I have a patient that I’ve been treating for pudendal neuralgia. This is his third bout of this groin nerve pain in the last three years. Along with the nerve pain the patient has been suffering some POTS like symptoms. This has happened in the past episodes but is much more server this time. His symptoms include feeling of brain fog and feeling like he is going to pass out after standing for about 15-20 minutes, fatigue, loss of appetite (and consequently weight loss), and dry mouth. He recently was given tilt table test which showed a significant difference (more than 20%) in laying heart rate and standing heart rate. He was diagnosed with Ortostatic hypotension. Constitutionally the patient tends towards Spleen and Kidney Qi Xu. While my patient’s pudendal nerve pain is almost gone and the dry mouth is greatly improved, the other symptoms persist. I do not have a lot of experience treating this and would appreciate any inputs for protocal (including body and ear points, and herbal formulas).
Thanks