HBT302: Holistic Analysis of Jenny's Case Study - Herbal Therapy

This assignment presents a comprehensive case analysis of Jenny, a 42-year-old woman undergoing IVF treatment, detailing her primary complaints, medical history, and a proposed herbal treatment plan. The analysis includes a schematic mind map illustrating a holistic and mechanistic understanding of Jenny's condition, considering predisposing, excitatory, and sustaining factors, along with differential diagnoses. It explores the underlying causes of her symptoms, including hormone imbalances, menstrual irregularities, and recurrent thrush, and examines the involved body systems and their interrelationships. The assignment then outlines a detailed herbal treatment plan, including aims, modalities, and expected outcomes, with specific herbal formulations, dosages, and rationales for each herb prescribed. The student provides a thorough justification for the selected herbs, such as Vitex agnus-castus for menstrual cycle regulation, chamomile for sleep, and bladderwrack for thyroid support, citing relevant research and evidence. The assignment also includes a discussion on the holistic perspective, emphasizing the importance of addressing the patient's overall well-being and addressing the root causes of her health issues.

T A A ACLIEN FOCUS C SE N LYSIS
c ematic Mind MapS h
e elop a c ematic mind map demon tratin o r oli tic and mec ani tic nder tandin o t eD v s h ( ) s g y u h s h s u s g f h T P TATCLIEN RESEN ION o m t con ider. Y u us s
t e pat op iolo o t e condition predi po in e citator and tainin actor di erential dia no i t e ni e pre entation in t eh h hys gy f h , s s g, x y sus g f s, ff g s s, h u qu s h
patient incl din italit and c ronicit o t e conditionu g v y h y f h .

a al Anal iC us ys s
actorF s
Pre di po in P- s s g ( )
taininSus g (S)
citatorEx y ( E)
italitV y
o med iL w/ /h gh
onditionC
Pro re ion Timelineg ss /
ear mont
(y s/ hs/
eew ks)
Ac teu
linicalSub-C
linical i ea eC D s s
ronicCh
i erentialD ff
ia no i e erralD g s s / R f
onditionC
Ac teu
linicalSub-C
linicalC
di ea es s s
ronicCh
PCOD
n omniaI s
ollenSw
rea tb s iH gh
ole terolCh s
iH gh
PB
a al Anal inC su ys g
actorF s
Pre di po in P- s s g ( )
taininSus g (s)
citatorEx y (E)
ancerC irtB h
ontrolC Pre mat re- u
deli erv y
Mi carria es g
i P andH gh B
ole terolCh s .
ndi e tionI g s
ncrea e in t eI s h
li eli ood ok h f
ne ronu
italitV y
iH gh

oli tic nder tandinH s U s g
enn i tra elin to Mel o rne on dail a i more t an la t ear or p rpo e o ta in treatment t a een determined romJ y s v g b u y b s s h s 6 y s, f u s f k g IVF . I h s b f
er ca e t at e i acin a pain l period time e ore and a ter t at p t ne ati e impact on er mental and p ical ealt Alon it t ih s h sh s f g fu , b f f h u g v h hys h h. g w h h s

ealt i e e trie to ear man pain c a e perience ort term memor and or in i e t at p t t e ad er e impact on er dailh h ssu , sh s b y s su h s x sh y w k g ssu , h u h v s h y
practice in term o ma in er na le to per orm an role and l ill acco nta ilit related to pro e ional career enn d rin er periods, f k g h u b f y fu f u b y f ss . J y u g h
time c an e tampon e er o r or ir t and da t at al o a ect in imilar manner pon ot p ical and mental ealt or ell ein, h g v y h u f f s 2 3 ys, h s ff s u b h, hys h h w -b g.
n ordinar da e a ea a inal di c ar e and ometime ad irre lar and ort period c cleI y ys, sh h s h vy v g s h g s s h gu sh y .
a eC us s
ormone im alance pol p d nction o o arie n ealt diet too m c e erci e P T roid are t e main ca e e ind allH b , y s, ysfu f v s, u h hy , u h x s , COD, hy h us s b h
t e related i e t at enn i acin c rrentl ic e attempt to o ercome in appropriate manner T r all nder t e cate or oh ssu s h J y s f g u y, wh h sh s v . h ush f s u h g y f
n al or ea t in ection t at ro in mo t no e and ot er part o man od ri a ta a et al enn e ort to mana e t ifu g y s f h g ws u h, s h s f hu b y (Sh v s v & . ., 2019). J y ff s g h s
ind o in ection a ell in term o in co nter ane ten cream and co ntr ran err cap le a inal men tr al c cle and ormonalk f f s w , f us g u C s u y C b y su s. V g , s u y h
c an e are t e main ca e e ind mont l t r epi odeh g s h us s b h h y h ush s s.
tem and t eir relationSys s h s-
T ere are di erent t pe o tem in t e man od incl ded to t e di ea e t at enn a and ad a relation it eac ot er t ath ff y s f sys s h hu b y, u h s s h J y h s h w h h h , h
e ect od er o tem di e tion e erci e ener and leep are t o e tem t at are incl ded and related appropriatel era alleff b y. N v us sys , g s , x s , gy s h s sys s h u y (S v ,
Mancia ra i or e ample leep i critical omeo tatic nction t at a een re lated in part control n clei o ner o, & G ss , 2018). F x , s s h s fu , h h s b gu by u f v us
tem en a per on i na le to leep ell d e to an ealt i e it p t direct impact on t eir a tonomic ner o temsys . Wh s s u b s w u y h h ssu u h u v us sys .

