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Acid Reflux

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I have a 50 female patient with cc acid reflux. She has had it for

years. Happens every day, burning pain around cv-12. Patient feels

bloated a lot esp after eating. She had gained weight over the last

couple of years and is now overweight. Patient also has allergies,

ringing in the ears, slightly constipated. Tongue: sl red with thin

white coat with some red dots, pulse is sl weak, wiry on left & slip-

wiry on right. SHe reports metallic taste, which I have been told to

equate to bitter in mouth. Dx: Lv-Sp, phlegm & heat.

I'm thinking of giving her a granule combo of shugan & er chen wan,

possibly modifying BP's gastroquell. Any ideas?

Steve

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