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Hey Mary,
you're on the right track---I've included some suggestions after eack case.
17 yr male
CC fatigue, tired all the time.
He is a volunteer firefighter and has low back pain with difficulty concentrating in school. He is anxious about finishing highschool and wants to leave to become a professional firefighter. Has regular diet for his age. Regular BM, sleeps 7-8 hours per day.
I used the elemental compass method and found that the dominant signal was earth in the proximal chi position. I palpated K3 (earth point) and returned to check the pulse. The pulse evened out. I continued my treatment with: K6, LU 7, LV 3, ST 36, PC 6, SP 4 and Du 20.
Regarding Case 1
Utilizing the compass method as initial directive is just fine. You have identified the kidney as the first area of concentration. The kidney is part of the second circuit which also inludes Ht, Si and Ub. Other points within the circuit could be used to address the back and anxiety. In order to address the fatigue, jump from Tai yang (ub/kd) within the second circuit, to the tai yin in the first circuit and tonify the lung and spleen. Finally ---how about Si shen cong for concentration.
Here's how we dance: circuit therapeutics, front mu, back shu, biao Li, bie jing and xi cleft. Remember elemental confluence!
Case 2
54 yr female
CC insomnia due to menopause, low back pain
Patient stressed out after an extended business trip is waking up at 4am with night sweats and anxiety.
I used the night time wei qi cycle and found a block from water to fire (kidney to heart)
I palpated the xi-cleft point of kidney (K5) and the pulse shifted.
I continued my treatment with: Ren 14, GB 25, HT 7, K 3, and PC 6
I palpated the xi-cleft point of kidney (K5) and the pulse shifted.
I continued my treatment with: Ren 14, GB 25, HT 7, K 3, and PC 6
Regarding Case 2
The xi cleft seemed to work for you---typically this would be a first step in the day time wei qi, (sinew vessel) model. The compass method would work nicely here. The focus should be on the locust of stagnation---water / kid in this instance. Heart points should only be included if the kidney / water axis does not proove fruitful. The treatment could be further developed in the ways described previously.
Mary, you are also welcome to come see me at the clinic on thursdays 1:30-5:30.
In health,
Joe
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