Endometriosis Awareness – Ending the Silence

Endometriosis Awareness 

This month is Endometriosis awareness month and I have been invited to be a guest speaker for Endometriosis Australia and their endometriosis awareness campaign called “Ending the Silence.” Our aim is to bring awareness about this disease that is often overlooked. It is an issue myself as an endometriosis expert feels very passionately about. I treat women suffering from this disease every day and I hope that one day, endometriosis can be a word of the past.

Through awareness and education, let’s try and get women the early intervention and help they need sooner, rather than later.

What is Endometriosis
Endometriosis, which is an inflammatory gynaecological disease, by which endometrial like tissue grows outside the endometrium. It can spread outside the endometrium into the pelvis, bowel and intestines. It has even been known to get into the brain, joints and around the heart.This disease affects 1 in 10 women, often causing immense pain for them.

According to the Royal College of Obstetricians and Gynaecologist Guidelines for the Management of Endometriosis, it can cause the following symptoms:

Heavy Menstrual Bleeding
Period Pain
Pain with sex
Ovulation Pain
Irritable bowel like symptoms
Bladder issues
Chronic fatigue
Pain with bowel movement

The disease can also cause other symptoms such as :

Bloated belly that looks pregnant around your period (known as endo belly)

Bloated belly that looks pregnant and you are told it is from certain foods, but it isn’t, or may be a combination of food and inflammation from endometriosis (also known as endo belly)

UTI like symptoms that aren’t a UTI

Bleeding from the bowel with your period

Low Iron with no explanation

Being told you have IBS, but you don’t have IBS

Migraines/Headaches that are worse around your period

Irrational mood swings

There are so many other symptoms that could also be pointers to endometriosis. 

This disease can also play major havoc with hormones and the libido. Many women with can have pain on intercourse which further lessens the desire around sex.
Women with endometriosis often have painful periods and can’t get out of bed, so if you experience this, there is a good chance that you actually have it.
Women with endometriosis can also have other hormonal disturbances such as mood swings, fatigue, restlessness etc. They can also have other symptoms such as migraines, headaches, dizziness, constipation, pain with bowel movements, joint pains and all manner of symptoms created from the inflammation that endometriosis is caused by and also creates

How Many Women Suffer from Endometriosis?
Endometriosis has now reached an all time high in its ever-growing presence. While the current research says that 1 in 10 women are affected by endometriosis, as an endometriosis expert, I believe, as do many others, that these figures may be grossly under exaggerated. Research also shows that a significant portion of women affected with endometriosis are asymptomatic (no symptoms) and may only ever get diagnosed if they are having issues with having a baby, or they may never be diagnosed at all. In addition to this, many women diagnosed with Irritable Bowel Syndrome actually have endometriosis and not IBS.

Many women have also been told period pain is normal and hence many never seek help for a condition that can be debilitating on their life and those around them. Women who suffer period pain and other menstrual related symptoms caused by endometriosis are often ‘missed’ and ‘dismissed’ by multiple healthcare professionals and it can take up to 12 years from onset of symptoms to a definitive diagnosis being made. Women with period pain caused by endometriosis have to live a life of pain, trauma and physical and emotional torment. Many of these women are barely getting through a day, let alone a whole month of exhausting symptoms related to this disease. Some sadly even turn to suicide.

The Western Medicine Approach on the Causation and Treatment of Endometriosis
To date, Western medicine does not know how or even why it occurs. The only solution that has been offered in the past was to laser it. This usually has a recurrence rate of up to 80%. Recently many doctors have been treating this disease by excising (cutting it out), which offers better relief with less recurrence. I do need to stress that when a surgeon is needed, it needs to be done by an advanced trained laparoscopic surgeon, who has had extra specialised training, and is an expert in endometriosis excision and management, and is not just any gynaecologist. This is where many go wrong and haven’t had the disease treated properly.

Despite the increased success in treating endometriosis through a surgical procedure, it still usually recurs in a majority of women.

So why isn’t the medical option alone working?

Primarily it is because they are just treating the symptoms and not the cause. You can take away most physical symptoms very easily, but if the real cause isn’t addressed at the same time, you have no chance of a full recovery. This includes emotional factors. In addition, many of the hormones that women are put on after surgery, mask the problem and can actually make it worse. By actually stopping the period, like many of these hormones do, there is an increased risk of further endometriosis growing. Sure, while you have no period, you have no pain or symptoms, but internally it is still there waiting to flare up again. Oral contraceptive pills containing estrogen must be avoided as they only add to making the problem worse. Progesterone only options should be looked at rather than a combined pill, if using hormones. These treatments also have limitations that include side effects in some women and contraceptive action for women desiring to conceive.

