I think I’ve only got one more shot with this guy as the previous two formulas have made his symptoms worse. He’s an 40 yr old RA patient. Pain is severe and debilitating. All his joints will hurt and he is unable to work. Pain along entire spine as well. P: left overall weaker than right, L1 relative floating, L2 deep thin wiry, L3 most deficient possibly faint, R1 some tightness rolling up strongly, R2 bigger than left OR its a dong 1/2….not certain there, R3 deep thin slight wiry. Can’t tell if I’m getting a dong pulse reading or hollow guan reading on the right. Tried GZSYZMT and he got worse, and then FJHQT, and got even worse. He tends to be constipated and has a decreased appetite and losing weight as of late, but is already thin. He has relatively high thirst and drinks lots of water. No urinary issues. Pains can be very sharp and worse at night. Getting very little sleep. Abdomen: subcostal tension and pressure pain, very strong bilateral okestsu finding. Do I need to be harmonizing first?
