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Hi All,

 

I am writing for your expertise in something I have never seen before. My

partner has developed rapid changes in her tongue body and coat in the last

couple of weeks, with a great deal of accompanying pain. She had previously had

a slightly red tongue body with red tip and thorns, the body shape being thin

but not narrow, with an average thickness white, slightly greasy coat, and a

shallow midline crack extending to the lung area.

 

In the past two weeks, she has developed some severe " canker sores " on her

tongue - large, red, then ulcerated and white. A few months ago, she had

similar ulceration on her upper palate. The tongue sores passed, and then the

midline crack deepened dramatically - seemingly overnight. The crack is now

extremely painful, and she is having difficulty eating because of it. When I

last saw her tongue on Sunday, in addition to the deeper crack, the coat had

changed to thick, greasy and yellow, more toward the rear. This morning

(Tuesday), she described the center of her tongue as being bright red, with a

grey coat. She is afraid her tongue will split in two along the crack.

 

A couple of weeks ago, she started seeing a chiropractor who gave her what I

understand to be homeopathic precursors to DHEA and progesterone. My partner

has been having a very difficult time with menopausal symptoms for a couple of

years - heat in the 5 centers, sensitivity to cold, insomnia, and irritability.

Her irritability seems better, but it is clear that she is very hot. In

addition, she quit smoking a little over 2 months ago, after 30-some odd years

of smoking. She is 47. She spoke with the chiropractor yesterday, who now

wants to add estrogen precursors to what she is already taking.

 

Her health history is complicated. She's been a lifelong hard worker - an

ironworker, who had a partial amputation injury to her right thumb 3 years ago.

She is still in chronic pain and on Workers Comp leave with a medical condition

that is still not resolved - just last week, she was diagnosed with nerve damage

to the radial nerve in that arm. She is noticing that her ability to grasp

things is diminishing. The toll that this injury has taken on her life is huge,

in that she identifies herself with her work and she is unable to work. She

does not know when she will be declared " permanent and stationary " , when she

will be needing to find work, nor what kind of work she will be physically able

to do. The stress and strain of this is huge. Before the injury, she would

have occasional bouts of lethargy; since then, these incidents occur more

frequently.

 

She has always been a very livery type, quick to anger, easily frustrated, but

she doesn't hold on to stuff. She's also a self-proclaimed adrenalin junkie

(resulting in Kidney depletion!) and couch potato, with a diet of fast food,

coffee, starches, meats and sweets. Since her injury, she has developed severe

digestive problems - poor appetite, severe indigestion after most meals followed

immediately by intense painful burping and frequent vomiting, both of which

relieve her discomfort. She uses alot of antacids.

 

She has a long history of severe asthma following a neck injury 20 years ago,

treated now with multiple steroid inhalers, a nebulizer, theophylline, and

several courses of prednisone annually. Aside from the prednisone, she takes

all of the other meds concurrently, all the time. Stress, cold weather and

humidity aggravate her asthma.

 

It is clear to me that she has Kidney yin and yang xu, with depressive Liver

heat, and Heart-Kidney disharmony. It has been harder for me to pinpoint what

is happening with her Stomach/Spleen. I have considered StomachYin xu, Spleen

Qi xu, Damp Heat in the Middle Jiao, and Stomach Fire, of course with an overlay

of Wood invading Earth. She has a great deal of internal heat, but and

complains of feels cold except for the Yin xu heat at night; yet, she is not

cold to the touch. I know her asthma meds are hot and drying, damaging to

Kidney yin and increase the likelihood of yin fire. I imagine these hormone

precursors are also hot, due to the aggravation of her heat symptoms.

 

But what the dickens is going on with her tongue? Has anyone else seen such

rapid degradation? Has anyone helped such a condition recover, and if so, how?

What worked, and how long did it take? Does anyone have info about these

hormone precursors? I'd be most grateful for diagnostic input, herbal

suggestions, and any relevant case studies you might have to share.

 

Thank you and blessings,

 

 

 

 

 

 

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i'm suprised you haven't gotten any responses to this query...it seems to me

that your patients body systems have been pushed acutely out of balance after 30

years of smoking, " adrenalin " lifestyle, poor diet, heavy load of

phramaceuticals, hard physical work, recent injury leading to emotion and mental

stress and anxiety, menopause....the rapid tongue changes are an indication of

just how in the " red " and over whemed the systems are

 

my analysis and dx:

Liver Qi congestion leading to/concurrent with

1. Liver attacking Spleen/Stomach: severe digestive problems, poor appetite etc

2. Rebellious Stomach Qi: intense burping, frequent vomiting

3. Damp/Heat in middle jiao rising to tongue: severe canker sores, tongue S/S

etc

4. Liver excess and def Heat disturbs spirit: insomnia, irritability, menopause

syndrome etc

 

