Woman, 36: Migraine, depression, 5' 4, 286 lb.

[Guest guest]

Hi Everybody!

 

Case overview:

 

Acupuncture impression: Liver *twelve* mentions, mainly deficient but

also wind and yang rising. Stomach Heat, and damp heat. Blood and yin

deficient, blood stasis, phlegm, qi, blood, Spleen Kidney and Heart also

involved as well as uterus. More deficient than excess, more heat than

cold. She has so much going on I am going to start with her weight.

 

Treatment principle: Lose one pound every week until 146 lbs or less. At

5' 4 " could be 120 without detriment. Acupuncture and herbal pills to

support weight loss.

 

Possible Points: LI 4, 11; L 7; St 36 Sp 6, Ashi. For weight loss:

Zhongwan - Ren12, Xiawan - Ren 10, Qihai - Ren 6, Guanyuan - Ren 4,

Daheng - SP15, Huaroumen - ST24, Wailing - ST26

 

Herbal Pills: 1B1-9, Fang Feng Tong Sheng Wan; 5A, Four gentlemen, Six

gentlemen, etc.; 8B, Heart Phlegm reducing types, 11E Bojenmi tea.

 

Your comments, as always, are invited.

 

Regards,

 

Pete

 

Case details:

 

Patient Medical History:

 

Patient: ********** Record 1-12-6

 

Patient Number: **********

 

What is your major complaint? Migraine, tends to be late PM or night.

How long have you had this condition? 1987

What treatments or remedies have you tried for this condition?

Psychotherapy, Psychiatrists, Imitrex, Maxalt 5mg.

 

Have you seen a Western Doctor for this condition? Yes.

Have you seen a Chiropractor for this condition? No.

Have you ever had sinusitis? Yes.

Have you ever had stomach, liver or intestinal trouble? Yes. GRD.

Have you ever had a reaction to serum, drug or medicine? Yes, reaction

to most drugs - blurred vision, insomnia, nerves, tiredness.

Have you ever had piles or rectal disease? Yes.

Have you ever had ear, nose or throat trouble? Yes, colds.

 

(female only section)

Have you ever had a vaginal discharge? Yes.

Have you ever had painful menstruation? Yes.

Have you ever had irregular menstruation? Yes.

How old were you when you had your first menstrual period? 12

What is the interval between your menstrual periods? 28 +/- 1

How long do your menstrual periods last? 3-5 When was your last period?

Week ago.

What is the quantity of your menstrual discharge? Normal, sometimes scanty.

(end of female only section)

 

Have you ever had or do you now have dizziness? Seldom.

Have you ever had or do you now have leg cramps? Seldom.

Have you ever had or do you now have a cough? Seldom.

Have you ever had or do you now have hoarseness? Seldom.

Have you ever had or do you now have sore throats? Seldom.

Have you ever had or do you now have hay fever? No.

Have you ever had or do you now have pneumonia? Seldom.

Have you ever had or do you now have indigestion? Seldom.

Have you ever had or do you now have abdominal pain or cramps? Seldom.

Have you ever had or do you now have constipation? Seldom.

Have you ever had or do you now have diarrhea? Seldom.

Have you ever had or do you now have increased appetite? Seldom.

Have you ever had or do you now have increased thirst? Seldom.

Have you ever had or do you now have decreased appetite? Seldom.

Have you ever had or do you now have nausea and vomiting? Seldom.

Have you ever had or do you now have a rash? Seldom.

Have you ever had or do you now have back pain? Frequent.

Have you ever had or do you now have frequent urination? Frequent.

 

 

 

Have you ever had or do you now have arthritis? Seldom.

Have you ever had or do you now have backaches? Seldom.

Have you ever had or do you now have weakness? Seldom.

Have you ever had or do you now have night sweats? Frequent.

Have you ever had or do you now have headaches? Frequent.

Have you ever had or do you now have irritability? Seldom.

Have you ever had or do you now have morning tiredness? Frequent.

Have you ever had or do you now have easy fatigability? Frequent.

 

Do you have or have you had weight gain recently? Yes.

