I hope someone here can give me some guidance on creating an appropriate formula.
I have a patient (35 years old) who has chronic otitis media, the discharge is thick, has a foul odor and sits in the ear, he also has small nodules on both eyelids, above and below, I believe they are called Chalazions. He also suffers from lower back pain, low grade fever and indigestion.
His tongue has a normal to red colour but has a geographic coating, with some teeth marks on the sides. The coating is yellow.
I believe Zi Shen Tong Qi Wan formula may be appropriate but am worried it may be too cool and potentially injure the spleen.
Does anyone have any thoughts?