The Traditional Chinese Medicine Approach on the Causation & Treatment of Endometriosis
Firstly, I can only pass on what the Chinese have known and studied for 10,000 or more years, much longer than western medicine. They had the body and its internal organs mapped out longer before medical science in the west did.
In Chinese Medicine, they believe the liver governs the menstrual cycle, and that it also governs our emotions.They believe that through poor diet, lifestyle, medicines, environment etc, that these can then cause disruption to an organ in the body. Emotions such as anger, frustration, resentment, stress, irritability etc, can also cause the liver to be in disharmony. In Western Medicine terms, we know that poor diet and emotional factors can unlock predisposed hereditary issues, or dispositions through DNA recoding. Yes, diet can affect your DNA coding and so can emotional issues. Similarly we can reverse some disease states, and reprogram DNA coding through a healthy diet and fixing our emotional health.

When the liver is in disharmony, the Chinese believe it can cause blockages in our system. Western medicine now also believes that emotions can cause physical symptoms and we often see this is psychiatric, or body-mind medicine. These blockages then cause what we call stagnation. The Chinese believe that when the Qi (energy) becomes stagnant, it causes what they call Liver Qi Stagnation, and this is the cause of many gynaecological conditions such as endometriosis and PMS. As the Qi stagnation is left long term, it then affects the blood and turns it stagnant too. Imagine damming a river and the longer the water sits, the more stagnant it becomes because it no longer flows. This is where the Liver Blood Stagnation comes from and what they believe endometriosis is manifested from. When we look at endometriosis, it does present as blood clotting and pain. Basically it is like a varicose vein that has all that old, stagnant blood in it. The circulation is no longer moving and the blood now turns dark and causes pain.

Chinese medicine believes that not only is diet and herbal medicine needed to move the stagnant blood and help prevent the disease coming back, it also believes that the emotional component behind it also needs to be addressed. In Chinese medicine they use lots of warming and blood thinning herbs that are also anti-coagulants, but are also anti-spasmotics. The Chinese medicine also has herbs to help the liver function and also help with emotional wellbeing.

Chinese VS Western Medicine
The only difference between Chinese Medicine and Western medicine is the treatment principles. Chinese medicine looks at treating the cause of the issue, which means the symptoms get sorted by addressing the cause. Western medicine only treats symptomatically and therefore the cause of the issue is often not treated. That huge difference is why Chinese Medicine does get such great results. But like anything, it also depends on who you see and their experience in that field. But, I must stress that both medicines are equally as important and both are needed to get the best results possible. It is about a team effort and using a multi modality approach. It is also about finding your rich team too. I will talk about this now. 

Dr Andrew Orr’s Recommended Approach to Treating Endometriosis
Endometriosis has a highly variable disease state, and thus a multi-modality approach is needed to treat it. Targeting different pathways is likely to be important to move toward precision health (personalized medicine) in endometriosis. People with endometriosis need a team of people looking after them, not just one person and one approach.
For severe cases you will need to see a good advanced laparoscopic surgeon to get as much of the endometriosis cut out (not lasered). Surgery is a much needed option if the pain is severe because it helps get rid of the endometriosis that can be seen. However, it does not deal with the microscopic implants of endometriosis that can’t be seen, and this is why endometriosis is likely to occur again. This is where the Chinese Medicine can help. You then use the Chinese medicine to treat the microscopic implants of endometriosis and stop it progressing further and therefore treat the cause. This will be the primary treatment after surgery and help stop it from recurring. This can be done along side medical hormone treatments as well.

Following the correct diet can also aid this healing process. The modern Western diet consists of many foods with high GI levels, causing inflammation to the body and therefore fueling conditions such as endometriosis. There are all sorts of diets out there attesting to be the cure for endometriosis, but half are them are actually making it worse. Unless the diet is about reducing grains, high GI carbs, sugars, and increasing proteins, then it isn’t going to help endometriosis.

Lastly, see a good counsellor. Acupuncture and Chinese medicine will help both the physical & emotional side, but sometimes solution-based talk therapy is needed for the best results. I provide clients with a list of preferred gynaecologists and counsellors within my appointments with them.

