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Hi Anne -
Sorry about the delayed response, I just found this in my archives.
Treat using a composite of all your work. Use the improvement of signs and symptoms as the guide towards right action.
In this instance the rash is likely and expulsion of materials through surface in conjunction with the underlying involved organs. I would look for signs of blood heat in that region (lifting method - the pulse gets wider - in the middle positions). The gallbladder and heart are often involved in concert through the opposite organ clock relationship. There is also a gallbladder-heart syndrome discussed in the book, Knotty Diseases. Check that out. This said, I would select medicinals that dispel the surface and enter the gallbladder.
As for the asthma case, chronic asthma will often respond well to opening the luo mai. Her long thin sublingual engorgement suggested blood stasis due to blood depletion.
As for a yang qiao and tai yin pulse combined, this is the branching relationship (bie jing) - tai yang to tai yin. I treat along that axis in such circumstances.
Warmly,
Will
Sorry about the delayed response, I just found this in my archives.
Treat using a composite of all your work. Use the improvement of signs and symptoms as the guide towards right action.
In this instance the rash is likely and expulsion of materials through surface in conjunction with the underlying involved organs. I would look for signs of blood heat in that region (lifting method - the pulse gets wider - in the middle positions). The gallbladder and heart are often involved in concert through the opposite organ clock relationship. There is also a gallbladder-heart syndrome discussed in the book, Knotty Diseases. Check that out. This said, I would select medicinals that dispel the surface and enter the gallbladder.
As for the asthma case, chronic asthma will often respond well to opening the luo mai. Her long thin sublingual engorgement suggested blood stasis due to blood depletion.
As for a yang qiao and tai yin pulse combined, this is the branching relationship (bie jing) - tai yang to tai yin. I treat along that axis in such circumstances.
Warmly,
Will
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.
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.
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