Home › Forums › Diplomate Discussion › Constipation and Dark Urine Case
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October 27, 2017 at 3:01 pm #7183
Coleman McMurphy
ParticipantI’d like a bit of confirmation to make sure i’m Thinking correctly. One month ago a family member of mine got a severe upper respiratory infection with a severely painful cough, constipation and dark urine. After trying several formulas it responded with bulk GCXXT + GL, but she never fully got out of yangming it seems. Currently she is having constant abdominal distention, constipation with dry small bits, dark, hot feeling urine, itchy, hot hives in the chest, neck, upper back and dehydration. The distention makes her aversed to drinking or eating, and she has burning pain in the intestines, which can get severe. Seems like a good time for a CQT, so perhaps a TWCQT or DCQT? And would it need to be modified for the heat in the bladder with HS, or perhaps a ZLT? I am currently out of town and can’t take her pulse, but as of this past Tuesday, the right cun and guan were much bigger than normal for her, as they are usually deep and weak. The lft guan was elevated as well. Thanks!
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October 27, 2017 at 3:02 pm #7921
Arnaud Versluys
KeymasterWith a dry cough and if there are hot hands and feet, you can use TWCQT. The hives and aversion to water intake make me think of THCQT though. But that would actually be quite a bad situation…
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October 27, 2017 at 3:03 pm #7922
Arnaud Versluys
KeymasterCough with dark urine and heat feeling can also be Zhuling Tang, but that doesn’t fit with the dry stool.
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October 27, 2017 at 3:03 pm #8124
Arnaud Versluys
KeymasterIf you know it, why do you aks me :p
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October 27, 2017 at 3:04 pm #8125
Coleman McMurphy
ParticipantI need confirmation, Good Captain. As you say, it’s yangming, so either you get out or you die.
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October 27, 2017 at 3:05 pm #8126
Arnaud Versluys
KeymasterNot the CQT patterns, though. Jjust the BHT 😉
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October 27, 2017 at 3:06 pm #8127
Coleman McMurphy
ParticipantOn the other hand, a GZSYZMT could also be worth a try, as I think I recall AV telling us that MH does not need a superficial pulse if the damp is sitting at the organ level. Or go FZT, which would incorporate the deep wiry aspect plus roll-up of the ZWT plus the RS for the LHS dong I/II, and would sort of fit the symptom description. Heck, so many choices here with a deep pulse, that once again, it is hard to differentiate. Hence the insecurity…
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October 27, 2017 at 3:13 pm #8128
Coleman McMurphy
Participanthttps://www.treasureofeast.com/Treasure of the East Herbs, Distributor of Granule Chinese Herbs made by TianJiang pharmaceuticaltreasureofeast.com
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October 28, 2017 at 3:07 pm #8129
Christoph Ludwig Beer
GuestArnaud Versluys, with the aversion to water intake, is that line 202 you’re thinking of? “When in Yangming, there is dry mouth and only a desire to rinse the mouth with water, no desire to swallow, there will be spontaneous external bleeding.”
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October 29, 2017 at 3:08 pm #8131
Arnaud Versluys
KeymasterI wasn’t. Was merely thinking of blood stasis lines.
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October 29, 2017 at 3:10 pm #8132
Arnaud Versluys
KeymasterBTW, 202 refers to THCQT equally.
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October 29, 2017 at 3:11 pm #8133
Christoph Ludwig Beer
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October 29, 2017 at 3:12 pm #8134
Coleman McMurphy
Participanthttps://www.treasureofeast.com/Treasure of the East Herbs, Distributor of Granule Chinese Herbs made by TianJiang pharmaceuticaltreasureofeast.com
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