help- clinical case

[Guest guest]

Can anyone give to me an opinion in this clinical case:

 

Main complaint:

Pain in the pulse, without apparent origin. It started with swell,

heat, functional immobility, With the time these symptoms had

disappeared and pain it attenuated, but the patient continues to feel,

sometimes, pain to the level of the Lung 9 (Taiyuan)

with sensation of pricked, mainly after making some effort. At this

moment, starts to feel hand asleep and pain starts to radiate it the

elbow.

 

Complementary data:

Woman, 54 years, with professional activity of responsibility.

Asthmatic, with problems in the joints. Loss of hearing, cellulite and

fat located in the zone of the abdomen and thighs.

Have a sensible skin, trend to eczema. Problems with sanguineous

circulation in the legs and many spills in the zone of the thighs.

Arrhythmias.

The breath is short for effort, sweats during the night, during the

day no sweat. Feels sometimes sleepiness, prefers the heat, have

good appetite with a diet +/- balanced (more Yang), but with difficult

digestions followed with abdominal swell and stomach weighed.

Flatulence, external haemorrhoids, difficulty to defecate

(constipation) with soft excrements.

Gingivitis and sensation of flavour bitter taste in the mouth.

Not have necessity to drink liquids, nor drinks much water, drinking

normally tea. Abundant clear urine , many times in the day and also

during the night. And lately has small losses of involuntary urine

(trend the incontinence)

Feels noises in the ears, vertigos, loss of hearing since very new,

feels much tingle in the ears.

Muddy sight, sand sensation in the eyes. Fine pale language with

saburra white.

 

syndrome associate to this case in my opinion:

 

- syndrome sinking Qi (QiXiaxian) / syndrome Yang empty

 

- syndrome lung insufficience and spleen insufficience with Phlegm and

moistness

 

- syndrome kidney inufficience

 

The treatment in use is:

 

stimulate the energy: governor vessel 4, bladder 23, conception vessel 6

Moxa governor vessel 20 and curious point 1 to ascend Yang

to regulate the center and Yangming: stomach 36, conception vessel 12,

large intestine 4

to eliminate Phlegm: stomach 40, spleen 3

to regulate spleen: bladder 20 stimulate liver 13

stimulate kidney and lung: kidney 7 and lung 9

stimulate the Shu and Mu of kidney: bladder 23 and gallbladder 25

 

Please give me your opinion.

 

Sorry for some mistakes, but I'm from Portugal.

Thanks for your help!