Hi all, hope you are well and have had a good summer!
I am struggling with a tricksie case of a lady 62 suffering with dizziness/swimmy head on the background of CFS and fibroids.Have been treating for 6 months with no great change! I have attached a summary
and would be grateful for any feedback
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Here is a quick summary of this tricksie one
Off balance sensation for 2.5 years since labarynthitis episode
Chronic fatigue diagnosed 2007 but had been going on for a long time before
(Large fibroid 10cm + which asymptomatic)
Had a severe bout of labarythitis 2.5 years ago began with what seemed
like food poisoning, which developed into vertigo and spinning which went on
for two weeks, at the time the CFS was exacerbated.
She has not felt properly well since then. She has a continual sensation of
feeling drunk, off balance, 'woozey' 'as if my head is swimming' head feels
hot, distorted vision, can't focus easily, her eyes can get quite sore at times
and 'feel glassy' and also puffy around the eyes, 'bug like'. She can't move
too quickly or as her balance can be slightly off.
Her ears regularly get blocked and she does candle them regularly, and a lot of
wax comes out. (Have suggested she candles less). Also gets deafness that
varies in severity. 'Feel as though there is too much fluidy mucous in the
head!' She also gets a 'vibration sensation in the head and face' not really
tinnitus though; phlegm down the back of the throat.
Gets sore throats; also gets hot flushes
CFS - feels very fatigued a lot of the time, gets worn out
easily, (sleeps well though), limbs can feel very heavy. Energy poor.
Digestion: easily gets bloated, with a lot of gas,
Bowels: goes daily quite a lot of gas; reports neither loose nor constipated.
Large palpable fibroid; which fills the lower abdomen as a hard mass; she
experiences no pain or discomfort and has had it for many years.
NB an environmental factor to be considered is that she
lives in a house with two dogs and she thinks she is a bit allergic to them.
Change not negotiable!
This lower abdominal mass dominates the fukushin presentation. In addition
there is some rikyu around the umbilicus and to the right of Ren 8. Fibroid too
large to palpate for oketsu. Possible sl resistance under ribs on left. No 'pi'
and couldn't find splash (tho doesn't mean there isn't one!) and no pulsations.
overall seem quite soggy and weak to me
most prominent are the guan both of which have a sl wiry quality, more
pronounced on the Right as well as slippery soggy quality to both guan.
R cun usually at mid depth and soggy/ sl wiry ( would be pushing it to say its
rolling up for the bai he pulse or LGZGT) but can feel congested if still a bit
weak. L cun tend to be weak. R and L chi deep and soggy can be a bit wiry on
the left. Also Dong between R cun and guan, but this does seem to come and go.
So I have been working on the premise of MFire flaring, warming Taiyin fluids
so that warm water is accum on top. Her s/s consistent with chaihu based px,
and orinalllly the left guan was quite wiry, though abdomen not conclusive.
Because she has not reported hot urine, I have stayed with the CHGZGJT and have
also at times included LGZGT (also can get coughing when lying down) However I
am not certain the R cun is rolling up enough to warrant this approach.
Most significant underlying is the fibroid mass which must be affecting the
overall progress, just the sheer amount of blood involved to finance this blood
stasis fibroid surely must leave less available blood for circulation and nourishing
etc? Because this was not part of her main complaint i have only been nodding
to this with GZFLW added into the px. (I guess we would need insects to make
any real change on that front)
She has been taking herbs for about 6 months! The above tx strategy has helped
a bit at the time giving some spells of clear headedness, and changed the
pulses which were originally more wiry than I have described above; The chronic
fatigue has persisted and with the slightly more wiriness on the R guan I
changed tack midway to XJZT + GZFLW + GLXBBXT. She didn't seem to do so well on
this combo and the swimming head s/s got a bit worse and found she herself
gaining weight!? So I returned to chaihu
based px, which although improved things slightly there have been no great
changes and after a three week break in the acupuncture she seems quite bad
Thus, based more on the symptom picture of heat in the head
and eyes with continued sensation of loss of balance, I went for XCHT+BHHSS. Although
no reported hot urine, and no rolling up R cun pulse! She has only just started
this so no feedback yet, though I am concerned it maybe too cold for her.
Hence my appeal to the forum! : ) Where to go next?
The other as yet unexplored route is zhen wu tang which has
dizziness, but wondered if this would be ok at this stage??
If any of you have any ideas I'd be most grateful.
Many thanks! Katy