Lung Fibrosis Case

[Marie Hopkinson]

I would love some help with this Lung Fibrosis case. 81yo female, chronic cough & insomnia. Summary of recent CT : heart enlarged (chronic), but no heart failure, and “Deterioration in interstitial lung disease with increasing fibrosis, honeycomb formation and progressive dilatation of the Rt pulmonary artery”. Regularly takes antibiotics.Since 3 weeks ago, has been on 24hr oxygen at home. 2 weeks ago pulse was: L: H&K not comm, R/U 1. Deep tight, 2. Wiry-mid 3. Deep thin wiry. R: R/U 1.Sup tight, 2. Bigger, hollow 3. Deep thin weak LG = RG. Gave XCHT with cough mods (-RS,-DZ,-SJ+WWZ+GJ). Now, 2 weeks later (today): took more antibiotics + herbs and sawslight improvement in cough, as it was less frequent. Still short of breath on O2. Big problem is sleep – can hardly sleep more than a few hours. No night sweats. Sleep has been bad for years, but worse now from cough. Cough still sounds phlegmy, but dosen’t cough up much phlegm. Clear phlegm. P. L: Big, R/U, all fairly forceful, 1. Thin wiry sup, 2. Mid, big hollow + leathery vessel 3. Deep tight. R: Big, R/U, 1. Thin wiry sup 2. mid-tight, forceful when pressed 3. Deep, weakLG > RG. Both hands, you feel the cun first, strong leading into a big roll up.I’m not sure where to go from here? Could it be WMW? Any help would be greatly appreciated.

[hamishbrown]

It reminds me of a couple of my elderly patients who I have to use XQLT with, and for her lungs it sounds like she needs MH. If you dosed her with XQLT, give her 3 doses a day with bigger doses in the morning and lighter towards evening so the MH doesn’t keep her up more. Otherwise you could go the FZ and mineral route with a GZJNT plus FLXRGCT with FL at 24 and switch SJ to PJ, and then add WWZ and XX.

[Ben Walker]

That big tightish L guan can sometimes be HP too. If there is fullness in the chest, wheeze, etc along with the cough. I’ve worked off of both XQLT and FZ HT/KD not comm strategies with it. I tend to use caution with MH when there is a strong roll up.

[laurieayres]

If you’ve already harmonized, then maybe TXS+GCGJT+WWZ & FL24

[Marie Hopkinson]

Thanks everyone. I’ll try the TXS+GCGJT way first. Let you know what happens!

[Marie Hopkinson]

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?

[laurieayres]

post_date

[Marie Hopkinson]

Thanks. I appreciate the explanations you so freely give out Laurie Ayres.

[laurieayres]

Glad it helps 🙂

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