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Hi all, some help possibly? (cannot give full info right now sorry)

Female, 25 years old, very slim.

Primary complaint is fatigue and

nausea

aches and pains

irritability / mood swings

inability to sleep early (1, 2, 4 am common)

drooling (she " wrecks pillows " )

sensitivity to food

inability to concentrate

weak muscle power

dizziness

highly variable acne (usually darkish red with yellow head, some purple, cheeks

and jaw)

etc (all complaints in existence from an early age)

Tongue

pale

small tongue body

coating usually thin and slightly greasy, white, sometimes yellow

sometimes red speckles at tip, or reddish on the sides

Pulses

all weak, Lung position very weak

some sogginess at spleen

a little on the slow side

 

So the question:

I have been treating her for a year now, acu and herbs.

Improvements:

moods are no longer unstable

rarely dizzy

appetite slightly increased

very rarely nauseous

aches and pains reduced by about half

concentration better

Not improved

her energy is better, but I rate it as less than 1/4 improved, she agrees

*** her drooling seems to be worse actually

 

So any ideas, I'd like to stop the drooling, I think it may be damaging her

teeth as well.

 

Hugo

 

 

 

 

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Hi Mr. Ramiro,

 

What was the Dx and Tx for this patient?

 

I have taken the liberty to differentiate the symptoms and signs - you know

this already so, please do not think I am trying to teach you!

 

Female, 25 years old, very slim. - Very slim or thin? If thin then Sp def

 

Primary complaint is fatigue Sp def

 

nausea - St def or cold

 

aches and pains - aches in pains in the limbs then YangMing def due to Sp/St

def, if entire body then probabaly Qi stagnation/Dampness

 

irritability / mood swings - Blood (Liv or Sp Yin) def

 

inability to sleep early (1, 2, 4 am common) Yin def (probably Blood/Liv or

JinYe(Kid) due to failing T & T of Sp)

 

drooling (she " wrecks pillows " ) - Drool is the body fluid of the Sp

 

sensitivity to food - How does this manifest? often due to St/Sp def and/or

Cold

 

inability to concentrate - Sp def (Yi) possibly dampness

 

weak muscle power - YangMing channels of ST and LI control the limbs

 

dizziness - Dampness, Yin def heat

 

highly variable acne (usually darkish red with yellow head, some purple,

cheeks and jaw) - Trapped heat in Foot Yang Ming = local Damp-Heat

 

etc (all complaints in existence from an early age) - Probabaly

constitutional

 

Tongue pale - Blood def

 

small tongue body - Blood def

 

coating usually thin and slightly greasy, white, sometimes yellow Intestinal

Dampness (Heat/Cold)

 

sometimes red speckles at tip, or reddish on the sides - Could be def heat

(Heat disperses up and out)

 

Pulses all weak - Qi, Blood, JinYe def (Lacks ST Qi)

 

Lung position very weak - Often due to Sp def (NanJing: Weakness Evils come

fom behind)

 

some sogginess at spleen - Qi, Blood, JinYe def with emphasis on Qi def can

be one interpretation

 

a little on the slow side - Cold

 

The diagnosis sounds like it could be a Sp Yüan Qi def with Dampness and Yin

def heat (At least it would be a probable diagnosis in Japanese (classical)

acupuncture - Def Sp Yüan Qi = Constitutional + perhaps complicated with Sp

depletion due to emotional factor of ie worrying/ruminating or too much

study, emotional/physical strain or bad diet).

 

>

> So the question:

> I have been treating her for a year now, acu and herbs.

> Improvements:

> moods are no longer unstable

> rarely dizzy

> appetite slightly increased

> very rarely nauseous

> aches and pains reduced by about half

> concentration better

> Not improved

> her energy is better, but I rate it as less than 1/4 improved, she agrees

> *** her drooling seems to be worse actually

>

 

 

 

 

Worsened drooling could be due to not keeping abdomen warm - does she take

> care of herself? Not knowing the herbal prescription it is difficult to say

> but maybe herbs are too strong or too complex for patient - smaller doses,

> less frequent, simpler prescrition, more warming herbs, diet could be

> considered should be considered instead of or along with herbs (I am sure

> you already did). Keep excersice down but do not discontinue - TaiChi could

> be an option, make sure to rest enough, but not too much. Do not too many

> needles! My suggestion PC7 + SP3 as constitutional treatment and do Salt

> Moxa on Navel 1-3 cones maybe? Expect long recovery - maybe another year?!

> But expect recovery!

>

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hope this helps!

>

 

 

 

Best regards,

>

 

 

 

Thomas Sorensen!

>

 

 

 

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Hi Hugo,

 

Just to stop drooling prick around the lips; a little bleeding is O.K. Treat

several times, like every day or every other day.

 

But you also must drain dampness. Suggest that she stops eating raw foods

to help with avoiding further dampness. And after a few treatments if the

drooling doesn't go away completely I have 2 another suggestions.

Good luck,

 

Gloria

 

Hugo Ramiro <subincor wrote:

Hi all, some help possibly? (cannot give full info right now sorry)

Female, 25 years old, very slim.

Primary complaint is fatigue and

nausea

aches and pains

irritability / mood swings

inability to sleep early (1, 2, 4 am common)

drooling (she " wrecks pillows " )

sensitivity to food

inability to concentrate

weak muscle power

dizziness

highly variable acne (usually darkish red with yellow head, some purple, cheeks

and jaw)

etc (all complaints in existence from an early age)

Tongue

pale

small tongue body

coating usually thin and slightly greasy, white, sometimes yellow

sometimes red speckles at tip, or reddish on the sides

Pulses

all weak, Lung position very weak

some sogginess at spleen

a little on the slow side

 

So the question:

I have been treating her for a year now, acu and herbs.

Improvements:

moods are no longer unstable

rarely dizzy

appetite slightly increased

very rarely nauseous

aches and pains reduced by about half

concentration better

Not improved

her energy is better, but I rate it as less than 1/4 improved, she agrees

*** her drooling seems to be worse actually

 

So any ideas, I'd like to stop the drooling, I think it may be damaging her

teeth as well.

 

Hugo

 

________

Mail is the world's favourite email. Don't settle for less, sign up for

your free account today

http://uk.rd./evt=44106/*http://uk.docs./mail/winter07.html

 

 

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