I recently added a new patient who would probably fit the picture of TCM “liver yang rising”. Thing is, the R pulses are hidden after an operation, and so I have to prescribe SHL-style – which may be an advantage :-)Sx: strong vexation, feeling of being a cartoon character and not herself, severe sleeping problems, irritability, brooding, is normally an emotional type, but cannot tear or cry. Feels emotionally apathetic and “dried out”. Forgetful and disoriented in time. Body sx: full body itch, burning sensation on LI channel from LI 15 all the way to the wrists down, epigastric block, tightness in heart region, stabbing pain at Sp 21 region, bloated epigastrium, brain fog, acne in the hip and buttock region, frequent yellow dribbling urination with incomplete voiding, thirst and dry mouth. Strong heat waves with sweating. BM once daily and normal. Menstruation is bright colored, strong flow, small coagulations. Pulses: Fast and superficial: L strong roll, cun sup wiry, guan very sup slip, chi deep fast today, but initially the pulse was overall deep with a deep full slippery guan and the roll is very pronounced. Tongue: Long and with a marked tip, distended and dark purplish veins, very thin yellow coat, slightly red. Currently she is on CHGZGJT + YCH+XB+BX, as she had different pulses initially. Should I consider CHJLGMLT with FL24 or even THCQT to flush out that heat?