Kidney Essence def leading to/concurrent with

1. Kidney Yin def leading to/concurrent with Liver Yin def and def Heat S/S:

menopause syndrome

 

Lung Heat/YIn damage (due to smoking) leading to/concurrent with

1. Lung Qi damage: asthma

 

Tx principles

clear Liver Heat

smooth Liver Qi

harmonize Liver/Spleen

clear Damp/Heat

tonify Kidney

clear Lung Heat

tonify Lung Qi

 

formulas and herb suggestions are pretty much a balancing act between addressing

acute symptoms, underlying chronic situations, excess and def symptoms...so they

would necessarily be based on current situation and a treatment plan

of course making steps to change lifestyle choice which are contributing

aggravating the situation are key....alkalinizing the system thru

diet/supplements, counseling/therapy/relaxation response for stress/anxiety

 

i could work on some formula/herb suggestions if you like

 

jahan dadgar

 

 

 

< wrote:

Hi All,

 

I am writing for your expertise in something I have never seen before. My

partner has developed rapid changes in her tongue body and coat in the last

couple of weeks, with a great deal of accompanying pain. She had previously had

a slightly red tongue body with red tip and thorns, the body shape being thin

but not narrow, with an average thickness white, slightly greasy coat, and a

shallow midline crack extending to the lung area.

 

In the past two weeks, she has developed some severe " canker sores " on her

tongue - large, red, then ulcerated and white. A few months ago, she had

similar ulceration on her upper palate. The tongue sores passed, and then the

midline crack deepened dramatically - seemingly overnight. The crack is now

extremely painful, and she is having difficulty eating because of it. When I

last saw her tongue on Sunday, in addition to the deeper crack, the coat had

changed to thick, greasy and yellow, more toward the rear. This morning

(Tuesday), she described the center of her tongue as being bright red, with a

grey coat. She is afraid her tongue will split in two along the crack.

 

A couple of weeks ago, she started seeing a chiropractor who gave her what I

understand to be homeopathic precursors to DHEA and progesterone. My partner

has been having a very difficult time with menopausal symptoms for a couple of

years - heat in the 5 centers, sensitivity to cold, insomnia, and irritability.

Her irritability seems better, but it is clear that she is very hot. In

addition, she quit smoking a little over 2 months ago, after 30-some odd years

of smoking. She is 47. She spoke with the chiropractor yesterday, who now

wants to add estrogen precursors to what she is already taking.

 

Her health history is complicated. She's been a lifelong hard worker - an

ironworker, who had a partial amputation injury to her right thumb 3 years ago.

She is still in chronic pain and on Workers Comp leave with a medical condition

that is still not resolved - just last week, she was diagnosed with nerve damage

to the radial nerve in that arm. She is noticing that her ability to grasp

things is diminishing. The toll that this injury has taken on her life is huge,

in that she identifies herself with her work and she is unable to work. She

does not know when she will be declared " permanent and stationary " , when she

will be needing to find work, nor what kind of work she will be physically able

to do. The stress and strain of this is huge. Before the injury, she would

have occasional bouts of lethargy; since then, these incidents occur more

frequently.

 

She has always been a very livery type, quick to anger, easily frustrated, but

she doesn't hold on to stuff. She's also a self-proclaimed adrenalin junkie

(resulting in Kidney depletion!) and couch potato, with a diet of fast food,

coffee, starches, meats and sweets. Since her injury, she has developed severe

digestive problems - poor appetite, severe indigestion after most meals followed

immediately by intense painful burping and frequent vomiting, both of which

relieve her discomfort. She uses alot of antacids.

 

She has a long history of severe asthma following a neck injury 20 years ago,

treated now with multiple steroid inhalers, a nebulizer, theophylline, and

several courses of prednisone annually. Aside from the prednisone, she takes

all of the other meds concurrently, all the time. Stress, cold weather and

humidity aggravate her asthma.

 

It is clear to me that she has Kidney yin and yang xu, with depressive Liver

heat, and Heart-Kidney disharmony. It has been harder for me to pinpoint what

is happening with her Stomach/Spleen. I have considered StomachYin xu, Spleen

Qi xu, Damp Heat in the Middle Jiao, and Stomach Fire, of course with an overlay

of Wood invading Earth. She has a great deal of internal heat, but and

complains of feels cold except for the Yin xu heat at night; yet, she is not

cold to the touch. I know her asthma meds are hot and drying, damaging to

Kidney yin and increase the likelihood of yin fire. I imagine these hormone

precursors are also hot, due to the aggravation of her heat symptoms.

 

But what the dickens is going on with her tongue? Has anyone else seen such

rapid degradation? Has anyone helped such a condition recover, and if so, how?

What worked, and how long did it take? Does anyone have info about these

hormone precursors? I'd be most grateful for diagnostic input, herbal

suggestions, and any relevant case studies you might have to share.

 

Thank you and blessings,

 

 

 

 

 

 

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