To support my view on the treatment of endometriosis, the Royal College of Obstetricians and Gynaecologists guidelines for treating endometriosis now states that Acupuncture and Chinese Herbal Medicine is a recommended therapy. A multi modality approach really can help, but for anything to work more effectively, you too, have to make a commitment.

Who I am and Why this Means so Much to Me
I am a Reproductive Medicine and Women’s Health Specialist, and an Endometriosis Expert with over 20 years of experience in Women’s Health Medicine and treating and managing endometriosis. I know all too well the trials and tribulations women have to go through before someone actually listens and gives these poor women a proper diagnosis. I also have loved ones with this disease and have also lived with a chronic painful disease too. While I may not fully understand and feel what women with endometriosis actually goes through, I do know what it is like to live daily life with a painful chronic inflammatory disease that can rule your life on every level. 

The one thing I do want all women to know is that “Period pain IS NOT normal” and all too often women are told that period pain is normal. Nothing could be further from the truth. We need to educate women and young girls that period pain is not normal.

I have a motto of “Leaving No Stone Left Unturned” and I apply this to every patient I see with period pain, and those potentially suffering from endometriosis. I would like to see better education and awareness for the general public, but I would also like better education and awareness for healthcare professionals. I would like to see all healthcare professional use my motto and make sure that no woman is ever missed, or is dismissed with this horrible disease ever again.

I would like to conclude with one last message “ Women need to know that period pain IS NOT normal and that early detection and early intervention and treatment is the key to treating any disease properly.”

Lets end the silence about this horrible disease. Please support Endometriosis Awareness and this month please support Endometriosis Australia with their High Teas to promote endometriosis awareness. These High Teas will be run nationally on March 25th and in every capital city and some smaller cities also. Please see the Endometriosis Australia website for details (www.endometriosisaustralia.org) 

Regards

Dr Andrew Orr

The Brisbane Baby Maker, Endometriosis Expert and Women’s Health Crusader

“Leaving no Stone Unturned”

“Period Pain IS NOT normal”

Foods That Can, and Do, Cause Constipation

Fibre from fruit and veggie

Many people have trouble moving their bowels on a daily basis and are none the wiser as to why this happens to them. Many do not realise how bad for their health it is not to move your bowels daily and many people just think it is normal for them to not need to get things moving each morning.

Of course some people have conditions, that cause constipation, and these need to be ruled out too.

Conditions such as Endometriosis, Pelvic Inflammatory disease, IBS and other bowel disorders can all cause chronic constipation and inflammation in the bowel

But for most people the clogging of the back passage is caused by what they are eating and lack of foods that contain real fibre and water to keep the bowels moving. Lack of proper hydration and stress is also a factor too. But when it comes to proper fibre, many people are just eating the wrong foods. Many of the foods people are having on a daily basis, thinking it is fibre, are actually closer to being cardboard and the effects on the bowel are just as bad.

So what are the foods that are causing a blockage in peoples elimination pipes.

1.Fast Or Prepared Foods

Those readymade meals and takeaway meals may be convenient, but they could cause a backup. Most are low in fiber, which you need to help food move through your system.

2.Fried Food

Fried foods are full of fat, lack fiber and are hard to digest. When food moves through your colon slowly, too much water can be taken out of it. That makes for a hard, dry stool.

3.Cakes, Sweets and Pastries

Pastries, cookies, and other treats with refined sugar are low in fiber and fluids, and high in fat. Many people think that because they contain grains, that they are good for you. But nothing could be further from the truth. Wheat grains are actually inflammatory and cause disruption to the digestive system. There is actually more fiber in whole foods such as fruit and vegetable. Grains are refined grains are not good if you’re having trouble keeping things moving. Satisfy your sweet tooth with some fresh fruits and yogurt. Your tummy will thank you for it.

4.Breads

Bread is basically made from flour and water and what does flour and water make? Glue that’s what it makes! That is what it turns to in your stomach and bowel too. Plus refined flours are made from inflammatory grains and these cause disruption to your digestion and bowel too. Too much bread will give you hard, dry stools and also mess with your digestion. It’s also made with low-fiber flour. The whole grain variety may be a little bit better, but not much. If your digestive system is shot and you are having trouble getting things to move, time to ditch the bread. We don’t need to eat it anyway.

