Hi all, I don’t have time to do a full write up at this time, but am wondering if you can help me with the information I have on hand. I will try to do a full write up in the next few days.
Patient is 16 year old female with mononucleosis. I saw her on Saturday and she presented with the following symptoms: severe throat pain, enlarged red uvula with enlarged red tonsils with pustules, alternating chills and fever, thirst for cold but throat pain makes it difficult to drink or eat, some sweating.
Body type: thin
Skin: moist. Got hives at onset of mono.
Temperature: warm to the touch. Gets hot flashes with alternating chills.
Complexion: dull and pale yellow
Emotions: very internal. Not emotive. Expresses herself well through writing. Initially came in for mood swings - anxiety/depression that has improved a lot.
I did +ub on right side and her face immediately got more color. Her neck felt a bit looser. Swelling of uvula improved On left side but throat pain persisted.
All continued to improve after Chai hu GUI zhi gan tang modified - especially swelling but mom took patient to the hospital eventually because of the throat pain. She got steroids and a pain killer. She is coming in again this week. She is still having alternating chills and fever, sweats and throat pain is still severe. I’m considering if +ub bilateral would be appropriate here or is that too much after already having done it once on one side.
Because of the severity of her condition I’m hesitant to treat along the lu/st confirmation because the fluid balance feels so precarious at this moment with a super dry mouth and super swollen throat. Any thoughts would be appreciated.
Thanks in advance