Difficult Case (....for me )

Comment by Archived User

Hi,
I'm currently treating a client with psoriasis and the main presentation is an absence of yin. Psoriasis is commonly caused by heat in the blood, so the approach I'm taking is to clear heat from the blood with sp10 & gb31 as well as tonify yin from all sources kidney and liv especially.
It is important to find out where the heat is coming from, does you client have repressed anger about the failed relationship. This may cause the liver qi to stagnate, yin to errode and yang to rise.
In relation to the sadness and the lung presenting on the tongue, I suggest Lung 7 to release grief and lung 9 to tonify lung yin.
I hope this is of some help:-)

Comment by Archived User

Hello Dei

Thanks for that reply, here's some more detailed information.

The patient doesn't show any signs of yin depletion ( no red tongue, no totally empty puls etc..), no signs of liver yang rising. Talking about kindey she does have a "blackish" coulouring under the eyes which makes me think of a Kindey depletion ( works 16 hours a day ). As for blood heat, there are no symptoms of it at all and at feeling body parts' temperature or on the psoriasis zone it isn't especially "warm". She doesn't have repressed anger about the relationship but for sure like all of us, she must have many frustrations with work, so acting on liver qi stagnation like you said would be a good idea also. Ok for lung 9, then I thought of the following points: Sp 10 , Sp 6, UB 17 ( Blood reunion point ), K 7, K 3 --> all these points to act on blood deficiency, I then would add a St 36 ( spleen qi deficiency and for general energy : slow deep puls, tiredness, stimulates blood production : Yang ( Stomach ) stimulates Yin ( Spleen ). Now liver, 2 points: Neiguan ( because it controls and nourrishes the Yin Wei Mo ( Sp, Liv, Kd ) and Liv 3 fo liver qi stagnation.

Could you tell me why using Lu 7, what exact action does it have on an emotionnal basis ? As for your patient, try a UB 40, Blood Xi point, works very well for all Dermatological Disorders. I had some good results with it in the past. Could you also tell me more about your patient, I would be interested ( Pulse, tongue, general symptoms )

Thanks

Comment by Chad J. Dupuis, L.Ac.

Your analysis is largely correct except for the lack of yin deficiency signs - which I see as well in the anxiety, obvious restlessness, gender/age, lifestyle, etc. Adding LU 7 perhaps with KD 6 should be very helpful.

As psoriasis is an immune mediated condition it very often reacts to stress. Resolving the LV Qi Stagnation and the Yin Deficiency Restlessness should go a long way towards helping with the condition overall.

To target the condition directly we usually add the following points from the Tam Healing System that I utilize heavily. We use the huatuo points of T1, T2, and T3 to regulate the immune system (bone marrow, thymus gland, and lung/lymph systems respectively). Then we use T4 for the breast, sweat glands, hair follicles (basically any skin condition), T7 on the right side for regulation of the abdominal blood vessel, GV 22 to regulate the hypothalamus and the unconscious mind, and TH 16 as part of the window of the sky points which we use to facilitate the circulation to the brain and the messaging through the spine.

We may also add supporting points such as GV 20, LI 11, SP 10, TH 17, and KD 3 (most of which you have already).

Comment by Archived User

for cold and heat alternate, try "Xiao Chai Hu Tang" soup

for sadness, try "Gan Mai Da Zao Tang"soup

for acupunture: clear Liver and sooth Qi, add 4 gates, ren17, pc6, ren4,6, Du20(lower blood presser), ying tang, ht7 (calm emotion), etc.

Thank you

Regards

Feng Mei