How much have you lost or gained? 40 lb.

 

Do you have or have you had a memory defect recently? Yes. Ativan

causing it?

Do you have or have you had balance problems recently? Yes.

Do you have or have you had numbness or tingling in the extremities

recently? Yes.

Do you have or have you had an ear ache recently? Yes. Few weeks ago,

ear drops from MD.

Do you have or have you had new skin growths recently? Yes, brown spots.

 

Is there a history of diabetes in your family? Yes.

Who had diabetes in your family? Grandmother.

 

Is there a history of cancer in your family? Yes.

Who had cancer in your family? Father, skin cancer.

 

Is there a history of heart trouble in your family? Yes.

Who had heart trouble in your family? Grandfather.

 

Is there a history of stroke in your family? Yes.

Who had a stroke in your family? Grandfather.

 

Is there a history of high blood pressure in your family? Yes.

Who had high blood pressure in your family? Grandfather, Grandmother,

Brother.

 

Is there a history of glaucoma in your family? Yes?

Who had glaucoma in your family? Father?

 

What medications do you currently take? Ativan, Trazodone, Maalox,

Cymbalta, Celebrex, Maxalt, Lamicital.

 

Please list all operations you may have had, and your age when you had them.

Cingulotomy (a type of brain surgery) age 20, two procedures. She has

wet her bed almost every night ever since.

End of Medical History portion.

 

Four Pillar Examination:

 

Observe:

 

Clear moist color (indicates intact Stomach-Qi, Dry lifeless color

indicates exhausted Stomach-Qi)

 

Five Element Body types:

 

5 " 4 1/2 " does not clearly fit into any 5 E body type. Weight is 286 pounds.

 

Fat body. Yes. (Central Obesity in Western Medicine terms. Damp Phlegm,

Spleen Qi and/or Kidney Yang deficiency.)

The eyes have glitter and reveal inner vitality. Yes.

Clear thin phlegm, cold pattern.

Healthy color around wrists and ankles. Yes.

Pale nails. Yes. (Pale-white: Liver and Spleen Blood deficiency;

Dull-white: Spleen and Kidney Yang deficiency or sudden loss of Body

Fluids as in profuse vomiting, diarrhea or sweating)

Observe the Thenar Eminence. (Shows the state of the Stomach)

Reddish - Heat

 

Tongue spirit:

Like a fresh piece of meat - good spirit.

Tongue color.

Pale moist: Yang deficient

Tongue shape.

Thin: Blood deficient if pale

Tongue coating.

Thin with root: Healthy Stomach Qi.

Tongue moisture.

Slippery: Damp or phlegm.

Tongue patterns:

Spleen Qi Deficient: teeth marks or swollen on sides of center section.

Tongue in Four Level Illnesses.

Slight red sides and front: Wei level.

 

Inquire:

 

Area of the body that is sweating.

Head - Heat or Damp-Heat in the Stomach, Heat in the upper burner,

deficient yang floating upward, food retention.

 

Time of day that there is sweating. (night sweat, qi & blood or yin

deficiency or damp heat)

 

Sudden onset of headache. Sometimes. (exterior wind syndrome)

Gradual onset of headache. Yes, usually. (interior syndrome)

Time of day when the head aches. (evening - Blood and Yin deficient;

night while asleep - Blood Stasis.)

Location of the headache.

Sinus, beside the eyes.

 

Character of the headache pain: Dull - deficient; sharp - excess;

throbbing or bursting Liver Yang rising;

Condition of the patient while having the headache. Incapacitated.

Severe giddiness, everything seems to sway, loss of balance. Yes,

sometimes. Liver Wind

Slight dizziness with a feeling of heaviness in the head. Yes,

sometimes. Phlegm.

Sudden onset of dizziness. Yes. Excess. Once or twice a day, blames the

meds.

Gradual onset of dizziness. Sometimes. Deficient.

Slight dizziness, worse when tired. Yes. Deficient of Qi or Blood.

