Good afternoon, good folks
Does anyone have experience treating possible intestinal parasites with Sa’am? Patient is a middle-aged man, not corpulent to begin with, who’s lost 40 lbs over the past year while living in Central America. While not extreme, his appearance is now somewhat emaciated. He has no acute GI illness and no diagnosis, just the suspicion of parasites. I have him on herbs (a constitutional formula and Wu Mei Wan) and have treated him twice with acupuncture–see below.
Besides the weight loss, his complaints include chronic digestive issues (flatulence, sticky unformed stool 3x/day), pelvic floor pain, neck and shoulder tension/pain, potency and libido issues, cloudy/dribbling urination, sensitivity to cold (worse now that he has so little insulation), depression and anxiety, sleep trouble, dry irritated nasal congestion and fatigue. Weight loss is his clear CC.
Treatment #1: HT+ and SI+. I had been tempted to do SP+ but went with what tested better upon palpation. He settled well and reported feeling more ease in his body and less sensitivity to cold afterward.
Leading up to treatment #2, I convinced myself that i was doing him a disservice by not supplementing SP, given his emaciated condition–isn’t this what Toby’s teacher on him did that first treatment in India, after all? Upon palpation testing (acupressure at 3 out of the 4 points), the response was encouraging (patient reported the points felt “grounding”). I inserted SP+ on one side. Seemed to settle well enough that I left them in, afterward reported his mind was racing.
All may become clear with time, but at the moment I’m asking myself: a) Could LI+ have been needed first to clear up any dampness (sticky stools) even in someone this thin? And b) is SP+ contraindicated in someone with (possible) parasites the way tonifying herbs like renshen are? And c) are there any Sa’am rules of thumb about parasites and how to approach them, or do we just treat the patient according to the usual parameters and let any pathogens work themselves out?
Thanks in advance for any insights,