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Minutus • anorexia rubrics
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anorexia rubrics

Posted: Tue Jan 16, 2007 4:10 am
by Rosemary C Hyde PhD
I have a patient who's having problems eating, especially when anxious or angry -- the appetite just disappears. THis is especially true at dinner time in the evening. There doesn't appear to be any physical reason for the anorexia, and although it's certainly anorexia from a nervous state, it's not the usual kind of "anorexia nervosa.".

Can anyone tell me what rubrics they've found useful for this sort of situation? -- it can't be that uncommon, yet there isn't a direct rubric that I can find along the lines of "appetite wanting from anxiety". or "aversion eating anxiety" etc...

I've searched Anxiety and Mind with "appetite," food," "eating", "averse"...

Thanks!!

Rosemary

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Re: anorexia rubrics

Posted: Tue Jan 16, 2007 4:26 am
by Jean Doherty
I used this once when some one could not eat after breakup
STOMACH; APPETITE; wanting; sadness; from (K480, G410) (1) : plat.
Jean
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Re: anorexia rubrics

Posted: Tue Jan 16, 2007 5:14 am
by Irene de Villiers
To me this makes sense in the break-up situation as Plat is very
sexually oriented...and Plat also has:
STOMACH - APPETITE - easy satiety - sadness; from
On 16/01/2007, at 11:00 AM, Rosemary C Hyde PhD wrote:

Perhaps look into what causes the anxiety/anger and go from there?
Such as "aggravation from .... (whatever causes the anxiety/anger)
also consider
STOMACH - ANXIETY - excitement; after (dig, Kali-c, mez,phos)
STOMACH - ANXIETY - vexation; after (LYC)
STOMACH - ANXIETY - Epigastrium - excitement agg. (kali-c)
STOMACH - APPETITE - diminished - anxiety; from (lac-cp)
STOMACH - APPETITE - complaints of (18)
STOMACH - APPETITE - wanting - hunger; with (79)

Namaste,
Irene
--
Irene de Villiers, B.Sc AASCA MCSSA D.I.Hom/D.Vet.Hom.
P.O. Box 4703 Spokane WA 99220.
www.angelfire.com/fl/furryboots/clickhere.html (Veterinary Homeopath.)
"Man who say it cannot be done should not interrupt one doing it."

Re: anorexia rubrics

Posted: Tue Jan 16, 2007 7:03 am
by Shannon Nelson
I have it in my head from decades ago that one *should not* eat when
angry or upset, and it's certainly never worked for me! Is it
actually unusual for someone to lose their appetite in that
situation????Rosemary, why not just focus on helping him spend less
time being angry or upset? And help him learn some calming behaviors
so that he can go to his meals more relaxed?
Shannon
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Re: anorexia rubrics

Posted: Tue Jan 16, 2007 7:41 am
by Irene de Villiers
Robert & Shannon Nelson wrote:

I think it is relevant.
Some people eat when emotional as a "comfort food" thing - they may not
taste what they eat at the time - but they wolf it down nevertheless -
it's a coping mechanism. I know several folks who eat when emotional -
make them angry - and instead of blowing up - they stuff it in :-))

So which way an individual goes on that - eat or not - could be relevant
as one of the rubrics.... we also consider heat versus cold response and
other opposite individual responses to be relevant.

Namaste,
IRene
--
Irene de Villiers, B.Sc AASCA MCSSA D.I.Hom/D.Vet.Hom.
P.O. Box 4703 Spokane WA 99220.
www.angelfire.com/fl/furryboots/clickhere.html (Veterinary Homeopath.)
"Man who say it cannot be done should not interrupt one doing it."

Re: anorexia rubrics

Posted: Tue Jan 16, 2007 9:54 am
by Jean Doherty
STOMACH; APPETITE; wanting; sadness; with (1) : dig.
STOMACH; APPETITE; wanting; sadness; from (K480, G410) (1) : plat.
Used this in client after swhe had breakuo of relationship
STOMACH; APPETITE; wanting; vexation, after (K480, G410) (3) : nat-
m., petr., phos. Hope helps, Jean
[Non-text portions of this message have been removed]

Re: anorexia rubrics

Posted: Tue Jan 16, 2007 12:00 pm
by andyh
On Jan 15, 2007, at 6:00 PM, Rosemary C Hyde PhD wrote:

Hi Rosemary,
A few ideas…
Stomach chapter has a few appetite symptoms that relate back to emotions
-these may help if client cannot be more specific. Though appetite is a
glandular feedback system, some loop involving the stomach (meridian,
nerves) could be involved in some individuals (?). Kent put "appetite"
in stomach chapter- maybe for lack of a better place- however, the stomach
is one meridian which expresses/stores anxiety (in the understanding of
TCM) --heart meridian the other. Thus (theorizing here) -- when appetite
and anxiety are caught in negative feedback relationship this connection
could be involved... Maybe some TCM folks or physiology experts on the
list will comment…

Hope something here is helpful...