Pain that is relieved by touch or pressure. Yes. (deficient)

Sharp stabbing pain usually in a fixed location. Yes. (blood stasis)

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

syndrome)

Pain that moves from place to place. Yes. (wind)

Slight pain with fatigue. Yes. (deficient qi or dampness) Fatigue all

the time, not pain.

Incomplete urination, dribbling or lack of force. Yes. (Accumulation of

heat in the bladder, decline of mingmen fire, damage of qi of the meridian)

Undigested food in the stool. Yes. (Spleen Deficiency) Parts of the pill

capsules.

Thirst, appetite and tastes. Likes " Cozy Shack " Rice pudding

Not able to fall asleep. Yes, sometimes. (Blood or Yin deficiency of

Heart, Spleen, Liver)

Restless sleep with dreams. Yes, sometimes. (Disharmony between Heart

and Kidney)

Wake up early and not able to fall asleep again. Yes, sometimes. (Yin

deficiency with empty Heat)

 

Female section:

 

Sometimes early, sometimes late period. Yes. (Liver Qi stagnation, Liver

Blood Stasis, Spleen deficiency, Kidney deficiency)

Scanty period. Yes.

Dark red or bright red menstrual blood. Yes. (Blood Heat)

Fresh‑red color menstrual blood. Yes or no. (Empty Heat in the Blood)

Congealed menses with clots. Yes, maybe one 3/8 " clot per month. (Blood

Stasis in the Uterus, Blood Heat, Cold in the Uterus, Qi deficiency)

Pain during periods. Yes. (Liver Qi Stagnation, Liver Blood Stasis,

Stagnation of Cold in the Uterus, Damp Heat in the Uterus, Stagnant

Liver Qi turning to Liver Fire, Deficient Qi and Blood, Spleen Yang and

Liver Blood deficiency, Liver and Kidney Yin Deficiency)

Yellow vaginal discharge. Yes, sometimes.

 

(end of female section)

 

Bitter taste is liver problem.

 

Listen & smell:

 

Weak sounds from the abdomen. Yes. (empty or deficient pattern)

 

Palpate:

 

Systolic blood pressure (Optimal <120; 117

Diastolic blood pressure (Optimal <80; 75

Heart rate. 86

 

Hollow pulse, like the stem of a green onion, solid on the outside but

completely empty, often a floating pulse. Yes. (Deficient Blood, often

seen after great loss of Blood) Can feel it only at the center position.

 

Dry skin. Yes or No. (deficiency of liver blood)

 

Summary: 146 lb is maximum healthy weight for this height. Liver,

spleen, kidney may be deficient. Heat in the stomach. Yang and blood

deficient. Dampness. Spleen Qi deficient. Illness is at the Wei level,

(not too serious). Heat or Damp-Heat in the Stomach, Heat in the upper

burner, deficient yang floating upward, food retention. Night sweat, qi

& blood or yin deficiency or damp heat. More often interior than

exterior. Evening - Blood and Yin deficient; night while asleep - Blood

Stasis. Dull - deficient; sharp - excess; throbbing or bursting Liver

Yang rising. Liver wind, Phlegm, excess, deficient. Deficient of Qi or

Blood. Deficient, Blood Stasis. Damp cold, damp heat, qi deficiency or

bi syndrome. Deficient qi or dampness. Accumulation of heat in the

bladder, decline of mingmen fire, damage of qi of the meridian. Spleen

deficiency. Blood or Yin deficiency of Heart, Spleen, Liver. Disharmony

between Heart and Kidney. Yin deficiency with empty Heat. Liver Qi

stagnation, Liver Blood Stasis, Spleen deficiency, Kidney deficiency.

Blood Heat. Empty Heat in the Blood. Blood Stasis in the Uterus, Blood

Heat, Cold in the Uterus, Qi deficiency. Liver Qi Stagnation, Liver

Blood Stasis, Stagnation of Cold in the Uterus, Damp Heat in the Uterus,

Stagnant Liver Qi turning to Liver Fire, Deficient Qi and Blood, Spleen

Yang and Liver Blood deficiency, Liver and Kidney Yin Deficiency

[Guest guest]

Hi Pete,

 

Also she shows up more heat than cold, her tongue color is pale with thick

coating. So the heat that she has most likely to be stagnate heat. In six

channel diagnosis, she resembles the Jue Yin Syndrome, (Jue Yin Channel cold

with stagnate heat), only that she doesn't have any diarrhea.

