tongue dx help

[Guest guest]

Hi gang. I have a patient who totally baffled me yesterday. I've been treating

her for a year for shen disharmony, gb dh, liver wind (primarily). Over the

past year it has become increasingly obvious to me she is an alcoholic who hides

it very well. through the recent grapevine I learned her husband had found a cup

of vodka in her car, her friends don't think she can give up alcohol, and she

often comes to me around 1pm with a faint scent of acohol (which at first I

ignored but repetition really alerted me). She admits to 1-2 glasses of

wine/night (probably more than that, I'm thinking).

 

Around 10-11AM daily she gets hot flush, vomits a little bile, has diarrhea,

then is done for the day. It used to be daily but now about 1x/week due to

treatment. increasingly her eyes are yellow, and western tests revealed high

liver enzymes. She is very nervous, shakes a lot when upset, used to have bad

anxiety attacks and could not sleep but all is under control w/treatment.

Generally her tongue is red, greasy yellow coating, red spots. Pulse is

generally wiry, rapid, slippery.

 

but yesterday she showed up (she comes weekly) and her yellow coating was

completely gone, almost a clean coat, except as of the last two treatments I've

noticed a huge peeled strip on the left side of her tongue. Her pulses are a

lot weaker now.

 

My thoughts are something along the lines yin xu, but why just the left?

perhaps the pancreas (not a chinese dx I know). and how so quickly from one year

to the next treatment?

 

I've been researching intervention options.

 

thanks for your time.

sami

[Guest guest]

Hi Sami,

 

I have a patient whose coat completely disappears on one side of his tongue from

time to time - due to oral thrush/candida.  It also gets very tender looking

when this happens, and he describes it as sore.  He treats it with oral

antifungals.

 

Andrea Beth

 

Traditional Oriental Medicine

Happy Hours in the CALM Center

1770 E. Villa Drive, Suite 5

Cottonwood, AZ  86326

(928) 274-1373

 

 

--- On Fri, 3/27/09, Sami Rank LAc <herbsnacupnxr wrote:

 

Sami Rank LAc <herbsnacupnxr

tongue dx help

Chinese Medicine

Friday, March 27, 2009, 6:58 AM

 

Hi gang. I have a patient who totally baffled me yesterday. I've been treating

her for a year for shen disharmony, gb dh, liver wind (primarily).  Over the

past year it has become increasingly obvious to me she is an alcoholic who hides

it very well. through the recent grapevine I learned her husband had found a cup

of vodka in her car, her friends don't think she can give up alcohol, and she

often comes to me around 1pm with a faint scent of acohol (which at first I

ignored but repetition really alerted me). She admits to 1-2 glasses of

wine/night (probably more than that, I'm thinking).

 

Around 10-11AM daily she gets hot flush, vomits a little bile, has diarrhea,

then is done for the day. It used to be daily but now about 1x/week due to

treatment. increasingly her eyes are yellow, and western tests revealed high

liver enzymes.  She is very nervous, shakes a lot when upset, used to have bad

anxiety attacks and could not sleep but all is under control w/treatment.

Generally her tongue is red, greasy yellow coating, red spots. Pulse is

generally wiry, rapid, slippery.

 

but yesterday she showed up (she comes weekly) and her yellow coating was

completely gone, almost a clean coat, except as of the last two treatments I've

noticed a huge peeled strip on the left side of her tongue.  Her pulses are a

lot weaker now.

 

My thoughts are something along the lines yin xu, but why just the left? 

perhaps the pancreas (not a chinese dx I know). and how so quickly from one year

to the next treatment?

 

I've been researching intervention options.

 

thanks for your time.

sami

 

 

 

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