> 47yo male : UB Constitution
> Tongue: no coat, dull color : Surprisingly normal wit some yin def = dryness
> pulse:
> NS Tense: tight vibrating throughout
> Digestive System : Right side weak
>
>
> CC1:"valve of houston" which connects desc. and sigmoid colon
> malfunctioning. Began 4 years ago with job transfer. Notices distending
> sensation in lower left quadrant
>
> CC2: 2 years ago ileocecal valve began same sensation although less
> frequent.
>
> CC3 : 3 lypomas approx 3x5 inches on lateral left costal region, right
> costal region and on back. All circliing the "costal region" = Liv qi stag?


Kelly - this all appears to be liver qi stagnation with invasion of a
weak spleen - this explains the pulses and symptoms to this point. I
have often found a TCM approach to this pattern more affective than Dr
Shen's systems model with corresponding herbs. However, a blend of the
two methods can be the best.

>
>
> CC4 : syncope : will get "stand up fall down "syndrome when exercising or
> getting up too fast from bed.


There are many patterns that could be contributing to this scenario.

>
>
> CC5 : Moles on face have surfaced : Chiros think it is liver toxicity

What about blood stasis?

>
> CC6 : Until age 14 exposed to 2nd hand smoke
>
> He has had 2 colonics that relieved the pressure but it returned shortly
> after and he does not want to become dependent on them. Every 6 months he
> does a colonic followed by apple/olive/lemons then another colonic and he
> passes major stones (small black).



>
> His diet is pretty balanced however he is on a regiment where he basically
> juices and can eat carbo fibre but no veggies raw or steamed.( why?)
>
> He is also "dehydrated" and has upped his water to half his body weight in
> ounces (Chiro advice)

Here you are dealing with nonsense.

>
> He is pretty neurotic as you can tell. He reminds me of a 6 foot 5 inch
> Woody Allen.
>
> He has been to soooo many Chiro's who put him on all these regiments.
> he has also been diagnosed with parasites although with no lab confirmation
> which "cleared" with some formula he took from a chiro.

These regimens are utterly without basis - is he better from the treatment?

>
> Diagnosis: NS overacting on Digestive?

Yes - because the digestive system is most likely damaged by extreme
behviors...at leasat that is my impression, his patterns are not newly
acquired, this stuff takes a lifetime.

>
> Combine CNS tense w/Digestive formula. I am unsure which formula as there is
> NS for skin muscle and organ.
>
> TCM: liver qi stagnation with stag in lower jiao
> TX: p6, sp6, ren 5, st25, shen men.
> this totally rocked him and he felt like he had been in a 2 hour yoga class.
>
> Herbs:
> Digestive:
> chao bai shao
> chao bai zhu
> tu ling
> fu shuo or fu shen?
> zhi ke
> ji nei jin
> gu ya
> mai ya
> bei mu
> sha shen
> Shen qu?
>
> CNS tense:
> jing jie
> fang feng
> xiang fu
> chuan xiong
> yuan zhi
> yu jin
> chao huang qin
> yan hu suo
> lu lu tong
> qiang huo
>
> My combo:
> jing jie
> fang feng
> xiang fu
> yuan zhi
> yu jin
> huang qin
> yan hu suo
> chao bai shao
> chao bai zhu
> tu ling
> zhi ke
> ji nei jin
> gu ya
> mai ya
> Shen qu?
>
> I was taught 12 herbs but...whatever.
> What do yo think?
> Looks like liv qi stag?
> QUESTION:
>
> How to delicately combine CNS with Digestive?

CAREFULLY! Actually, this formula looks good, for study purposes, I
would compare it with Jia Wei Xiao Yao Wan, there are similarities. The
real question is how your patient responds to your theorum Nervous
system overacting on Digestive System. I think the digestive system was
weakened by other causes, that is the primary area we are thinking
differently on this case.


Will