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Petra,

This seems to be a deficiency type with Liv QI stagnation, not

excess. Ban Xia Tian ma Bai Zhu , I think it for excess condition.

This may help this patient in the beginning but it will get worse.

Where is the phlegm or Liv-wind or Liv Yang rising in this case for

us to use Tian Ma and Ban Xia. These herbs will further deplete Qi and

the worse scenerio may be expected.

Geographic tongue indicates Sto yin def. Abdominal fullness or

bloating belong to Stomach meridian.

I do not recognize what HA means, but I think it is headache, isn't

it ?

Headache at temple indicates Liv-GB affect.

Pulses : small and slippery indicates deficiency with damp

accumulation.

DIAGNOSIS :

I guess this is a case of emotional problem related to work or

family or from drug used that caused Liv Qi sluggishness ( stagnation

)this led to indigestion ( food not moving ) and cause abdominal

fullness and bloating ( gas accumulation ). SP and Sto digested food,

transformed and transported Gu Qi, but with no help of Liv Qi, then it

caused sluggish. Slippery and thready or small ( not enough flow,

moving energy )appears. The main problem existed here is from the Liv,

it affected the GB, not nourished GB channel and caused headache in

temple area ( empty type ).

Using phones, or hearing noise may exacerbate the problem because

of deficiency, noises or sound are vibrating frequency ( external-wind

). With Liv yin and sto Yin def, any wind will aggravate their symptoms.

 

Rx : I think it is best : Liv 3 ( activate, regulate and tonify Liv

Qi ).......... If this one is done properly, no other point is needed.

Otherwise, add some of these points S44 ( indigestion, move food ),

Liv8 ( tonify Liv yin and smooth Liv Qi )

 

HERBAL : Choose one Liu Wei Di Huang Wan or Ping Wei san or both.

 

Good luck, I hope this will help you.

 

Nam Nguyen

 

 

 

Chinese Medicine , " petrabuchanan "

<petrabuchanan wrote:

>

> I have a patient, Female, mid 50's. Will long standing HA at the

> temples when exposed to cell phones. Her other main comlaint is lower

> abdominal bloating and food sensitivities. She has celiac dz, so

> obviously does not eat wheat and is very knowledgable of its hidden

> sources. Tongue-many cracks, geographic, ungrounded coat. Pulse,

> small, slippery, weak lung position. I have also treated her for

> allergies which quickly went away, continuing ear congestion,

> intermittant insomnia. I hope you guys and gals don't mind so many

> questions. I really appreciate all of the input. I gave her a formula

> Bend bamboo for the headaches thinking yin xu yang kang, this really

> bothered her digestion and did not effect the HA. I am thinking maybe

> I am too attached to the yin xu dx due to her tongue and maybe need to

> lean more towards a ban xia bai zhu tian ma tang dx.

>

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not sure what bend bamboo is. you need to give us more about the h/a:

quality/nature of pain, duration. any other sx/signs. based on the info

here: c/b liver yg rising based on location: shao yang. i'm thinking its

the heat from the cell phone causing the h/a. tian wan gou teng yin is the

usual px for liv yg rising h/a. in giovanni gold, he also gives 2 other px

for liver yg rising, depending on concurrent yin/xue xu.

 

hope this helps,

 

kb

 

 

On 9/13/07, petrabuchanan <petrabuchanan wrote:

>

> I have a patient, Female, mid 50's. Will long standing HA at the

> temples when exposed to cell phones. Her other main comlaint is lower

> abdominal bloating and food sensitivities. She has celiac dz, so

> obviously does not eat wheat and is very knowledgable of its hidden

> sources. Tongue-many cracks, geographic, ungrounded coat. Pulse,

> small, slippery, weak lung position. I have also treated her for

> allergies which quickly went away, continuing ear congestion,

> intermittant insomnia. I hope you guys and gals don't mind so many

> questions. I really appreciate all of the input. I gave her a formula

> Bend bamboo for the headaches thinking yin xu yang kang, this really

> bothered her digestion and did not effect the HA. I am thinking maybe

> I am too attached to the yin xu dx due to her tongue and maybe need to

> lean more towards a ban xia bai zhu tian ma tang dx.

>

>

>

 

 

 

--

Kath Bartlett, LAc, MS, BA UCLA

Oriental Medicine

Experienced, Dedicated, Effective

 

Asheville Center For

70 Woodfin Place, Suite West Wing Two

Asheville, NC 28801 828.258.2777

kbartlett

www.AcupunctureAsheville.com

 

 

 

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