Help with a case

[Anna Bordas]

Hy everyone!

The case is about a 43-year-old man. He came because he had so many “pains”: right thigh, inflamation of left thumb, inflamation of the right ankle, inflamation of right Aquiles tendon. He had fatty liver, low platelet count, psoriasis. The psoriasis were present in BL, GB, TH and ST meridians. He worked as a police and he is weightlifter (he went to the Olympic Games in 2004 and he took part in lots of tournaments). He was afected emotionally because he divorced 4 years ago and he was very worried about his son because he referred that the mum is alcoholic and is not looking after the boy. I treated him with luos (to release emotions) and divergents, trying to build blood and fluids and relsxing the sinews. Nowadays he has less pain but it’s still there, moving around the body…He usually has pain in the right thigh and hip. The psoriasis improved but from time to time it emphasizes. One month ago he had a renal colic.
He feels angry and frustration with the situation about his son because he doesn’t want to report it so the boy may will loose his mother but he nows that is not good for the boy staying close to her.
Now I still find a lot of deficiencies in the pulses: Kidney yin and yang, liver, fluids…I feel like it’s very difficult to move the energy. He is following an intermittent fasting (he only has lunch). I attach the photo of his tongue in march (5907) and another of june, and a photo of the psoriasis.

Thank you so much to everybody!

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[Armin]

Hi Anna,

I think you are on the right track with the divergents and Luo’s. I would say stay with the 3rd confluence dsd for a bit to build the fluids. The horizontal cracks on the tongue would indicate the fluid deficiency as you have pointed out. Once you have done a few of the 3rd, then switch to the second which would address the skin condition as well.

I think the biggest challenge is the intermittent fasting of one meal daily. That’s too extreme and for a reasonably active guy would most likely mean that he is depriving himself of essential nutrients to build the fluids and blood. Furthermore, this is taxing the kidney yang as it tries to compensate for the shortfall. This is probably why his pulses aren’t responding, or not as fast as you would expect. I would suggest exploring this angle and see why he feels he needs to be doing this type of an extreme diet. See if you can encourage him to eat at least twice but smaller meals.

That would be my input but you are on the right track.
Armin

[Mònica Martín]

Hi Anna,

It looks like you are doing a very good job with him. It might be just about the right time to work maybe at a deeper level. What emotions have you worked with and what was the result? Rigidity seems to be an issue here as well as the resulting anger and frustration associated with it and manifesting his body. Rigidity features prominently and intermittent fasting (resisting food) seems to be a clear sign of this. Another one being the difficulty that you sense in moving his energy (rigid energy tends to get stuck). After all, weightlifting is all about resistance (Yangming – bearing weight, upholdoing) and as an ex-Olympic weightlifter he must be very good at that! The way he looks at his son’s mother problem, without undermining his concerns and the inherent problems that go with a situation like this, might be the result of a rigid outlook in life, and he might just be putting up with a situation that feeds anger and ressentment. There are a number of possible avenues for treatment depending on how ready he is to heal at that level. As an example, working with the Yangming Sinew channels might help lower the reactivity if there is a degree of unconsciusness about it. This might pave the way to work at the conscious level and explore other avenues for treatment: possible traumas (particularly in the first cycle 7-8 and his childhood environment as a whole), what things did he have to put up with in life…, and work with the corresponding channels to address what is revealed through consultation, pulses and tongue.

Work at this level might help change his outlook to his son’s mother problem. If this particular situation and his response to it is what feeds his problem somatized in the body as pain of an inflammatory type, it also contains the potential seeds for an actual resolution to it maybe by unfolding the neccessary flexibility and acceptance to change it all.

Keep us updated, Anna.

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