Hi Will--

I've been thinking about yesterday's clinic and would like to get your opinion
on a few
things.

First, regarding the patient with the low GB ejection rate. I've been treating
her for a few
weeks and am curious as to your point of view on her case. She has not had an
attack in
approximately 9 weeks. I've been mostly treating according to Dai and Ren
pulses with a
few treatments using Dr. Tan's abdominal protocol.

Her current complaint is a very superficial "rash" (more a superficial reddening
of her skin)
that happens frequently from SP 15 to SP 15 and from Ren 6 to approximately Ren
11. I've
not been able to figure out the cause. She also has been diagnosised with IBS.

I chatted with the intern after clinic yesterday and she explained the
treatment protocol
you recommended (direct palpation of the GB organ while finding tender points
to
needle). My question for you is...since this is a physical organ issue, is that
style of
treatment something I continue until all symptoms are gone?

In other words, the next time I see her do I continue the style of treatment
from yesterday
(or) follow the pulse?

Secondly, you mentioned that you thought the Heart was involved. I sensed that
as well
but couldn't justify by the pulse or any presenting signs/symptoms other than
some
timidity and shyness. What made you think of the Heart and how would you treat?

____________

Regarding my patient with the chronic asthma and allergies.

I have two quick questions.

1--You indicated that the thin sublingual pulse was important and that it was
necessary to
treat the Luo Mai based on that presentation. Is that because the veins were
thin and long
and matched the pulse (or) was it because the veins were simply engorged?

2--Her pulse on the right hand presented with a Yang Qiao (and/or) Lung shi and
either a
Taiyin (and/or) wood on the SP. How would you differentiate between the two
for
treatment purposes?

Thanks for your help.

Ann.