Her chief complaint is migraine, and she had it in 1987, which is a wood

energy deficient year. So I would use with the liver/GB and PC channel points

as well.

 

vivianne

 

petetheisen <petetheisen wrote:

Hi Everybody!

 

Case overview:

 

Acupuncture impression: Liver *twelve* mentions, mainly deficient but

also wind and yang rising. Stomach Heat, and damp heat. Blood and yin

deficient, blood stasis, phlegm, qi, blood, Spleen Kidney and Heart also

involved as well as uterus. More deficient than excess, more heat than

cold. She has so much going on I am going to start with her weight.

 

Treatment principle: Lose one pound every week until 146 lbs or less. At

5' 4 " could be 120 without detriment. Acupuncture and herbal pills to

support weight loss.

 

Possible Points: LI 4, 11; L 7; St 36 Sp 6, Ashi. For weight loss:

Zhongwan - Ren12, Xiawan - Ren 10, Qihai - Ren 6, Guanyuan - Ren 4,

Daheng - SP15, Huaroumen - ST24, Wailing - ST26

 

Herbal Pills: 1B1-9, Fang Feng Tong Sheng Wan; 5A, Four gentlemen, Six

gentlemen, etc.; 8B, Heart Phlegm reducing types, 11E Bojenmi tea.

 

Your comments, as always, are invited.

 

Regards,

 

Pete

 

Case details:

 

Patient Medical History:

 

Patient: ********** Record 1-12-6

 

Patient Number: **********

 

What is your major complaint? Migraine, tends to be late PM or night.

How long have you had this condition? 1987

What treatments or remedies have you tried for this condition?

Psychotherapy, Psychiatrists, Imitrex, Maxalt 5mg.

 

Have you seen a Western Doctor for this condition? Yes.

Have you seen a Chiropractor for this condition? No.

Have you ever had sinusitis? Yes.

Have you ever had stomach, liver or intestinal trouble? Yes. GRD.

Have you ever had a reaction to serum, drug or medicine? Yes, reaction

to most drugs - blurred vision, insomnia, nerves, tiredness.

Have you ever had piles or rectal disease? Yes.

Have you ever had ear, nose or throat trouble? Yes, colds.

 

(female only section)

Have you ever had a vaginal discharge? Yes.

Have you ever had painful menstruation? Yes.

Have you ever had irregular menstruation? Yes.

How old were you when you had your first menstrual period? 12

What is the interval between your menstrual periods? 28 +/- 1

How long do your menstrual periods last? 3-5 When was your last period?

Week ago.

What is the quantity of your menstrual discharge? Normal, sometimes scanty.

(end of female only section)

 

Have you ever had or do you now have dizziness? Seldom.

Have you ever had or do you now have leg cramps? Seldom.

Have you ever had or do you now have a cough? Seldom.

Have you ever had or do you now have hoarseness? Seldom.

Have you ever had or do you now have sore throats? Seldom.

Have you ever had or do you now have hay fever? No.

Have you ever had or do you now have pneumonia? Seldom.

Have you ever had or do you now have indigestion? Seldom.

Have you ever had or do you now have abdominal pain or cramps? Seldom.

Have you ever had or do you now have constipation? Seldom.

Have you ever had or do you now have diarrhea? Seldom.

Have you ever had or do you now have increased appetite? Seldom.

Have you ever had or do you now have increased thirst? Seldom.

Have you ever had or do you now have decreased appetite? Seldom.

Have you ever had or do you now have nausea and vomiting? Seldom.

Have you ever had or do you now have a rash? Seldom.

Have you ever had or do you now have back pain? Frequent.

Have you ever had or do you now have frequent urination? Frequent.

 

 

 

Have you ever had or do you now have arthritis? Seldom.

Have you ever had or do you now have backaches? Seldom.

Have you ever had or do you now have weakness? Seldom.

Have you ever had or do you now have night sweats? Frequent.