er al Treatment AimH b s
atWh ? ereWh ? oH w? tcomeOu ? Action? Modalities?
at i o r o erall aimWh s y u v ?
An m rella a pectu b s ?
at i it t at o areWh s h y u
ee ins k g
to ac ie eh v ?
at ti eWh ssu s
or temsys s
are oy u
ee in tos k g
or onw k ?
o ill o ac ie e t iH w w y u h v h s?
e at ia To to ide o ereUs —Wh ? V ? ? gu y u h
at i t e pat op iolo o areWh s h h hys gy y u
ee in to modis k g fy?
at i are t e mec ani m o action oWh s/ h h s s f y u
are ee in to alters k g ?
o ill t eH w w h
patient eelf ?
Mea re t e esu h s
a ain t t eg s h
pre entins g
complaint.
at actionWh s
ill o rw y u
t erape tich u s
e ertx ?
atWh
modalitie ares
e t indicatedb s
to ac ie e t ih v h s
aim?

S
H
O
R
T
T
E
R
M
A
I
M
S
1 T e orth sh
term i tos
c re eru h
irre largu
period
Men tr al c cles u y An elica rootg ,
innamon arC b k,
andelio andD ,
c amomile are t o eh h s
er t at tili e toh bs h u s
mana e t e c rrentg h u
temsys .
enn i eel or tJ y s f w s ,
eca e o n m er ob us f u b f
ealt i e t at eh h ssu s h sh
aced c rrentlf u y.
e ill pice t in pSh w s h gs u
it in er addw h g g ,
cinnamon and maintain
ealt ei t and dieth hy w gh
too.
t i oodI s g
en ewh sh
c an e erh g h
diet e erci e, x s
and ot erh
daily
acti itiev s.
2 To c reu
eah vy
period lof w
ee to or onI s k w k
men tr al c cles u y
Peri in le i t e e tw k s h b s
er t at elp to c reh b h h u
c rrent i eu ssu .
e ill eel etter enSh w f b wh
e ta e t i er alsh k h s h b
medicine eca e it, b us
encompa e aried ealtss s v h h
ene it Alon it t atb f s. g w h h
cinnamon po er i al ow s s
tili ed rom decade tou s f s
treat men tr al di orders u s s
t at enn ah J y h s.
t i important or er toI s f h
add ome itamin in ers v C h
diet alon it iron rom, g w h f
nat ral r it andu f u s
e eta lev g b s.
Apple cider
ine ar andv g ,
ome nat rals u
er illh bs w
elp toh
ac ie e t eh v h
aim.
L
O
1 To mana eg
ner ov us
er o temN v us sys a ender amomileL v , Ch
and alerian are t o eV h s
e ill eel etter andSh w f b
leep ell T e e t ins w . h s h gs
Ar ent m nitric mg u u ,
P l atiall are t e e tu s h b s
iet o aD , y g
and ot erh

N
G
T
E
R
M
A
I
M
S
temsys er t at ill tili e toh bs h w u s
ac ie e aimh v .
ill e mea re a ain tw b su s g s
c rrent i eu ssu s by
calc latin o r leepinu g h u s g
o rh u s.
remed or mana iny f g g
ner o temv us sys .
ealth hy
acti itie arev s
re ired toqu
reac de ireh s
o tcomeu s.
2 To mana eg
rec rrentu
t rh ush
T e o erall odh v b y
and all t eh
tem aresys s
related itw h
c rrent aimu .
rc min and ori an mCu u g u
mar oramj .
e ill eel ood and li eSh w f g v
a ealt li e T i t inh hy f . h s h g
ill e mea redw b su by
anal i o er idneys s h w h k y
and ot er od parth b y s
re pon e and or ells s w k w .
at ral er ill eN u h bs w b
ta en erk by h .
ealtH hy
ienehyg ,
itaminv C
and
drationhy .
er al orm lation Ta leH b F u b

er alH b
orm lationF u
Ta leb
ed cin ollen inR u g sw
rea tb s
Mana in men tr alg g s u
c cley
Mana in itaming g V D
de iciencf y
Mana in Pg g B
Mana in c ole terolg g h s
Mana in t roidg g hy
Mana in di t r edg g s u b
leep c cles y s
Mana in t e proceg g h ss
o di e tionf g s
Mana in emotionalg g
e a io rb h v u
ite a n ca tV x g us- s us X X
a t errCh s b y X
i eCh v s X
a ilB s X
Ar naju X
ladder racB w k X
amomileCh X
eenel eedF S s X X
a aK v X X
Pre criptions

