Loose Stool, Ribside Pain and Possible Post-Stroke Case

[Dominik Daling]

Here is another case who has gotten very good results on TXS+GZRST+FL, but which is sort of stuck in a few aspects: 85-year old lady with longstanding soft stools, sudden downpour, poor memory, dizziness when lying in bed and upon standing up, stiff muscles, achy big joints, swelling of joints, lack of energy, strong cravings for strange foods and sometimes candy,… says that almost all of this gets better on TXS+GZRST…except for left subcostal pain which comes and goes (at the gallbladder), incontinence, a “tiring iron band” wrapped around her forehead and eyes, dizziness. Also, the formula does not dry up the stool enough. She also suffers from phlegm on the lungs in the mornings which form “phlegmy strings” in her mouth. Most importantly, she feels that she is “pre-dementia”, with poor brain function accompanied by a stuck feeling around St 8 and neckpain; then all of a sudden, the slow thinking and stuck feeling disappear. She also wanders off in her thoughts and has a slurred speech, which makes me think of a minor stroke in her hx (not confirmed). Pulse: L roll cun mid wiry thin, dong I/II or dong on guan, heart-kidney, guan sl wiry and bigger, chi deep wiry. R roll cun very tight, guan very tight, but not bigger, chi tight. Question about the brain issue: Is there a XB, GL, DH aspect to this, and how can you incorporate it into a tonification approach? And is Shi Chang Pu indicated here as well? Can you dry Taiyin faster with a SNT approach, or is TXS+GZRST already doing that at maximum speed? Still confused… and thanks a lot for reading this long post!

[laurieayres]

Mike Trinh

[Dominik Daling]

Now that’s a tricky way of integrating Shaoyang and Shaoyin. I stand in awe and will try this.

[laurieayres]

Both guan wiry (I assume the dong on the guan has some tension). You’ve been treating with a FZ formula and you have subcostal pain (that comes & goes), headache and dizziness that hasn’t resolved with shao yin/water treatment, making shao yang most likely.You also have diarrhoea and urinary incontinence that has not resolved with shao yin treatment, and SNS is one of the primary formulas to regulate bowels and urination.Now with the subcostal pain, headache & dizziness, one could consider harmonising with a CHT, but then do you want HQin, as there is a cold bladder? In that case SNS, along with the GZFLW indicated on the R chi gives you BS+MDP, which is the interior of HQin, and doesn’t cool the bladder further. Then with the dong on the L guan, that not only implies tension, but also some slight increased size/bulge, that with the R guan not being big gives you more licence to use CH at 24, giving you CH24 +BS&MDP, so a lot like a CHT structure.Then add the tight R 1st and you have ZWT, which allows you to warm the lower and the middle while regulating it with the SNS structure so the newly warmed ministerial fire can descend unhindered.

[Melanie Hendriks]

fraser.cobham

[Author]

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