Have you ever had or do you now have headaches? Frequent.

Have you ever had or do you now have irritability? Seldom.

Have you ever had or do you now have morning tiredness? Frequent.

Have you ever had or do you now have easy fatigability? Frequent.

 

Do you have or have you had weight gain recently? Yes.

How much have you lost or gained? 40 lb.

 

Do you have or have you had a memory defect recently? Yes. Ativan

causing it?

Do you have or have you had balance problems recently? Yes.

Do you have or have you had numbness or tingling in the extremities

recently? Yes.

Do you have or have you had an ear ache recently? Yes. Few weeks ago,

ear drops from MD.

Do you have or have you had new skin growths recently? Yes, brown spots.

 

Is there a history of diabetes in your family? Yes.

Who had diabetes in your family? Grandmother.

 

Is there a history of cancer in your family? Yes.

Who had cancer in your family? Father, skin cancer.

 

Is there a history of heart trouble in your family? Yes.

Who had heart trouble in your family? Grandfather.

 

Is there a history of stroke in your family? Yes.

Who had a stroke in your family? Grandfather.

 

Is there a history of high blood pressure in your family? Yes.

Who had high blood pressure in your family? Grandfather, Grandmother,

Brother.

 

Is there a history of glaucoma in your family? Yes?

Who had glaucoma in your family? Father?

 

What medications do you currently take? Ativan, Trazodone, Maalox,

Cymbalta, Celebrex, Maxalt, Lamicital.

 

Please list all operations you may have had, and your age when you had them.

Cingulotomy (a type of brain surgery) age 20, two procedures. She has

wet her bed almost every night ever since.

End of Medical History portion.

 

Four Pillar Examination:

 

Observe:

 

Clear moist color (indicates intact Stomach-Qi, Dry lifeless color

indicates exhausted Stomach-Qi)

 

Five Element Body types:

 

5 " 4 1/2 " does not clearly fit into any 5 E body type. Weight is 286 pounds.

 

Fat body. Yes. (Central Obesity in Western Medicine terms. Damp Phlegm,

Spleen Qi and/or Kidney Yang deficiency.)

The eyes have glitter and reveal inner vitality. Yes.

Clear thin phlegm, cold pattern.

Healthy color around wrists and ankles. Yes.

Pale nails. Yes. (Pale-white: Liver and Spleen Blood deficiency;

Dull-white: Spleen and Kidney Yang deficiency or sudden loss of Body

Fluids as in profuse vomiting, diarrhea or sweating)

Observe the Thenar Eminence. (Shows the state of the Stomach)

Reddish - Heat

 

Tongue spirit:

Like a fresh piece of meat - good spirit.

Tongue color.

Pale moist: Yang deficient

Tongue shape.

Thin: Blood deficient if pale

Tongue coating.

Thin with root: Healthy Stomach Qi.

Tongue moisture.

Slippery: Damp or phlegm.

Tongue patterns:

Spleen Qi Deficient: teeth marks or swollen on sides of center section.

Tongue in Four Level Illnesses.

Slight red sides and front: Wei level.

 

Inquire:

 

Area of the body that is sweating.

Head - Heat or Damp-Heat in the Stomach, Heat in the upper burner,

deficient yang floating upward, food retention.

 

Time of day that there is sweating. (night sweat, qi & blood or yin

deficiency or damp heat)

 

Sudden onset of headache. Sometimes. (exterior wind syndrome)

Gradual onset of headache. Yes, usually. (interior syndrome)

Time of day when the head aches. (evening - Blood and Yin deficient;

night while asleep - Blood Stasis.)

Location of the headache.

Sinus, beside the eyes.

 

Character of the headache pain: Dull - deficient; sharp - excess;

throbbing or bursting Liver Yang rising;

Condition of the patient while having the headache. Incapacitated.

Severe giddiness, everything seems to sway, loss of balance. Yes,

sometimes. Liver Wind

Slight dizziness with a feeling of heaviness in the head. Yes,

sometimes. Phlegm.

Sudden onset of dizziness. Yes. Excess. Once or twice a day, blames the

meds.