er al i id orm lationH b L qu F u
erH b tract atioEx R ee l o e an eW k y D s R g o e per eeD s W k
ite a n ca tV x g us- s us m3.2-40 g m20-40 g m20 g
a t errCh s b y m20 g m20-40 g m15 g
i eCh v s 3 g 8-9g 4-5g
a ilB s m300 g m25-75 g m10 g/kg
Ar naju m1 g 3g 2-3g
amomileCh m900 g 1.1 -1.5 g m220 – 1100 g
eenel eedF S s m450 g m1000 g m200 g
a aK v m70 – 250 g m60- 120 g m70 – 250 g
er al i id o a e n tr ctionH b L qu D s g I s u s
o a e in ml dropD s g ( / s)
ladder racB w k-
re encF qu y
c p ml2 u s (500 )
rationDu
mont1 h
irection it it o t e ore a terD s (w h/w h u / b f / f
oodf )
 ladder rac can e eatenB w k b

ole or it can e made it inwh b w h
in teaus g .
 ta le poon in per c p o t e1 b s u f h
ot ater ac c p o ld eh w . E h u sh u b
ta en a ter min te e orek f 10 u s b f
eating.
 o more mc o odineN , 150 g f I
o ld e con med rom t esh u b su f h
all o rces u s.
idence ationale ti ication or Pre critptionEv – R / Jus f f s

A mall m lti centre randomi ed control trial o ite a n ca t a pro ed t at in re ard to red cin rea t ellin ite a eens u s f v x g us- s us h s v h g s u g b s sw g v x h s b
pro en e ecti e T e dra tic condition related to men tr al c cle c a premen tr al ndrome PM and rea t pain can e dia no ev ff v . h s s s u y su h s- s u sy ( S) b s b g s .
ite pro ide immediate relie a ain t t e di com ort ic i ein a ociated it PM T in re ard to mana e men tr al c cle andV x v s f g s h s f wh h s b g ss w h S. hus, g s g s u y
rea t ellin or t e patient ite a n ca t a een pro en e icient enob s sw g f h , V x g us- s us h s b v ff ugh ( iro mand et alN u & . . (2018). ite or it in red cinV x w ks w h u g
t e le el o ormone prolactin ic rt er elp in re alancin t e ot er ormone ic are e tro en and pro e terone A a re lth v f h wh h fu h h s b g h h h s wh h s g g s . s su ,
mptom o PM et red ced An e act ran e o c a t err ic i p to m decrea e t e prolactin or increa e pro e terone in ordersy s f S g s u . x g f h s b y wh h s u - 20 g s s h s s g s
to re tore t e proper ormonal alance in t e od t at elp in re lari in men tr al c cle T in t i ca e elected er ic is h h b h b y h h s gu s g s u y . hus, h s s , s h b wh h s
c a t err i i l appropriateh s b y s h gh y ( a meei et alR sh & . . (2020).
A T P o c i e on re lar a i can lead to red ce t e itamin de icienc and oo t in ealt i e contain t e ercetin1 BS f h v s gu b s s u h v D f y b s sk h h. Ch v s s h qu
ic lead to red ce t e ri o pla e ild p in arterie t at ill e ene icial in enn ca e a e a t e i e in re ard to loodwh h s u h sk f qu bu -u s h w b b f j y’s s s sh h s h ssu s g s b
pre re a ell i e elp in red cin itamin de icienc lood pre re and c ole terol i essu s w . Ch v s h s u g v D f y, b ssu h s ssu s ( a ra a ian et alSh h j b & . . (2021). a il aB s h s
een determined a one o t e nat ral er ic a t e potential in re ard to red ce t e c ole terol le el T e content o t e pol p enolb s f h u h b wh h h s h g s u h h s v . h f h y h
compo nd c a la onoid and t e tannin ic i ein o nd in t e a il lea e re lt in red cin t e c ole terol le elu s su h s- f v s h s wh h s b g f u h b s v s su s u g h h s v .
o Ar na i t e tandardi ed ratio t at can lead to mana e lood pre re and c ole terol le el t can e ta en p to t e period1g f ju s h s s h g b ssu h s v . I b k u - h
t ree mont in enn ca e a t i ill lead to red ce t e i e related c ole terol Ar na a tron antio idant and anti in lammatorh hs j y’s s s h s w u h ssu h s . ju h s s g x - f y
propertie ic re lt in lo erin t e total lood c ole terol and ad c ole terol le el T it elp in impro in t e le el o e ecti es wh h su s w g h b h s b h s v . hus, h s v g h v f ff v
c ole terolh s ( mari an al AKu , V., & S g , . (2020).
A li id e tract o t e ladder rac tandardi ed to ml re enc i ita le or mana in enn t roid i e ladder rac aqu x f h b w k s s 500 f qu y s su b f g g J y’s hy ssu s. B w k h s
t e i le el o iodine ic i trace element t at pport t e t roid ealt it in prod cin t e t roid ormone triidot roinine Th h gh v f wh h s h su s h hy h h w h u g h hy h s hy ( 3)