Bowel ressection and Headaches... advice???

[Guest guest]

Hello Everyone, I'm hoping for some opinions or advice.

 

I have a patient who's a 63yr old male and gets daily temporal

headaches. The headaches usually come on with bowel movements.

 

He's an insulin dependent diabetic, had all of his LI and part of his SI

ressected due to ulcerative colitis. He has had chronic diarrhea since

his bowel ressection. His tongue is dry, purple, and the coat is peeled

in the rear yet it is thick, white, and greasy on the anterior 2/3rds.

He is quite thin and looks " dried out. " His pulse is usually quite

forceful and wiry.

 

I would like to give him yin nourishing herbs, but he has chronic

diarrhea and I wonder about absorbtion. I feel like I should support

the spleen, however most spleen herbs tend to be drying and I am

concerned about drying him out too much.

 

Any ideas would be much appreciated.

 

Zach