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pitting oedema in legs in summer

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Hi. Thanks for all the feedback. I have dug up an old file as an

example. The date of birth is 24.7.54. She has swelling of the

ankles that is worse in hot weather, and feels painful. Her knees

and abdomen are also effected. It started 5 years ago after a

hysterectomy. She likes hot weather, but doesn't feel the cold

easily. She is hot and restless at night since the hysterectomy,

but no nightsweats. Nocturia x2. Urination is frequent, scanty and

urgent. Some lower back ache. Periods used to be quite painful, but

better with warmth. Sleep is poor. Urgent bowel movements about

7am. Tongue is swollen, flaccid and slightly pale. Proximal

position of left pulse is wiry, proximal position of right pulse is

weak and deep. Spleen pulse was Full, sometimes Wiry, sometimes

Slippery; Liver pulse usually slippery, and weak on a deep level;

Heart pulse often Floating Empty.

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Claire wrote:

 

i. Thanks for all the feedback. I have dug up an old file as an

example. The date of birth is 24.7.54. She has swelling of the

ankles that is worse in hot weather, and feels painful. Her knees

and abdomen are also effected. It started 5 years ago after a

hysterectomy. She likes hot weather, but doesn't feel the cold

easily. She is hot and restless at night since the hysterectomy,

but no nightsweats. Nocturia x2. Urination is frequent, scanty and

urgent. Some lower back ache. Periods used to be quite painful, but

better with warmth. Sleep is poor. Urgent bowel movements about

7am. Tongue is swollen, flaccid and slightly pale. Proximal

position of left pulse is wiry, proximal position of right pulse is

weak and deep. Spleen pulse was Full, sometimes Wiry, sometimes

Slippery; Liver pulse usually slippery, and weak on a deep level;

Heart pulse often Floating Empty.

 

------------------------------

Hi, claire

 

From Chinese astrology I can categorically share (arrogant or what? :) ).

that the problems with

 

this person are focuses on LIV, BL and KID.

 

I think from the symptoms we could surmise a couple of scenarios:

 

1) could be a weak LIV meridian / organ system.if this were so I would

expect more

 

symptoms to reflect this like britle nails, floaters, light headadness,

anxiety etc. Since you don't

 

mention any of this it is problably unlikely. But I will enumerate the

possible scenarios never

 

the less.

 

This would be a double wammy because on the 5 Element generating cycle the

weak child makes more demands on the mother ie. KID also the Heart as the

Child of the LIV. This pattern could be responsible for

heart = sleep disturbance, Heart pulse often Floating Empty.She likes hot

weather

KID = She is hot and restless at night since the hysterectomy,She has

swelling of the

ankles that is worse in hot weather

 

 

2) I favour the Stagnant LIV scenario as more probable.The excess LIV in the

control cicle will

 

affect the SP.The other part of the patient's Root problem will be an

inherent Deficient BL

 

/KID.

This will have an effect in the generating cycle. In the GB /LIV as the

child of BL /KID.We will also expect symptoms in the LU /LI as the Mother

trying to feed the BL/KID Child.

 

Stagant/ Excess LIV = tension leading up to hysterectomy? painful periods?

She is hot and

 

restless at night) since the hysterectomy, but no nightsweats,but doesn't

feel the cold easily,

 

LIV controlling SP = Oedema in legs from SP disturbance in the Lymphatic

system, Tongue is

 

swollen, Spleen pulse was Full, sometimes Wiry, sometimes Slippery

 

Def BL /KID = KID Yang def = She has swelling of the ankles that is worse

in hot weather(worse

 

in hot weather due to LIV Stag.?)Some lower back ache,Nocturia x2. Urination

is frequent,She

 

likes hot weather,flaccid and slightly pale tongue

 

 

The lack of control by KID on HE=Sleep is poor,Heart pulse often Floating

Empty.

 

 

Def BL disturbing mother LI= Urgent bowel movements about 7am.?right pulse

is weak and deep.

 

 

 

If this were my patient on the info provided. my focus would be to treat

exclusively on Sedating LIV points from a selection like LIV-1, 2, 5,

7,12,13

and Ton. BL Meridian with selection from BL 1,7,8, 10,28,30,32,34,40,58,

53,5461,62,63,64,66 With perhaps a few points on KID like KID-7,3 also

Ren-4. I would not touch the SP meridian.

 

I don't mean to sound arrogant, sorry if I come across forcefully :)

 

Salvador

 

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When reading the case I didn't really understand the

statment/symptom " She likes hot weather, but doesn't feel the cold

easily. " can anyone please explain this to me.

Michele

--- In

Chinese Medicine , " claire_battersby "

<battersby_claire@h...> wrote:

> Hi. Thanks for all the feedback. I have dug up an old file as an

> example. The date of birth is 24.7.54. She has swelling of the

> ankles that is worse in hot weather, and feels painful. Her knees

> and abdomen are also effected. It started 5 years ago after a

> hysterectomy. She likes hot weather, but doesn't feel the cold

> easily. She is hot and restless at night since the hysterectomy,

> but no nightsweats. Nocturia x2. Urination is frequent, scanty and

> urgent. Some lower back ache. Periods used to be quite painful,

but

> better with warmth. Sleep is poor. Urgent bowel movements about

> 7am. Tongue is swollen, flaccid and slightly pale. Proximal

> position of left pulse is wiry, proximal position of right pulse is

> weak and deep. Spleen pulse was Full, sometimes Wiry, sometimes

> Slippery; Liver pulse usually slippery, and weak on a deep level;

> Heart pulse often Floating Empty.

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