Chronic Abdominal Pain Case

[Lettie de Wit]

Male 65 y.o. As a child he used to have stomach pain and acid reflux. Last 10 years suffers more from pain below the umbilicus. Pain worsens around 16.00 in the afternoon. Pain wakes him up during the night. BMs are daily, 1-3 times/day. Consistency normal to loose. Pain in the abdomen becomes often worse after defecation. Lots of gas, a heavy feeling in the lower abdomen and rumbling in the abdomen. Apetite is fine. Urination: not a strong full stream and nocturie 1-2 times. Dizzyness when going up, palpitations, feels cold, sweats easily and clammy hands/feet. For several years has also had muscle aches throughout the whole body, and weakness and a tired feeling of the muscles. Feels exhausted in general. I started with SJXXT, but nothing changed. Pulse:L: 1. Roll DONG ½ 2. Deep weak wiry/tight 3. Deep weak tight. R: 1. Roll, tight 2. Hollow wiry 3. Deep tight. I was thinking HQJZT or DJZT + GZRST + ZWT, OR FZGMT + GZRST. Advice appreciated!

[laurieayres]

Abdominal pain with more frequent stool, rumbling, etc. you’d go down the FZ route first rather than the BS/JZT route. DJZT is more for the epigastric region (GJ, RS & SJiao, rather then FZ). For the lower abdomen, it’s most likely to be FZ. The FZGMT you suggest sounds good, and if you are going to do this, then best to use it unmodified first. You can always modify later, or sort out the dong with a later formula. But with the bigger right, I’d be less inclined to start with FZGMT, and with the dizziness, etc., as well as the dong, start with DXWT. That should cover most bases. Then you always have the option of FZGMT as a specific abdominal pain formula as a backup.

[Lettie de Wit]

2 weeks later – I did TXS+GCGJT+WWZ & FL24 – pulse changed alot, but symptoms not alot of difference. First 3 days of the herbs the sleep was better, but then back to the same. The cough at night–> poor sleep is the M/C. She is now off antibiotics and has been on prednisolone for past 5 days. Pulse now: both sides alot deeper, less forceful. No big leathery feeling like before. L: R/U, H&K not comm, 1. deep tight, 2. deep/bottom of mid, thin-wiry, 3. deeper. R: R/U, 1. tight wiry mid, 2. big-tight, 3. deep. Should I keep her on the same formula? Can the WWZ be increased (it’s at 12g now) to stop the cough at night?

[Lettie de Wit]

Thanks for the clarification on that and thank you for your time today.

[Lettie de Wit]

The patient is on granules for 4 days by the way….

[Esther van Dorst]

Did the pulse change?

[Lettie de Wit]

kevin@healingwayaustin.com

[laurieayres]

If there wasn’t an increase in sweating and just pain then I’d consider treating the other option on the dong in combination with FZ, so maybe ZWT+ZSXBGZT, but as there is also increased sweating, then maybe you need to harmonise a little first

[Lettie de Wit]

Thanks Laurie. I’ll go back to harmonize then. After that, I will try the other option.

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