Chronic Nasal Allergy and Hay Fever Case

[Coleman McMurphy]

15 yearr old male with chronic nasal allergy and “hay fever”. Two weeks ago he was presenting with sinusitis. Pulses were mainly floating and big on both sides with wiry guans and tight rt cun, possibly some slippery on rt guan. Strong subcostal tension and rikyu. RX given was CHGZT + GG18. Symptoms immediately improved with the formula. Patient came back in today complaining that allergies are bad again in spite of taking the herbs. Current symptoms mainly are stuffy and inflamed nasal passages, and post nasal drip. Also he only had 1 BM in the last 2 days, and it was loose. He has no thirst. Pulse currently: L1 dropped, L2/3 floating big (not wiry) and same level. R1 big, tight, R2 big, tight and R3 deep slightly tight. I’m guessing we resolved the shaoyang aspect which would explain why the left guan is not wiry, and why the formula is not working anymore? I have in my notes that rheum/phlegm can “pressurize” the hollow spaces and cause a big pulse? Or could the big pulses be indicating a taxation in this case?

[Clint Cain]

I’m not positive, but I kind of doubt that a 15 year-old would need much in the way of taxation formulas. It definitely sounds like more harmonizing is needed, especially since he responded to your first formula immediately, and then the symptoms returned. With both guans big, R1 tight, loose stool, and subcostal tension, it could be DCHT, modified for the phlegm.

[Coleman McMurphy]

Thanks Clint! I was looking at DCHT to see if it might fit. What about the dropped L1 relative to the big L2/3?

[Coleman McMurphy]

Maybe incorporating LGZGT?

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