Home Forums Diplomate Discussion Hydrops Fetalis Case

  • This topic has 9 replies, 1 voice, and was last updated 3 years ago by Ayla Gustafson.
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    • #7192
      Ayla Gustafson
      Participant

      Severe edema (swelling) in the fetus with 10 being VERY serious. Doc says it’s rated about a 5 in pregnant woman. Patient is 32 yrs old, 3rd child and 27 weeks pregnant. The ultrasound is showing too much fluid in the baby’s abdomen; the intestines appeared to be “floating.” Most common cause of this is a heart defect, which they will be checking in 2 weeks with a specialist. Pulses: Both hands are very similar, with L being slightly stronger than the R. L & R: cuns and guans are floating and thin at middle and deep levels; cun’s and guan’s are slippery wiry (a bit more so at deep then at middle); and both chi’s are very deep and weak, maybe slightly tight, but barely any strength. I’m confused about the sensation I’m feeling with the floating cun/guans, as it feels like both positions are equally pushing up against my fingers (tight or thin?). She has gained 30 lbs already, and seems to be retaining some water herself. At week 22 had 3-5 nose bleeds in one day with a very bad allergy attack followed by a head cold (stayed in sinuses) that lasted for 6 weeks. History of allergies. Bowels are 1-2 a day, formed. Temperature seems normal. Vegetarian. Belly feels on the cool side and pretty squishy/lack of tone despite being quite large. Any weigh ins around treatment at all? Would improving her water metabolism help the baby’s ability? I guess if it’s a heart defect that’s a whole other scenario….it’s obviously a delicate situation and I’m being super cautious. She will be getting another ultrasound in 2 weeks, so we could potentially see if there was any change from treatment until then. The pulse presentation seems close to FJFLT, but would it need to be combined with chuan xiong or some kind of guiding herb to the uterus? Or combine w/ DGS?

    • #7806
      Ayla Gustafson
      Participant

      Or need to harmonize first?

    • #7805
      laurieayres
      Participant

      Christoph Ludwig Beer: Yes, when I used LGZGT with GLQMW I added SJ to incorporate it in as well. Haven’t used it alone though.

    • #7804
      Arnaud Versluys
      Keymaster

      KZFLS, in my opinion…

    • #8148
      Ayla Gustafson
      Participant

      Yes, they do have force when you press them. No cardiac or urinary symptoms.

    • #8149
      Ayla Gustafson
      Participant

      Schmerker

    • #8150
      Arnaud Versluys
      Keymaster

      I’m assuming she wasn’t on Huangqi during the second trimester? You don’t have many third trimester formula options. One thing we could do is to combine Baizhu San with Kuizi Fuling San, but I’d probably start by just using KZFLS and see where this leads to.

    • #8151
      Ayla Gustafson
      Participant

      Correct, no HQi in second trimester.

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