Gradual onset of dizziness. Sometimes. Deficient.

Slight dizziness, worse when tired. Yes. Deficient of Qi or Blood.

Pain that is relieved by touch or pressure. Yes. (deficient)

Sharp stabbing pain usually in a fixed location. Yes. (blood stasis)

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

syndrome)

Pain that moves from place to place. Yes. (wind)

Slight pain with fatigue. Yes. (deficient qi or dampness) Fatigue all

the time, not pain.

Incomplete urination, dribbling or lack of force. Yes. (Accumulation of

heat in the bladder, decline of mingmen fire, damage of qi of the meridian)

Undigested food in the stool. Yes. (Spleen Deficiency) Parts of the pill

capsules.

Thirst, appetite and tastes. Likes " Cozy Shack " Rice pudding

Not able to fall asleep. Yes, sometimes. (Blood or Yin deficiency of

Heart, Spleen, Liver)

Restless sleep with dreams. Yes, sometimes. (Disharmony between Heart

and Kidney)

Wake up early and not able to fall asleep again. Yes, sometimes. (Yin

deficiency with empty Heat)

 

Female section:

 

Sometimes early, sometimes late period. Yes. (Liver Qi stagnation, Liver

Blood Stasis, Spleen deficiency, Kidney deficiency)

Scanty period. Yes.

Dark red or bright red menstrual blood. Yes. (Blood Heat)

Fresh‑red color menstrual blood. Yes or no. (Empty Heat in the Blood)

Congealed menses with clots. Yes, maybe one 3/8 " clot per month. (Blood

Stasis in the Uterus, Blood Heat, Cold in the Uterus, Qi deficiency)

Pain during periods. Yes. (Liver Qi Stagnation, Liver Blood Stasis,

Stagnation of Cold in the Uterus, Damp Heat in the Uterus, Stagnant

Liver Qi turning to Liver Fire, Deficient Qi and Blood, Spleen Yang and

Liver Blood deficiency, Liver and Kidney Yin Deficiency)

Yellow vaginal discharge. Yes, sometimes.

 

(end of female section)

 

Bitter taste is liver problem.

 

Listen & smell:

 

Weak sounds from the abdomen. Yes. (empty or deficient pattern)

 

Palpate:

 

Systolic blood pressure (Optimal <120; 117

Diastolic blood pressure (Optimal <80; 75

Heart rate. 86

 

Hollow pulse, like the stem of a green onion, solid on the outside but

completely empty, often a floating pulse. Yes. (Deficient Blood, often

seen after great loss of Blood) Can feel it only at the center position.

 

Dry skin. Yes or No. (deficiency of liver blood)

 

Summary: 146 lb is maximum healthy weight for this height. Liver,

spleen, kidney may be deficient. Heat in the stomach. Yang and blood

deficient. Dampness. Spleen Qi deficient. Illness is at the Wei level,

(not too serious). Heat or Damp-Heat in the Stomach, Heat in the upper

burner, deficient yang floating upward, food retention. Night sweat, qi

& blood or yin deficiency or damp heat. More often interior than

exterior. Evening - Blood and Yin deficient; night while asleep - Blood

Stasis. Dull - deficient; sharp - excess; throbbing or bursting Liver

Yang rising. Liver wind, Phlegm, excess, deficient. Deficient of Qi or

Blood. Deficient, Blood Stasis. Damp cold, damp heat, qi deficiency or

bi syndrome. Deficient qi or dampness. Accumulation of heat in the

bladder, decline of mingmen fire, damage of qi of the meridian. Spleen

deficiency. Blood or Yin deficiency of Heart, Spleen, Liver. Disharmony

between Heart and Kidney. Yin deficiency with empty Heat. Liver Qi

stagnation, Liver Blood Stasis, Spleen deficiency, Kidney deficiency.

