Hi Crowd. I have a case. He’s a 21 yo male with exercise induced asthma, who wants to quit his inhaler. Symptoms include: when exercising the breath can’t descend anymore, so he stops exercising. Breathing is shallow, and he doesn’t use his full lung capacity. He mentioned, “the flow of air isn’t so good”, but I couldn’t clarify it more. In the morning and during winter his nose is stuffy, and in winter he often gets a cough w/ light yellow phlegm that’s easy to expectorate. He has some cat allergies where he develops sneezing and difficulty breathing. Easily gets sick once every 2 months. Some headache approximately once within a 3 week period with a warm feeling around ST 8. Pulses: left: 1. sup, thin, floathing and weak, rolls up; 2. mid thin/wiry; 3. deep, thin and wiry; right: 1. tight, rolls up; 2 mid wiry, little inflated or dong on top; 3. sl long. Hands feel dry and hard, and toes are cold. Abdomen: sixpack (only half), subcostal tension (liver side). Pulse feels as if it can be GC/SJXXT pulse or CHT-RS,DZ+GJ, with or without HP. I am not sure how to discrimate HP pulse and the dong. Should I go XXT direction? I am a bit insecure because XXT was not on the list Laurie taught us during the cases seminair.
