Have really considered both those formulas. However he doesn’t have any sensation of a glomus, no overt HT-KD disconnect signs, and his hara is really weak and empty below the ziphiod. On palpating, he did not even have oketsu. I agree the pulse looks like XXT on the L, but his sick gut feeling is very low below navel in the bowel area. The wiry could be SNS, but he is so cold and the gut feeling is one of cold, so I’m nervous to give him such a cold formula.