Tongue diagnosis case
forum post
Can you please help me with a diagnosis to this case:
Symptoms:Anxiety,dryness(dry skin ,dry eyes),shortness of breath,night sweats
Here are the images:
http://www.flickr.com/photos/120348165@N07/13147189344/
http://www.flickr.com/photos/120348165@N07/13146905625/
http://www.flickr.com/photos/120348165@N07/13146907925
video
http://www.flickr.com/photos/120348165@N07/13146922815/in/photostream/?likes_hd=1
Thank you very much
With respect,
George
This post has the following associations:
Acupoints: sp 10
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Comments / Discussions:
comment by "Flo_France85"
on Mar 2014
Thank you for the quick answer.
I'm a tcm student and this is a case that I'm having trouble with.
What I wanted to know is the deficiencies that can be seen only from the tongue.
the patient can try only acupuncture and diet now and unfortunatley shortness of breath and the dryness don't seem to resolve with my actions
My diagnosis from the tongue was:
- Spleen Qi deficieincy (tongue red dots and teeth marks)
- lung heat
-dampness (not sure the fur and white coat on the tongue?)
- heart yin deficiency
-liver blood dryness
I recommended a diet with cooling vegetables and grains mostly cooked (boiled) and some nourishing foods( cod liver oil ,some milk , butter) while the anxiety almost dissapeard the shortness of breath and dryness remained the same)
+ 5 accupuncture sessions
+daily Qi Gong
age: 30
gender: male
no counseling ,active lifestyle
a lot of work related stress
What I was mostly interested in was the opinion of a more experienced practitioner regarding the diagnosis that can be seen only from the tongue.(I know that this is not enough for a really accurate diagnosis but this is the place where I"m really not sure I made a correct diagnosis )
If you could tell me your opinion of the deficiencies based on the tongue alone I'd really appreciate
Thanks again
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comment by "ChadD" (acupuncturist)
on Mar 2014
Again... when you say "don't seem to resolve with my actions" - what are your "actions" (i.e. what points are you using)? And when you say it "hasn't resolved yet" - what points were you using and what points did you switch to and when did this happen - the last 2 treatments? the most recent treatment?
Generally the tongue shows damp-heat. So having the patient increase (or even use) dairy consumption would not be correct in my opinion. The breathing can be from the underlying liver qi stagnation and/or dampness - so reducing damp producing foods should help and including damp eliminating points would help as well as harmonizing the liver and strengthening the spleen.
Also, as you mention the patient is doing daily qi gong, I would ensure that they are not holding their breath or breathing incorrectly during qi gong practice. This can create lots of trouble.
To resolve the dryness you have to eliminate the heat. Part of eliminating the heat is resolving the dampness which contributes to the stagnation, which then generates heat. A point such as SP 10 (as an example) could be useful as it clears heat from the blood layer.
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comment by "ChadD" (acupuncturist)
on Mar 2014
What exactly is it that you need help with? What is the diagnosis you have come to and what treatment methods (acupuncture?, herbs?, etc.?) have you tried in exact terms? If you have treated the patient already, why do you feel what you are doing is not working, or not working well enough - what did you expect to happen at this point?
Also, you should include more information about the patient - age, gender, other related symptoms and how the anxiety is impacting them. Are they doing anything else - meditation, counseling, etc. - what is their diet like, etc.? - all the basic information that is used to help derive a treatment plan....
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