Rep Univ and Synthesis:

----------------------------------------
STOMACH - LOATHING of food - emotions; after
Kali-c.
STOMACH - PHENOMENA - APPETITE - diminished - anxiety, with
aza.
STOMACH - APPETITE - diminished - anxiety; from
lac-cp.
----------------------------------------
STOMACH - APPETITE - wanting - eating - attempting to eat; on
caust. cycl. lyc. petr-ra. plat. prun. rheum Sil.
GENERALS - FOOD and DRINKS - food - aversion - eating - attempting to eat; on
ant-t. chion. petros. rheum ruta Sil.
STOMACH - LOATHING of food - eat, on attempting to
ant-t. cycl. petros. rheum ruta Sil. sul-ac.
STOMACH - LOATHING of food - sudden while eating
Bar-c.
STOMACH - APPETITE - indifference to food and drink
chin. M-aust. positr. rhus-t. valer.

There is also:
STOMACH - ANGER
hydrog.
but without reference to appetite, so that would be a real stretch beyond
any stomach meridian-appetite theory since in TCM anger is
expressed/stored via liver meridian, not stomach.
------------------------------------------
Also possibly useful if other sx in case is:

STOMACH - APPETITE - wanting + diminished(RU/Synth combined)
CROSS
MIND - AILMENTS FROM – anxiety (Synth)+ MIND - MODALITIES - ANXIETY - agg.
(RU)

ELIMINATION
Acon. aids. am-c. am-m. ancis-p. ARS. asaf. ASAR-O. AUR. BELL. calc-p.
CALC. camph. canth. CARB-AN. CARB-V. carc. castm. CAUST. CHAM. CHIN.
chinin-s. cimic. cocc. CUPR. DIG. gink-b. GRAPH. HYOS. IGN. KALI-C.
KALI-I. kali-p. LEC. LYC. m-arct. MAG-C. merc. mosch. NAT-M. nit-ac.
NUX-V. OP. PETR. PH-AC. PHOS. PIC-AC. PLAT. positr. Psor. PULS. ran-s.
RUTA SAMB. SIL. SPONG. stann. staph. SUL-AC. SULPH. zinc.

Best,
Andy

Re: anorexia rubrics

Posted: Tue Jan 16, 2007 12:37 pm
by andyh
Couple of others:

MIND - MODALITIES - APPETITE, with diminished
Arg-n.ARS. BELL. Borx. Carb-v. clem. coca Cocc. CROC. Dros. HYOS. Ign.
kali-bi. KALI-CHL. Lepi. Lil-t. lyc. merc. OP. PH-AC. Phos. plat. Puls.
Spong. STRAM. Sulph. Valer. VERAT. VIOL-O.

As per Jean suggestion:
APPETITE, wanting + Appetite easy satiety - sadness, from(RU+Synth)
nat-m. plat

Also:
MIND - PHENOMENA - DREAMS - eating - eat, cannot, due to someones dishonesty
lac-leo.
FWIW (big rubric):
MIND - AILMENTS FROM - anger + ails suppressed anger(RU+Synth)
cross
STOMACH - APPETITE - wanting/diminished(RU/Synth)

ELIMINATION:
ACON. AGAR. aids. Aloe ALUM. am-c. am-m. ambr. ANAC. ang. ANT-C. Ant-t.
apis arg-met. ARG-N. ARN. ars-s-f. ARS. aur-ar. Aur-m-n. Aur-m. aur-s.
AUR. bamb-a. BAR-C. BELL. BORX. BOV. bros-gau. BRY. CALC-AR. calc-p.
calc-s. calc-sil. CALC. camph. canth. caps. CARB-AN. CARB-V. carc. castm.
CAUST. CHAM. CHIN. cimic. CINA COCC. COFF. COLCH. COLOC. Cortico. croc.
crot-c. cupr. daph. dulc. falco-pe. ferr-p. Ferr. fum. galeoc-c-h. GELS.
Germ-met. gink-b. glon. graph. grat. haliae-lc. ham. hell. Hep. Hydrog.
HYOS. IGN. IOD. IP. kali-bi. KALI-BR. kali-c. Kali-p. LACH. lat-h. lil-t.
limest-b. loxo-recl. LYC. lyss. m-ambo. m-arct. m-aust. MAG-C. MAG-M.
manc. MERC. Mez. Moni. MOSCH. MUR-AC. nat-ar. NAT-C. NAT-M. NAT-P. nat-s.
nicc-met. nit-ac. nux-m. NUX-V. ol-an. olnd. OP. PETR. PH-AC. PHOS.
pin-con. pin-s. PLAT. plut-n. Podo. positr. pot-e. PULS. ran-b. RHUS-T.
RUTA SABIN. sacch. SAMB. sec. sel. SEP. SIL. SPECT. SPIG. spong. stann.
STAPH. stram. stront-c. SULPH. symph. Tarent. tritic-vg. TUB. ulm-c.
vanil. verat. zinc-p. ZINC.

