Guest guest Posted August 27, 2002 Report Share Posted August 27, 2002 Can anyone shed light on the meaning of this woman's pulse? I am interested in both the Western and Traditional Chinese perspectives. 78 year old woman MC: burning top of tongue and roof of mouth (worse after food); all day, most of day burning Western diagnosis: acid reflux and hiatal hernia she's not aware of regurgitating anything into mouth good appetite (but not gnawing hunger) good energy no thirst no nocturia no heart palpitations 2 urinary tract infections since husband died little low back pain feels more cold than warm generally 'steaming bones' between 3-5 am some ankle swelling (old injury there) very tearful throughout day (since she lost her husband of 52 years 6 months ago) insomnia since husband died suddenly (self-treating with Valerian) a little mental confusion a little impatient or agitated She takes acidophilus and other 'nutraceuticals'. She says fennel/catnip extract pills help the acid some. She avoids Western pharmaceuticals but did take antibiotics for the UTI's. T: very thin, yet rough-appearing (greasy?) white coat; red in the middle, otherwise red/purple T body P: There's a smaller 'dub' just after the LUB. The LUBs come at about 50 beats/min. The temporal proportion looks something like this: LUB..dub............................................LUB..dub I only saw her once and I was so surprised by the slowness and the 'dub' that I didn't record much else. It was not a wiry pulse and it did have strength. She sees MD's fairly regularly and denies any heart condition. My diagnosis was starting to look like: K yin xu, m/b H fire, m/b LV attacking ST. But how would I make sense of the pulse? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2002 Report Share Posted August 28, 2002 Dear Marion, I don't know about the pulse, but I am curious about your dx of kidney yin xu while she has a greasy tongue coat. That tongue coat seems to preclude a yin xu dx. Julie - Marian Blum <marianb Tuesday, August 27, 2002 6:45 PM unusual pulse > Can anyone shed light on the meaning of this woman's pulse? I am interested > in both the Western and Traditional Chinese perspectives. > > 78 year old woman > MC: burning top of tongue and roof of mouth (worse after food); all day, > most of day burning > Western diagnosis: acid reflux and hiatal hernia > she's not aware of regurgitating anything into mouth > good appetite (but not gnawing hunger) > good energy > no thirst > no nocturia > no heart palpitations > 2 urinary tract infections since husband died > little low back pain > feels more cold than warm generally > 'steaming bones' between 3-5 am > some ankle swelling (old injury there) > very tearful throughout day (since she lost her husband of 52 years 6 months > ago) > insomnia since husband died suddenly (self-treating with Valerian) > a little mental confusion > a little impatient or agitated > She takes acidophilus and other 'nutraceuticals'. She says fennel/catnip > extract pills help the acid some. She avoids Western pharmaceuticals but did > take antibiotics for the UTI's. > > T: very thin, yet rough-appearing (greasy?) white coat; red in the middle, > otherwise red/purple T body > P: There's a smaller 'dub' just after the LUB. The LUBs come at about 50 > beats/min. The temporal proportion looks something like this: > LUB..dub............................................LUB..dub > I only saw her once and I was so surprised by the slowness and the 'dub' > that I didn't record much else. It was not a wiry pulse and it did have > strength. She sees MD's fairly regularly and denies any heart condition. > > My diagnosis was starting to look like: K yin xu, m/b H fire, m/b LV > attacking ST. But how would I make sense of the pulse? > > > > > > Chinese Herbal Medicine, a voluntary organization of licensed healthcare practitioners, matriculated students and postgraduate academics specializing in Chinese Herbal Medicine, provides a variety of professional services, including board approved online continuing education. > > > > Quote Link to comment Share on other sites More sharing options...
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