Lymphocytic Leukaemia Case

[Dominik Daling]

Is this a kind of yang realm wiry that would also indicate a CH formula? Just curious at what depth a DGHQJZT can be diagnosed. Great case!

[billschoenbart]

CLL tends to have this kind of variation. You will know for sure that a remission is occurring if the counts continue to drop with each blood test. I don’t know if Hou Po would qualify as a modification, but it contains a compound (honokiol) that works against CLL.

[hamishbrown]

Could be, but I don’t think so. I actually might do SNS at some point, but it didn’t feel like a CHGZGJT for example. This would not be a typical pulse at all for DGHQJZT.

[Dominik Daling]

What depth was it in this patient?

[hamishbrown]

Both guans were right on top and wiry. Similar to a SNS, but there were no ShaoYang signs, and then the hollowness, and it’s leukaemia, so hence I went DG and not CH (for now).

[Esther van Dorst]

Just curious: what are his signs and stmptoms? And what does the right cun tell us?

[hamishbrown]

Hardly any symptoms, and I’m still unsure why the right cun is that way. Sorry.

[billschoenbart]

CLL can have no symptoms for years. When there are symptoms, it means the disease has become more active. That’s when oncologists give chemotherapy drugs like Ibrutanib. It is also considered a sign of active disease when WBC counts start to double every six months. Symptoms can include increased infections, a swollen liver or spleen, or night sweats. In the meantime, it is one of the few cancers where we can legally do primary care, since there is no treatment until the disease progresses.

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