=========================
RE hunger stimulation hormonal pathways, it looks like it is quite
complex, but one key hormone may come from the stomach and SI, if these
researchers (circa 2002) have it right--
Best
A

==================================
http://news.bbc.co.uk/1/hi/health/3889185.stm

Obesity op reduces hunger hormone
Surgery is only offered to severely obese patients
Obese people who undergo gastric bypass surgery may lose weight quickly
because levels of a hormone controlling appetite fall away, research
shows.
The hormone, ghrelin, is released into the blood from the stomach and
upper intestine and triggers hunger pangs.

======================================
======================================
The Archives of Surgery study, by Atlanta's Emory University, found
ghrelin levels dropped by nearly one-third after gastric bypass surgery.

If you can find a way to control the release of ghrelin in the body, you
can potentially prevent a person from overeating.

Dr Edward Lin
The researchers focused on a particular type of gastric bypass surgery
known as the Roux-en-Y procedure.

This involves dividing the stomach to create a pouch that is attached to
the small intestine.

It reduces the size of the stomach and bypasses parts of the gastric
system that absorb food and may trigger releases of the hormone.

However, it is considered to be risky and is usually only offered to
patients who are severely overweight and who have been unable to lose
weight using other methods.

The researchers checked levels of the hormone in 48 obese patients, 34 of
whom had undergone gastric bypass surgery.

Another eight obese patients had other types of weight-loss procedures
that did not divide the stomach, and six non-obese patients undergoing
surgery were monitored to provide a base level of the hormone.

None of these 14 patients showed any reduction in ghrelin levels.

'Prevent overeating'

Lead researcher Dr Edward Lin said: "This is the first time we have found
that different types of weight-loss surgeries affect ghrelin levels in
humans.

"When the stomach is divided, forming a small gastric pouch, the ghrelin
levels are significantly reduced early after the surgery is performed.

"Other mechanisms can make you hungry, but ghrelin is one of the most
potent hunger stimulants."

Dr Lin said patients with morbid obesity have lower baseline ghrelin
levels compared with lean counterparts.

However, he added: "This study shows that surgically induced weight loss
with RYGB in these patients appears to cause long-term, if not permanent,
suppression of ghrelin secretions that is not associated with other
weight-loss procedures.

"If you can find a way to control the release of ghrelin in the body, you
can potentially prevent a person from overeating."

Dr Ian Campbell, of the UK National Obesity Forum, told BBC News Online
that gastric bypass surgery was declining in popularity as doctors
preferred to use safer laparoscopic surgery techniques.

However, he said: "It does not matter how it works, as long as it does,
and for somebody who is morbidly obese, and for who nothing else has
worked, surgery of this kind can be a lifesaver."
========================
http://news.bbc.co.uk/1/hi/health/1689858.stm

Hunger hormone identified
Obesity is linked to heart disease, diabetes and cancer

Scientists have identified a hormone that regulates appetite.
The discovery has raised hopes of a breakthrough in the treatment of
obesity and anorexia.

Researchers at Imperial College, London, UK, have found that the growth
hormone ghrelin has an effect on whether a person is hungry or not.

They believe that levels of the hormone could be increased to encourage
people with anorexia or patients with cancer or Aids, who have lost their
appetite, to eat.
I think this is a pretty important breakthrough

Prof Steve Bloom, Imperial College London
Similarly, levels could be decreased or blocked to reduce the amount of
food people with obesity may want to consume.

Dr Alison Wren and colleagues at Imperial College first identified the
effects of the hormone during tests on rats before continuing their study
on humans.

As part of their trial, nine volunteers were infused with ghrelin on one
day and with saline the following day.

On both occasions they were presented with a plate of food, comprising
four normal-sized adult portions.

They found that all of the participants ate 30% more than normal after
they had received the hormone. The volunteers, who were not told what was
being infused, also reported being much more hungry.

Dr Wren said that while the study was small, the findings, which were
presented at the Society for Endocrinology's annual meeting in London,
were significant.

Long-term benefits

"Nobody has ever found something in the body's circulation that regulates
appetite before," she told BBC News Online.

"Although this was quite a small scale trial, it was clear that all of the
volunteers ate much more."

Dr Wren suggested that the finding could have long-term health benefits.

"Obviously in a modern society, obesity is one of the biggest causes of
morbidity and mortality. This could be used to block the action of the
indigenous hormone and may be useful in the treatment of obesity."

Professor Steve Bloom, from Imperial College, described the finding as
significant.

"I think it is pretty significant because the hormone was originally
discovered to be responsible for quite a different purpose. I think this
is a pretty important breakthrough," he told BBC News Online.

Re: anorexia rubrics

Posted: Tue Jan 16, 2007 1:56 pm
by Tanya Marquette
in my
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Re: anorexia rubrics

Posted: Tue Jan 16, 2007 1:59 pm
by Tanya Marquette
in my experience, anorexia is usually related to control issues and so
you might want to explore her sense of feeling out of control and
needing to gain control of herself.

tanya
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regarding the individual suitability of the information contained in any
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website and/or email postings for any purpose. The entire risk arising out
of their use remains with the recipient. In no event shall the minutus site
or its individual members be liable for any direct, consequential,
incidental, special, punitive or other damages whatsoever and howsoever
caused.
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