5.Caffeine

A couple cups of teas coffee makes some people race to the bathroom, but it can have the opposite effect, too. The caffeine in coffee and tea are diuretics and soft drinks can keep your body from holding onto water, and you need water to stay regular. If you’re constipated, check how much tea and coffee you might be drinking and make sure you drink plenty of water after each cup of caffeine.

6.Alcohol

Alcohol can definitely dehydrate the body make it hard for your body to hang onto water. This can then cause gastrointestinal inflammation, upset the liver function and then cause constipation.

7.Eggs

Eggs are really good for us and they are high in protein but low in fiber. But, you don’t have to stop eating them though. Just add some high-fiber foods into the mix. Add some greens with them when you eat them. Try an omelet with fresh spinach and tomatoes.

8.Well Done Meat

Meat is a great source of protein but when its well-done and over cooked, it is lacking in fiber, that juicy steak needs to be a little less cooked (medium rare) and balanced with a side of nice green veggies, or salad. This will help get it comfortably through your digestive system.

 

Some Fiber Facts.

Veggie and whole Fruits (not dried fruits) have more fiber than cereals and grains and as they contain water and other nutrients needed to keep the bowel hydrated and moving properly. Time to ditch the cereals and start eating some more whole foods instead.

Oh… and don’t forget the prebiotics and probiotics to keep healthy gut flora and keep the digestive system functioning properly. Of course we should drink plenty of water and also make sure you get some electrolytes into your diet daily too. This will help keep your bowels working the way they should work, rather than the way they have been.

If you are having trouble with chronic constipation and getting your bowels to move daily, then give Shen Therapies a call and we can help you get your digestion back on track again.

 

 

 

 

 

Are Gluten Free Products Healthier For Us?

Are Gluten Free Products Healthier For Us?

Each day we are seeing more and more gluten free products lining the supermarket shelves. Today you can get everything from gluten-free bread, chips, pizza bases, cookies, cakes and other gluten-free products. But are there benefits to cutting out gluten, which is found in most of our grains such and wheat, oats etc?

While many consume gluten in many of the foods and products they are consuming daily and don’t realise the the affects on their health and digestive system, for many it is also a molecule that can wreak some serious havoc when consumed by the wrong person. But while many people look at gluten free products as now being a health food, the fact is that many of the gluten free products people are consuming, have more additives, have less vitamins and minerals, and contain more sugars than the gluten containing products. Should we just be going grain free instead of trying to use gluten frre products? Are these gluten free products healthier for you?

With marketing focussing more and more on the sales of gluten free products and the high prices that are charged for these products, we really need to look at what are in these products and ask the question…… Are these products really healthier for us?

I would say no, but let me explain why.

What Are Grains and What Do They Do To Our Health?

The word “Grains” does cover many of the common foods we eat now. Grains include wheat, corn, rye, rice, barley, oats, amaranth, buckwheat, millet and sorghum – and many others. These grains are used in so many products these days and part of the reason we are having so many problems with health issues. Bread, pasta, breakfast cereals, cakes, biscuits, pastries, crackers and so many other refined products consumed by many of us are all made with these inflammatory grains.

Let’s not forget that we give grains to cattle and livestock to fatten them up, make them grow faster (due to the hormone response from insulin) and add more fats into the meat for extra flavour.

The grain is the reproductive part of plant; it therefore needs to protect itself to enable future generations. The big difference with fruit; which is designed to be eaten by humans, is that when digested seeds are consumed, they are then spread further to ensure future generations.

As part of this overall protective mechanism, grains contain anti-nutrients, such as phytates, lectins, and other incomplete proteins. This is our major problem with grains. Even when gluten is removed from food products, these other inflammatory agents remain and most people are complete unaware of this and how much they are causing problems with their health and disruption to their digestive systems.

Phytates bind to minerals, vitamins and enzymes preventing them from being absorbed in your body. The Lectins found in grains have a significant impact in the gut, resulting in inflammation and poor absorption of nutrients – as well as insulin & leptin resistance. The inflammation that these anti-nutrients cause, is now known to be the cause of many modern diseases. But lets not forget that many of our grains that we consume daily are also genetically modified and this in itself is causing major disruption to our health and bodily functions. This alone could be a major factor in the increase of many disease states we are now seeing.

