula Wu Pi San is prescribed.

The Acupuncture point selection varies from practitioner to practitioner; again, the diversity behind this medicine is amazing. For Damp Heat, the points I choose on channels that are associated with the transformation of fluids/foods. Thus, points on the Leg Tai Yin channel are chosen like Sp9 and Sp6.

I also take time out to educate my patients on changing their diet to help combat Damp Heat. Food like, low sugar fruits, green vegetables and grilled meats are best to eat. I stress to them to avoid any sugary foods like candy, and to drink plenty of distilled water.

The Damp heat form of Edema is a perfect example to demonstrate the true flexibility TCM gives the practitioner in choosing his regimen of treatment.