Poor Memory

[Guest guest]

Hi Everybody!

 

Today's case is Poor Memory: Patient can remember things from years ago,

but not minutes ago. Have to call him to remind him to come to the office.

If I call 3 hours before the appointment, he forgets to come. If I call 30

minutes before he leaves for my office right then, so not to forget.

Mainly, he has lost his sense of time.

 

Patient number: 223040024 DOB: June 23, 1953

 

 

Observe:

 

Unhealthy complexion. Yes. (no spirit)

Dark or unclear face color. Yes. (no spirit)

Mind is unclear. Yes. (no spirit)

Small movement, continuous fidgeting especially of the legs. Yes.

(deficient heat in the kidneys)

Dry lifeless color (indicates exhausted Stomach-Qi)

Green face color (indicates a Liver pattern, interior Cold, pain or

interior Wind) Yes.

Fat body. Yes.

Dark face liver & kidney yin deficient (or stagnant qi and congealed blood)

Blue nails. Yes. Blue around moons, pale toward ends.

Tongue color. Pink.

Tongue shape. Teeth marks. Indent on right center.

Tongue coating. Slight white

Tongue moisture. Wet.

 

Inquire:

 

Sensation of heaviness. Yes. (damp cold, damp heat, qi deficiency or bi

syndrome)

Clear Urine. Yes.

Scanty urination. In between, but frequent.

Fall asleep too easily.

Throws off the blanket at night. Yes. (excess heat maybe liver or heart)

 

Listen & smell:

 

Weak cough. Yes.

 

Palpate:

 

Systolic blood pressure (Optimal <120; Normal <130; 127

Diastolic blood pressure (Optimal <80; 70

Heart rate. 60

Floating pulse. Yes. (weak, deficient yin; strong, interior wind)

Slow pulse less than 70 beats per minute. Yes. (cold or insufficient qi)

Hot hands and feet. Yes. (extreme yang heat)

Hot palms of hot hands. Yes. (extreme yang heat)

Hot dorsum of hot hand. Yes. (exterior syndrome)

Dry skin. Yes. (deficiency of liver blood)

 

Summary of Impressions:

 

no spirit

deficient heat in the kidneys

indicates exhausted Stomach-Qi

indicates a Liver pattern, interior Cold, interior Wind

stagnant qi and congealed blood

qi deficiency

excess heat maybe liver or heart

weak, deficient yin

insufficient qi

extreme yang heat

 

Organs/channels: Kidney, Stomach, Liver, Heart.

 

Treatment Principles:

 

no spirit

deficient heat in the kidneys: Consolidate Kidney, Reinforce Qi.

indicates exhausted Stomach-Qi: Strengthen Stomach Qi, Invigorate Spleen.

indicates a Liver pattern, interior Cold, interior Wind: Warm the Liver,

Dispel cold.

stagnant qi and congealed blood: Soothe Liver, Disperse Stagnation.

qi deficiency: Strengthen Spleen, Benefit Qi.

excess heat maybe liver or heart

weak, deficient yin

insufficient qi

extreme yang heat

Replenish Heart Blood, Reinforce Spleen, Kidney.

 

Points that may be used:

 

no spirit

deficient heat in the kidneys: Du 4; Ki 3, 12; Ren 3, 4, 6; Sp 6; UB 22,

23, 28, 39.

indicates exhausted Stomach-Qi: Ren 6, 12; Sp 6; St 21, 36; UB 20, 21.

indicates a Liver pattern, interior Cold, interior Wind: Lv 1, 5, 6; Ren 3,

4; Sp 6.

stagnant qi and congealed blood: GB 40, 41; Lv 2, 3, 4, 5, 13, 14; P 6; SJ

6; Sp 6; UB 18.

qi deficiency: Lv 13; Ren 12; Sp 3, 5, 6; St 36; UB 20.

excess heat maybe liver or heart GB 13, 24.

weak, deficient yin CV 15

insufficient qi L 7, CV 17.

extreme yang heat GV 16, 20; GB 20; Lv 2, 3.

Poor Memory Sishengcong (extra); UB 15, 20, 23; St 36; K 6. Ht 7; Sp 1, 4,

6; St 36; UB 15, 17, 20, 44.

 

Your comments are invited. Thanks very much.

 

Regards,

 

Pete