RE: [SPAM] RE: Orange Tongue

[Guest guest]

Thank you Hugo for the very helpful email. The picture does look a bit

worse than reality, but nevertheless she does have scallops, swelling, etc.

 

 

 

I have seen her off and on since Nov 06 and her last treatment was her 13th.

I have not been blind to the symptoms in her tongue and pulse, I have

recommended deeper level treatments. She is now finally coming around to

working on her health. When I said she is " generally healthy " I meant she

didn't feel/express any major complaints other than some constipation and

night sweats. I have given her ki yin formulas in the past which she took

sporadically.

 

 

 

In talking with her about the running, she feels she has to push herself, I

get the feeling she is this way with most things in her life, she takes big

things on and forces herself to finish them, and its not about the big

projects, doing too many things, etc it is about achieving something worked

hard for. Even if it trashes her body she is going to finish that race,

sort of thing.

 

 

 

We've discussed shorter runs, which she seems to be okay with, not sure if

that will change since we have had a lot of success getting her knees back

in shape.

 

 

 

Good questions & ideas, I will pursue them further.

 

Julie

 

 

 

Chinese Medicine

Chinese Medicine On Behalf Of Hugo

Ramiro

Saturday, May 19, 2007 12:30 PM

Chinese Medicine

[sPAM] Re: RE: Orange Tongue

 

 

 

Thanks for the upload, Julie. I took a look and it looks like strong heat &

stagnation in the middle warmer.

From looking at the photo of her tongue I would not say that she is healthy

generally. She has clearly developed signs of yin deficiency, spleen qi def

with damp accumulation, and it doesn't look recent. It's possible that your

patient cycles through this yearly, or according to some other pattern, but

I doubt that this is the first time her tongue has presented in this way.

It is important to query our patients carefully, and compassionately

challenge them when we believe there might be some dishonesty regarding

important clinical information. Some questions that might bring interesting

things to light with your patient:

Why does she take endurox, if she is so healthy? What happens if she doesn't

take it, when and why did she begin to take it?

When did she take up marathon running? What did she do before that? What was

her health like back then?

Ask yourself what the marathon running is doing to her. It may well be

coursing her qi and masking some pretty strong qi depression and congestion.

And if it takes a marathon to mask it...

Ask yourself why her kidney pulses are weak - she is still young, and strong

enough (?) to run marathons. Ask yourself if her marathon running may

actually be severely depleting her kidneys. Remember, your big clue there is

her presenting complaint: " knee overuse " . Don't leave it at the mechanics

only, you'll never become mroe than a technician.

 

Some ideas that came into my head, hope you find them useful.

Hugo

 

 

Julie Ormonde <cariadanam

<cariadanam%40cableone.net> >

Chinese Medicine

<Chinese Medicine%40> ;

alumni-sd <alumni-sd%40pacificcollege.edu> ;

alumni-ny <alumni-ny%40pacificcollege.edu>

Thursday, 17 May, 2007 6:55:37 PM

RE: Orange Tongue

 

I saw my patient again today and I uploaded two pics under the unusual

 

tongue coat album (on the tcm list), my patient is the last two pics. This

 

week it is looking somewhat better, that burnt quality to it seems to have

 

disappeared but still quite orange and its moved more up front.

 

She says no carrot juice, the only supplement she takes is endurox which is

 

pink colored. She uses this after a hard workout but she said she drank it

 

Friday night, her tongue actually got better on Saturday and then became

 

orange again on Sunday. It seems to be the coat, not the body, the spots I

 

mentioned before are visible through the orange coat. It doesn't brush off.

 

And as you can see it looks swollen w/ scallops, it looks a bit dusky in

 

the picture but that's just the lighting.

 

She tends to be constipated and at times has night sweats, that's about it.

 

At this point Im still leaning towards heat/yin xu induced.

 

I'd appreciate any insights.

 

Julie