Refined grains are converted to sugar very quickly, which requires insulin to bring down the blood sugar level in the blood. High insulin levels cause the body to store fats and then stop the burning of fats. The high insulin also causes inflammation and insulin resistance – which is the cause of many of our health conditions. It can be the cause of anything from PCOS, Endometriosis, Depression, Diabetes, Heart Disease and many other health issues in this modern day. Consuming such a high carbohydrate load with every meal results in unstable, fluctuating blood sugar levels and this then results in hunger that is satisfied by consuming another high carbohydrate meal.

There is also differences between what we term as “Carbs”. “Good carbs” are fresh fruits and vegetables and naturally growing foods in their normal form. “Bad Carbs” are basically anything that is refined – (Breads, cereals, flour products, sugar and most of our packet based foods)

So What is Gluten and why is it so bad for our health?

Gluten is another protein that causes a lot of problems and is found in wheat, barley, rye, spelt, kamut, and oats (other grains have similar, troublesome proteins). Gluten is the only protein in food that’s indigestible and those who suffer from celiac disease experience adverse side effects from consuming  and — in severe cases —  touching  gluten. Gluten can slip through the intestinal lining, causing chronic damage, inflammation, nausea, diarrhea, stomach pain, and vomiting in these sufferers. There’s also evidence suggesting that people without coeliac can have a sensitivity to gluten, which still causes complications and forces them to live on a strict gluten-free diet. Whilst a lot of people may test negative for the autoimmune disease Coeliac, there is evidence to suggest most people do not handle this incomplete protein well.

Gluten causes gut irritation and inflammation and many people will not even realise that their problems are caused by gluten. Gluten has been linked to many autoimmune and health conditions.

The problem with Gluten Free products is that they are still highly refined and they still cause inflammation, due to high insulin, even with the gluten removed. The inflammatory lectins and leptins are still there too. Many gluten free products are also full of additives, fillers, binding agents and lots of sugar. Currently, there are no medications, treatments, or cures to successfully treat any form of gluten intolerance. But so long as they don’t consume any foods containing gluten molecules, both coeliac disease and gluten sensitivity sufferers can live a relatively normal and otherwise healthy life.

But the bottom line is that Gluten-free diets don’t necessarily mean you’ve chosen a healthier route when you run the risk of losing out on essential nutrients.

This is why a grain free, not gluten free, is the best option. If you truly want to be gluten free, just don’t eat the wheat grain, or other gluten containing and inflammatory grains in the first place. The best thing any person could do for their body, as the first step towards better health, would be to cut wheat grain from their diet completely. You will be much healthier for it in the long run.

If you do want to know more about how to follow a wheat free/grain free diet, then give Shen Therapies a call and book in a health and wellness consultation today.

Treating Irritable Bowel Syndrome & Inflammatory Bowel Disease

Irritable bowel syndrome

 

Treating Irritable Bowel Syndrome

&

Inflammatory Bowel Disease

-“Chinese Herbal Medicine may be the key to fixing this inflammatory bowel problem”

Irritable Bowel Syndrome, or IBS, is a problem that affects a staggering 3million people, or more, in Australia and about 20% of people world-wide. It is a condition that has baffled doctors for years. There is no single cause, no specific treatment and, as yet, no cure.

But first let’s look at some general information on IBS.

IBS is more common in women than in men and occurs more often in younger people. IBS is usually ongoing, and there are some times when symptoms are worse than other times. Having IBS does not mean you are more likely to develop colon cancer later in life.

Symptoms of IBS

Some people with IBS mainly have constipation, others have diarrhoea. Many people with IBS alternate between periods of constipation and diarrhoea.

Symptoms include:

  • Cramps and bloating in your lower abdomen, which usually get better after having a bowel motion or passing wind
  • Pain that can be a sharp or dull feeling
  • Constipation: feeling that you have not managed to empty your bowels completely, having bowel motions less often, straining to pass a motion or passing small, hard stools
  • Diarrhoea: having bowel motions too often and passing loose stools
  • Flatulence, or wind, and/or rumbling noises from your abdomen
  • Needing to rush to the toilet
  • Headaches
  • Mucus in your stools

Some of these symptoms can also be from other inflammatory bowel diseases such as Crohns disease and Ulcerative Colitis, which sometimes get categories as IBS.

