WNL : Within normal limits

[Guest guest]

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YES: WNL = within normal limits

 

>46 yo female

>chief complaint 1: colon cancer prevention

>cc2: hair thining

>

>This patient initially came into my office complaining of receding hair one

>month ago. She has changed her priority in light of her mothers 2nd

>diagnosis of colon cancer to colon cancer prevention due to its hereditary

>nature and she has suffered from internal hemoroids and continues to as

>evidenced by occasional blood in the stool coinciding with heavy lifting or

>constipation.

>

>She is also on a regiment from her MD to treat heavy metals. She haas high

>Lead in her blood and is taking the following until July when she is tested

>again.

>

>Multiple, C-Estra, B-5, Oral Chelation, Lipoic Acid, Thyodex, Cholerest for

>2 months.

>Other meds: Zoloft: 1/4 dose due to her " high sensitivity " to medications

>of

>all kinds.

>

>Career: Conserves paintings and architecture and is exposed to solvents

>etc.

>Does not always wear gloves and or mask.

>

>Sleep: wnl

>Emotions: " black moods " once per month. Zoloft has helped

>Energy: 2 years ago = exhaustion,. Went to endocrinologist = WNL

>Appetite: sometimes low but overall OK

>GI: some tuberous gas

>Diet:Balanced***open for suggestions for colon

>BM: 1 per day = formed

>Urination = WNL

>Menses: some pain before, little heavy, red blood, no clots,

>Circulation = WNL

>Other notes : Cholic as child

>

>Pulse:

>Qi: tight

>Blood: heat

>Organ: tense, slippery

>Rate : 70bpms

>Diaphragm: Left =yes, Right=NO

>Esophagus: tense, tight = patient reports tight St-9 area

>Spleen: Inflated

>Lower jiao: Left: tight Right: tight

>Lower body: Right :Absent?? Muffled?…fibroids removed

>Left: deep

>

>Tongue: Small body, Pale, slightly puffy, central crack to lung area where

>it stops and another crack starts and runs to the tip.

>Heart area: red spots..not too excesive

>Lower jiao : dry sticky coat..almost like antibiotics with Fur that runs

>into the central crack

>

>Formula 1: Complained too sour made stomach upset almost immediately. I

>focesd on the hair loss primarily.

>Liu Wei di huang wan +

>Gou ji zi

>He shou wu

>Tu si zi

>Ce bai ye

>Han lian cao

>Nu zhen zi

>Sang shen

>Gan cao

>

>This formula was in GRAULAR FORMULATION.

>I want to shift to focus more on the colon cancer prevention

>

>Thank you for your time and attention to this case.

>

>Kelly

>

>

>CASE 2:

>Patient 2: 65 yo female

>Cc: rt shoulder/neck pain

>Cc2:borderline high bp

>Morning: 159/95

>Evening: 127/79

>Cc3: short term memory fading

>

>All signs WNL except:

>Excessive urination..nunerous times per night

>

>Pulse:

>Qi: tense, tight

>Blood: heat?? Possibly thick

>Organ:tense, ropey, slow

>Upper: tense slippery

>Mid:slippery, yield, slow

>Lower: tight

>Left: slow, rolling?

>Right: tight, vibration

>Pc = present

>Middle jiao: left: borders= hard, easily discernable

>Middle: right: tight, inflated

>Spleen: tense, inflated pounding

>Lower jiao: left: deep tight

>Right: tight tense

>Lower body: right, left, muffled, slippery = full hysterectomy, fibroids

>removed

>Tongue: deeply carved scallops, deep central crack

>

>Ideas: massive sp qi def, blood heat or thick and the walls of the artery

>are hardening (see middle jiao) and narrowing reducing blood supply to the

>brain affecting memory.

>

>Is this " idea " part realistic or am I off the deep end crossing paradigms??

>

>Herbs: Tian Ma gou teng yin jia jian?

>

>Acupuncture: weekly for 3 months? What do you all think?

>

>Thanks for your time and reflection,

>Kelly

>

>

 

 

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