I have a new pt, 37 yo Male, with metastasized Adenoid Cystic Carcinoma. He was told a year and a half ago that there are no decent chemo or radiation options for him, so not doing any western treatments. It was found 5 years ago when he was wheezing and a tumor in his lung was discovered. That lung was subsequently removed. Now he has a 6.5cm tumor in his liver and 8-10 small lesions in his peritoneal cavity. CC: Pain in lower abdomen that feels sharp and burning (almost near zi gong xue and close to inguinal area), and duller pain in lower back R side (posterior to liver), and pain in R side neck. Scans do not show any tumors in neck/shoulder. Pain fluctuates, feels deep, better with warmth and massage. Feels worst at night, with hunger, and with cold. Other S/Sx: fatigue, insomnia d/t pain and mind runs at night, craving animal proteins (currently vegetarian), weight loss (hard to tell if d/t diet change or cancer), stress, eczema that comes and goes but starts red and is dry and itchy. Nightsweats for a few days last month, not regularly. BMs and urination normal. Pulse: L1 mid moderate, L2 wiry thin slippery upper level, L3 mid wiry. HT/KI not comm. Rapid overall. R1 deep with roll-up, R2 big hollow, R3 wiry deep. Abdominal palpation reveals no temp changes at surface, hard nodules in lower abd, rikyu. I think the pulse is telling me to start with shaoyang: XCHT – HQ + GZFLW + GZGCLGMLT, with ML at 30 and LG at 60 perhaps? Too watered down though? I know we treat tumors as abscesses, and we need to melt them and warm them. But I don’t feel an abscess pulse yet in that L Cun. For progression, I can see a TXS + GZFLW pulse there, but is that strong enough in this case? I suspect I should focus more on the material aspect rather than functional in his case.Thank you!
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