Damp patient, moaning, depressed, etc
I'm a TCM practitoner and I have a quite complicated case here.
I have a 40 year old woman who is overweight, depressed, and in constant pain. Her most notable symptoms are facial acne, SEVERE moaning/stomach QI rebellion, phlegm/nodules in channels(SP, LV). Her gait is damp-like, sluggish, and encumbered looking. She is an emotional rollercoaster- somedays high as a mountaintop other days low as the gutter.
She is really textbook dampness, IMO, however I've diagnosed her with SP/KD yang def and maybe ST qi rebellion b/c of the constant belching.
I've made some progress and have gotten her to lose about 12 pounds, but this MOANING/belching is unreal. I've never seen somebody so severe as this.
Does anybody have any experience with a patient like this?
Ive had her on Jin gui shen qi wan, ping wei san, gui pi tang etc, but nothing has really quelled the "moaning/st QI rebellion".
Any help or reassesment of diagnosis would be appreciated.