Guest guest Posted February 27, 2003 Report Share Posted February 27, 2003 one of my patient has has a long standing sinus infection (3 months). she has been on 3 rounds of Antibiotics, and while the situation has improved, she still has nasal pressure and yellow catarrh. I have put her on 2 weeks of Cang Er Zi San with minor improvement. Other info: awakening between 3-5 am every day, still tired, unable to return to sleep. HAs always been a poor sleeper. Takes Ativan occasionally. stools 2x a day, then skips a day once in a while. very thirsty for any temp beverage. No caffeine. smokes occasionally. drinks alcohol heavily 1-2 times a week. Period irregularly, arrives very slowly, sticky, then turns heavy for 3 days, dark red bloood. emotionally manipulative, self-righteous, attachment to childhood trauma, at turns loving and aggressive. disorganized, easily and frequentlyloses important items. Lu pulse weak, Sp pulse slippery, Liver pulse thin Tongue bright red, flabby, thin white coat. thanks for any suggestions. I have alternately diagnosed her with Lu Qi Deficiency, Sp Qi Deficiency, Lingering Phlegm Heat in the Lungs, Heart Blood Deficiency. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2003 Report Share Posted February 27, 2003 acugirlnyc wrote: > > one of my patient has has a long standing sinus infection (3 months). she has > been on 3 rounds of Antibiotics, and while the situation has improved, she > still has nasal pressure and yellow catarrh. I have put her on 2 weeks of > Cang Er Zi San with minor improvement. > > Other info: > awakening between 3-5 am every day, still tired, unable to return to sleep. I'd call that Liver Blood deficiency rather than Heart Blood deficiency. Not a huge difference, but it might alter a Gui Pi Tang prescription to a Suan Zao Ren Tang prescription. Liver is a Jue Yin organ. The Jue Yin part of the day (when you break 24 hours into 6 slices) is the wee hours of the morning. I'm sure that if you ask your patient what's going on in their head during this period of insomnia that you'll hear that they're planning their day or thinking about what they have to do... Very Liver activities. I admit that 3-5 am is a hair early for the Jue Yin time as I've defined, but what they heck, its worth a try. This nasal congestion might be some dampness bubbling up from the Earth or Yang Ming organs. Might wanna consider that phlegm heat as arising from the Stomach or LI as well as the Lungs. > thanks for any suggestions. I have alternately diagnosed her with Lu Qi > Deficiency, Sp Qi Deficiency, Lingering Phlegm Heat in the Lungs, Heart Blood > Deficiency. -- Al Stone L.Ac. <AlStone http://www.BeyondWellBeing.com Pain is inevitable, suffering is optional. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2003 Report Share Posted February 27, 2003 It is interesting that she wakes up at the tiger hour. Some patients may have hours that are more suitable for treatment, perhaps she should be treated in the tiger hour,or the dog hour if more convenient. Her triple burner may need adjustment. She might have some sort of moist heat wind affescnig her. Try a handfull of uncooked rice when she wakes up at night to dry her out. Al Stone <alstone wrote: acugirlnyc wrote: > > one of my patient has has a long standing sinus infection (3 months). she has > been on 3 rounds of Antibiotics, and while the situation has improved, she > still has nasal pressure and yellow catarrh. I have put her on 2 weeks of > Cang Er Zi San with minor improvement. > > Other info: > awakening between 3-5 am every day, still tired, unable to return to sleep. I'd call that Liver Blood deficiency rather than Heart Blood deficiency. Not a huge difference, but it might alter a Gui Pi Tang prescription to a Suan Zao Ren Tang prescription. Liver is a Jue Yin organ. The Jue Yin part of the day (when you break 24 hours into 6 slices) is the wee hours of the morning. I'm sure that if you ask your patient what's going on in their head during this period of insomnia that you'll hear that they're planning their day or thinking about what they have to do... Very Liver activities. I admit that 3-5 am is a hair early for the Jue Yin time as I've defined, but what they heck, its worth a try. This nasal congestion might be some dampness bubbling up from the Earth or Yang Ming organs. Might wanna consider that phlegm heat as arising from the Stomach or LI as well as the Lungs. > thanks for any suggestions. I have alternately diagnosed her with Lu Qi > Deficiency, Sp Qi Deficiency, Lingering Phlegm Heat in the Lungs, Heart Blood > Deficiency. -- Al Stone L.Ac. <AlStone http://www.BeyondWellBeing.com Pain is inevitable, suffering is optional. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2003 Report Share Posted February 27, 2003 Seems like she needs herbs to treat the root - Sp Qi xu being to root of the damp and a Qi mover to to relieve the stagnation in her sinuses. Also, sounds like that lingering heat needs to be cleared, especially since antibiotics contribute to heat. You might need to individualize a formula to meet all of those needs. About the waking at 3-5am - I learned this was Lung time. In 5 element it relates to the qi not being able to move from liver to lung. Needling Liver 14 and Lung 1 can remove the block in qi circulation. Worked great on me. Hoang Ho <twomtns2002 wrote: It is interesting that she wakes up at the tiger hour. Some patients may have hours that are more suitable for treatment, perhaps she should be treated in the tiger hour,or the dog hour if more convenient. Her triple burner may need adjustment. She might have some sort of moist heat wind affescnig her. Try a handfull of uncooked rice when she wakes up at night to dry her out. Al Stone <alstone wrote: acugirlnyc wrote: > > one of my patient has has a long standing sinus infection (3 months). she has > been on 3 rounds of Antibiotics, and while the situation has improved, she > still has nasal pressure and yellow catarrh. I have put her on 2 weeks of > Cang Er Zi San with minor improvement. > > Other info: > awakening between 3-5 am every day, still tired, unable to return to sleep. I'd call that Liver Blood deficiency rather than Heart Blood deficiency. Not a huge difference, but it might alter a Gui Pi Tang prescription to a Suan Zao Ren Tang prescription. Liver is a Jue Yin organ. The Jue Yin part of the day (when you break 24 hours into 6 slices) is the wee hours of the morning. I'm sure that if you ask your patient what's going on in their head during this period of insomnia that you'll hear that they're planning their day or thinking about what they have to do... Very Liver activities. I admit that 3-5 am is a hair early for the Jue Yin time as I've defined, but what they heck, its worth a try. This nasal congestion might be some dampness bubbling up from the Earth or Yang Ming organs. Might wanna consider that phlegm heat as arising from the Stomach or LI as well as the Lungs. > thanks for any suggestions. I have alternately diagnosed her with Lu Qi > Deficiency, Sp Qi Deficiency, Lingering Phlegm Heat in the Lungs, Heart Blood > Deficiency. -- Al Stone L.Ac. <AlStone http://www.BeyondWellBeing.com Pain is inevitable, suffering is optional. Quote Link to comment Share on other sites More sharing options...
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