But some of the symptoms above can also be part of having endometriosis and many women who are diagnosis with IBS, in fact have endometriosis. They then have all the testing for IBS, Crohn’s, ulcerative colitis etc (colonoscopy etc) as these don’t find anything and then these women are often told by doctors they are at a loss to what is happening. This is why endometriosis often takes up to 12 years for definitive diagnosis, which is terrible.

IBS triggers

The cause of IBS is not known, but certain things can trigger its symptoms, including:

  • Stress
  • Depressed mood
  • Food poisoning
  • Tummy bug
  • Virus
  • Certain foods and drinks
  • Some medication
  • Some people find avoiding alcohol, caffeine and nicotine can reduce their IBS symptoms

As said before some women suffer more acutely from symptoms of IBS just before, or during, their menstrual cycle. IBS symptoms can also mean that they have a condition called Endometriosis. Many times these conditions can be overlooked and they can be present at the same time, along with bladder issues as well.

Lactose and wheat intolerance and wheat may be a cause and needs to be assessed before permanent changes to diet are made. Wheat grains are inflammatory to the bowel anyway and they should be removed if anyone does have inflammatory bowel issues.

Treatments

There are a few medical treatments available but results can be varying. Many people with severe IBS end up on steroids to settle inflammation in the bowel. There are also other medications to slow bowel motility and reduce inflammation as well

Dietary and lifestyle changes are a must for the treatment of IBS. See my post on what real nutrition should be food what a good diet should be like.

There is, however complementary therapies that can bring great results.

The complementary medicine unit and the University of Western Sydney ran a randomised, double blind, placebo controlled trial to determine whether Chinese Herbal medicine was of any benefit in the treatment of IBS. Chinese medicine has been used for thousands of years to treat many disease states, including inflammatory bowel conditions.

The results were stunning. More than 70% of patients taking the Chinese herbs improved. The results were published in the Journal of the American Medicine Association.

There are also other complementary therapies and treatments that can be used and combined with the above treatment also. Studies have shown that strain specific probiotic bacteria have induced remission in inflammatory bowel conditions such as ulcerative colitis and IBS. But, this needs consultation with a qualified healthcare professional to treat disease properly. Self-prescribing is not an option for this disease that affects over 3 million people here in Australia alone.

With any disease state such as IBS, there needs to be an individualised approach, not a one treatment fix all approach, because everyone is uniquely difference in their symptoms they experience and what their triggers are. There also need to be a multimodality approach because many times IBS overlaps with conditions such as endometriosis for women, and other inflammatory conditions in men.

If you would like information on how to treat Irritable Bowel Syndrome and get rid of it for good, email the clinic, or call my clinic. I have lots of experience with this disease state, as I not only have family members with Crohn’s, Ulcerative Colitis etc, but have been treating IBS successfully for years.

Regards

Dr Andrew Orr

References

  1. Treatment of IBs with chinese herbal medicine -Alan Bensoussan, MSc; Nick J. Talley, MD; Michael Hing, MBBS, FRACP; Robert Menzies, PhD; Anna Guo, PhD; Meng Ngu, PhD http://jama.jamanetwork.com/article.aspx?articleid=188145
  2. VSL#3 Probiotic-Mixture Induces Remission in Patients with Active Ulcerative Colitis- (American Journal of Gastroenterology 2005;100:1-8)
  3. Investigations and treatment of Endometriosis- Royal College of Obstetricians and Gynaecologists 2008
  4. Bensoussan A, Myers SP. Towards a Safer Choice: The Practice of Traditional Chinese Medicine in Australia . Sydney, Australia: University of Western Sydney Macarthur; 1996.
  1. Yu ZX, Wang K, Li FP. Clinical trial of Chinese herbal capsule for 157 cases of irritable bowel syndrome. Chin J Integrated Tradit West Med.1991;11:170-171.
  1. Liu ZK. Chinese herbal medicine treatment for 120 cases of irritable bowel syndrome. Chin J Integrated Tradit West Med.1990;10:615.
  1. Shi ZQ. Combination treatment of Chinese and Western medicine for 30 cases of irritable bowel syndrome. Chin J Integrated Tradit West Med.1989;9:241.
  1. Chen DZ. Tong Xie Yao Fang with additions in treating 106 cases of irritable bowel syndrome. Nanjing Med University J.1995;15:924.
  1. Xu RL. Clinical realisations during the diagnosis and treatment of 55 cases of irritable bowel syndrome. Shanxi J Tradit Chin Med.1995;11:10-11.

 

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