Blood Heat. Empty Heat in the Blood. Blood Stasis in the Uterus, Blood

Heat, Cold in the Uterus, Qi deficiency. Liver Qi Stagnation, Liver

Blood Stasis, Stagnation of Cold in the Uterus, Damp Heat in the Uterus,

Stagnant Liver Qi turning to Liver Fire, Deficient Qi and Blood, Spleen

Yang and Liver Blood deficiency, Liver and Kidney Yin Deficiency

 

 

 

 

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[Guest guest]

melhsia wrote:

> Hi Pete,

>

> Also she shows up more heat than cold, her tongue color is pale with

> thick coating. So the heat that she has most likely to be stagnate

> heat. In six channel diagnosis, she resembles the Jue Yin Syndrome,

> (Jue Yin Channel cold with stagnate heat), only that she doesn't

> have any diarrhea. Her chief complaint is migraine, and she had it in

> 1987, which is a wood energy deficient year. So I would use with the

> liver/GB and PC channel points as well.

>

> vivianne

 

Hi Vivianne!

 

Thanks, now if she just comes back. Usually obese patients don't stick

with it. She did blow off her appointment today, just didn't show up.

 

Regards,

 

Pete

[Guest guest]

melhsia wrote:

>

Her chief complaint is migraine, and she had it in 1987, which is a wood

energy deficient year. So I would use with the liver/GB and PC channel

points

as well.

>

 

migraine is best treated by addressing what is causing it, else there

will be false starts and relapses

 

such a long drawn out situation cannot be because of a Wood problem

because an element cannot injure itelf to this drastic extent

 

commonest culprit in this kind of history could be Metal, it can injure

by agression, and can hold a lcinical pattern rigidly

 

if it does turn out to be a Metal injuring Wood pattern, you may find

the classical Deficiency in one and an Excess in the other

 

jumping the gun somewhat, if it is so, a single bi phasal intervention

on horary points will provide a dramatic shift

 

best

 

dr holmes

[Guest guest]

Thanks for your knowledge. It does look like a metal injuring wood pattern.

now only we can see if it works when she comes back.

 

regards,

vivianne

 

holmes <dkaikobad wrote:

melhsia wrote:

>

Her chief complaint is migraine, and she had it in 1987, which is a wood

energy deficient year. So I would use with the liver/GB and PC channel

points

as well.

>

 

migraine is best treated by addressing what is causing it, else there

will be false starts and relapses

 

such a long drawn out situation cannot be because of a Wood problem

because an element cannot injure itelf to this drastic extent

 

commonest culprit in this kind of history could be Metal, it can injure

by agression, and can hold a lcinical pattern rigidly

 

if it does turn out to be a Metal injuring Wood pattern, you may find

the classical Deficiency in one and an Excess in the other

 

jumping the gun somewhat, if it is so, a single bi phasal intervention

on horary points will provide a dramatic shift

 

best

 

dr holmes

 

 

 

 

 

 

 

 

 

 

 

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and adjust

accordingly.

 

 

 

Please consider the environment and only print this message if absolutely

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[Guest guest]

melhsia wrote:

> Thanks for your knowledge. It does look like a metal injuring wood pattern.

> now only we can see if it works when she comes back.

 

Hi Melhsia!

 

She is scheduled for *next* Wednesday, I wrote it wrong for yesterday in

my planner. I probably should get one of the ones with a carbon.

 

Regards,

 

Pete

[Guest guest]

holmes wrote:

<snip>

> migraine is best treated by addressing what is causing it, else there

> will be false starts and relapses

>

> such a long drawn out situation cannot be because of a Wood problem

> because an element cannot injure itelf to this drastic extent

>

> commonest culprit in this kind of history could be Metal, it can injure

> by agression, and can hold a lcinical pattern rigidly

>

> if it does turn out to be a Metal injuring Wood pattern, you may find

> the classical Deficiency in one and an Excess in the other

>

> jumping the gun somewhat, if it is so, a single bi phasal intervention

> on horary points will provide a dramatic shift

 

Hi Dr. Holmes!

 

I regret to tell you that I don't know what a bi phasal intervention is.

I have heard the term horary before, but this was not taught to my

class, later classes had lectures on it. Go figure.

 

I have seen it defined thus: " the wood point on the wood channel, or the

fire point on the fire channel, the water point on the water channel,

the earth point on the earth channel " .

