Advice on case: Tinnitus, High Bld Pressure, Kid stones

[Guest guest]

Please offer suggestions and advice for the following case. (I'm a new

practitioner and in that doubting phase...)

 

1st time with acupuncture - can only commit to 3-4 visits due to lack

of funds (I am seeing him on a sliding scale to accommodate him).

 

42 y.o. male, chief complaint ride-sided tinnitus, low pitch but

sudden onset starting Aug. 2007. Can go from loud to soft to loud and

is intermittant, but occurs 7-10x/week, sometimes for hours per

occurrence, or can be constant for days at a time. Worse with spring

seasonal allergies, when he also experiences wheezing, sinus dryness

and pain.

 

Hx

- childhood migraines, mostly ceased at 30 y.o. (family pattern)

- Kidney stones, passed one last fall and currently has 6-7 formed

according to x-rays.

- eczema, especially on head, itchy with scales

- dry skin, not dry lips or nails, constantly thirsty for cold drinks

- floaters and blurry eyes, especially in morning.

- total insomnia 5-6x/month

- high stress and anxiety w/ palpitations

- can tend to depression ( " but wife would say tends to irritability " )

- high blood pressure, onset 3-4 years, taking Nephedprin

- HBP meds causing excess gum growth in mouth

- calcium deposits in salivary gland on left side; surgically removed

this week - M.D. suspects more forming

- occ nausea, especially with acidic fruits - claims to be allergic to

fruit, esp apples

- runs warm, craves cold drinks, salt and sugar

- no low back pain or knee weakness

 

Tongue: pale red body, greenish greasy coat from midbody to root, red tip

Pulse: thin, slightly choppy, wiry at LIV, sli slippery at Sp -

moderate to sli rapid

 

other: red hair (so pale skin) but red neck and tendency to flush in

face while talking

 

So. My first read is that there is phelgm/damp heat in LIV/GB causing

stones, nausea, etc. but my typical recommendation to do a LIV/GB

flush to support acu treatments usually includes drinking acidic

juices/vinegars and eating apples. I am also thinking LIV Yang rising

with LIV Bld defic and some HRT fire.

 

I assumed the tinnitus, his chief complaint, is LIV related, but it's

low pitched. Of course, with the KID stones, KID could be implicated,

but it was sudden onset and there are no other KID defic signs.

 

Since this was his first treatment ever, and he was a little nervous,

I did a simple balancing treatment of LI11, LI4/LIV2 (was more tender

than LIV3), PC6, LIV5, GB34, and Yin Tang.

 

He reported feeling relaxed and calm, although he had a difficult time

settling down while on the table - " had to fight off being fidgeting

and itchy "

 

Since I may only get him in for a few more treatments, I'd like to at

least have him take a good formula that will begin to address the root

issues(I see him socially so can check in on him about the herbs).

 

Thanks in advance for your wisdom.

 

warmly,

Julia Carpenter, LAc

Berkeley, CA

[Guest guest]

Hi Julia,

Do you still want a formula something for references to tackle your

case? It is a complicated one, some signs are easier to be cured,

others are not. I do not understand ride-side, I actually had made up

a formula for your case but did not post it.

The reason is I had replied a few cases like that (5 to 6)before but

there were no follow-up whatsoever. I remember one poster told me he

would keep me informed. In another case, I wanted to know what happened

and sent an email to the poster for feedback, the email add. has been

cancelled. How interesting, but it does not bother me much as it is

internet.It, however, does take time to analyze the case at my best

knowledge.

I think your case is worth to know more.

 

Regards,

SUNG, Yuk-ming