Overall very good case: Good critical thinking skills and good layout.
This is a good person to work with as there is a lot you can do to help her.
Energetic:
Always list energetic, and location and pattern and rationale
Meds/Herbs/Supps:
With arthritis and pretty much any chronic disease you must always get a vit d level test-This will likely
change their vit d supplementation amt.
Since Glaucoma is a cause of blindness, I would treat this very seriously: And that means
Understanding the condition and phenotypes: from Glaucoma.net
Glaucoma is not one single disease but really is an end stage. It is a particular pattern of optic nerve
damage and visual field damage caused by a number of different diseases which affect the eye. Most of
these diseases, but not all of them, are associated with elevated intraocular pressure which is the most
important risk factor, but still only a risk factor, for glaucomatous damage. Intraocular pressure is not
the disease itself. Some of these diseases are hereditary and some are acquired.
So possibly this is:
1) Increased IOC-Perhaps due to aqueous humor fluid not exiting the ocular space
2) Normal tension glaucoma: non increased IOC
3) A progressive theory is that its lack of perfusion of the retinal ganglion cells and alternation
pressures-too little and too much that causes it.
4) Mainly a nerve cells degeneration disease
5) Oxidative damage to nerve cells in retina-Calls for antioxidant usage, endogenous antioxidant
support and exogenous free radical limitation
We do know that there is a pressure/fluid component but this is a complex mechanistic pathway
Its important to remember that this is not diabetic retinopathy though the eyes and vasculature are
involved: This is pressure, nerve damage, blood vessels etc.
http://www.ncbi.nlm.nih.gov/pubmed/23768921- role of inflammation in glaucoma
And of course, some type of inflammation is part of the pathological change like it often is so we may
be able to contribute to glaucoma not prorgressin byt addressing this consideration. Plus, as per usual
we’ll help the entire person with this emphasis:
So considering
Nerve cell support: This is Hericeum, Centella, Gingko, Bacopa, Turmeric, VIt C etc.
Blood vessel support: Bilbery, blueberries, Lycium, VIt C, Centella and the rest of the phenol antioxidant,
anti-inflammatory etc., group-Green tea, Colorful foods is key, with focus on dark berries-1/3 cup per
day minimum everyday.
Inflammation regulation: Diet and Herbal stuff
Specific Supps: Alpha lipoic acid-Powerful free radical scavenger, promotes recycling of Vit E and Vit C,
glutathione agonist and hx of neuroprotecive verified by research, though not for Glaucoma specifically.
R isomer is most bioavailable or so it seems
In R-lipoic acid from 100-400mg/qd Na-R-ALA is my choice
Exercise: Yep-Good work, but remember this is a bit tricky. Some types decrease IOC, some may
increase it, esp lifting/straining, and then of course there is some differences where people who engage
in cardio may strain and some may relax. IOC is tricky
Herbs:
I like your breakdown of herbs and the conditions into herbal actions.
I like the herbs in your formula but I’m concerned that it may be a lot of herbs that are all for the
condition but not necessarily specific for the condition and presentation.
Secondarily, what will the person’s compliance be with this many herbs and what method of
administration?
Thirdly; Don’t waste space with herbs. Set your intention for your formula specifically. Then match
each herb to the role in accomplishing the formula.
Herbal Questions:
I like all of your herbs in your formula.
Is Shatavari for Glaucoma in literature, research or history?
Is a solomon’s seal tincture going to deliver the medicinal effects?
Why is burdock in the Glaucoma tea? I think that if you want to use
Vit C can be, and should be much higher-3-5k
Cod liver oil good-what dosage, what brand?
Are they going to make tea and drink it for a very long time?
What are the compliance concerns?
General:
Taking out inflammatory triggers will help this person on every front-see universal treatmentWhat are guidelines for reducing inflammation?
Further investigation:
Eye yoga for reducing pressure.
Consider not staring at computer screen for too long-there is some informational glaucoma writing
about this. Good area for you to research
Final:
Please bullet point diet or get diet diary. Diet narratives are not very useful.
Research each Med condition (Wikipedia and 2 other sources at very least, and each med and write
summary.
Biomarkers:
Inflammation
Vit D
Omega 3s
B amyloid plaque-Due to glaucoma and age- This may be related to other neural issues
Whats her blood pressure?