 

So the lung is in excess and the liver is deficient, or the other way

around?

 

Regards,

 

Pete

[Guest guest]

petetheisen wrote:

> holmes wrote:

> <snip>

> > migraine is best treated by addressing what is causing it, else there

> > will be false starts and relapses

> >

> > such a long drawn out situation cannot be because of a Wood problem

> > because an element cannot injure itelf to this drastic extent

> >

> > commonest culprit in this kind of history could be Metal, it can injure

> > by agression, and can hold a lcinical pattern rigidly

> >

> > if it does turn out to be a Metal injuring Wood pattern, you may find

> > the classical Deficiency in one and an Excess in the other

> >

> > jumping the gun somewhat, if it is so, a single bi phasal intervention

> > on horary points will provide a dramatic shift

>

> Hi Dr. Holmes!

>

> I regret to tell you that I don't know what a bi phasal intervention is.

> I have heard the term horary before, but this was not taught to my

> class, later classes had lectures on it. Go figure.

>

> I have seen it defined thus: " the wood point on the wood channel, or the

> fire point on the fire channel, the water point on the water channel,

> the earth point on the earth channel " .

>

> So the lung is in excess and the liver is deficient, or the other way

> around?

>

> Regards,

>

> Pete

>

 

bi phasal is when the discord which invokes an illness originates from 2

elements in a state of aggressive suppression

 

such 2 are found on the Ko bond on the conventional 5 element grid and

account for most of the serious illnesses one may see in the clinic

 

in this case i took cue from the fact that the migraine had persisted

over years, almost unchanged in character, kind and intensity

 

as the presentation was on Wood with its own phasal characteristics, the

restrainer or invoker should abide on a phase with rigidly incisive and

with uncharitable anti Wood characteristics, ergo Metal

 

::

 

horary is essentially the hourly tithing of qi running in a closed circuit

 

this is between LU 9 and LU 9, it taking as long as it takes water to

mark 100 notches on the clepsydra water clock

 

which is twice 12 hours, or 4 times 6 hours, or 8 times 3 hours

 

which is also 120 minutes to each of the 12 channels

 

which is 1440 minutes to one diurnal circuit

 

in each 120 minutes qi circulates through 5 shu markers in each of the 6

vessels on arm and leg

 

each of this shu points will have a supportive phase in the Shen

nurturing sense, and a restraining phase in the Ko bond sense

 

one uses the one to augment, and the second to restrain, in bi phasal work

 

because when one invokes horary qi, it is element and phase specific, as

well as precisely timely and dependable, results are spectacular

 

in this case if it is indeed Metal doing the deed on Wood, the approach

will be to support one phase and restrain the other

 

of for instance the time is 9 AM when patient is treated, one will use

the horary grid between 9 - 11 AM:

 

to support the Metal phase, one will invoke Earth point SP 3

 

to restrain the Wood phase, invoke Fire point SP 2

 

::

 

if the patient came in with a full blown migraine, and the diagnosis was

impeccable, using the bi phasal approach would allay the pain within the

session

 

in 5 or so more, the matter would be resolved

 

there would be no other possible outcome

 

< horary people tend to live on the brink > : )

 

::

 

horary qi in the di urnal sense, ruled by Lunaris, becomes seasonal qi,

when extended to a larger seasonal cycle of 90 days

 

* spring's 90 days rule left guan and the Wiry felt there signifies health

 

* summer's 90 days rule left cun and the Full felt there signifies health

 

* autumn's 90 days rule right cun and the Choppy felt there signifies health

 

* winter's 90 days rule left chi and the Stony felt there signifies health

 

::

 

if this seems a post somewhat carried away, this is my favorite foible

 

dr holmes

www.acu-free.com

[Guest guest]

holmes wrote:

<snip>

> if this seems a post somewhat carried away, this is my favorite foible

 

Hi Dr. Holmes!

 

Oh, not overly carried away. I have been waiting for years for you to go

into sufficient detail that I could form a complete picture of what you

had in mind. Usually you just hint :-)

 

Regards,

 

Pete