I took Toby’s intro course last weekend and have dived right in, using Sa’am strategies. As with learning anything new, I’m running into complications already.
35yo F, CC vertigo
I’ve worked with her for about 10 months already. symptoms are generally controlled with Classical Pearls Serpent Pearls (Wu mei wan) - b/c she can’t stand the taste of herbs. Current s/s:
thin, fit build
eyes with shen but not “diamond eyes”
skin not dry or oily
she is a therapist and clerks at quaker meeting, isn’t a loud extrovert but clearly has a calling to be in conversation with people.
vertigo, tinnitus, dizziness began suddenly June 2018.
In Jan 2018 she was in a car accident with concussion.
tinnitus constant - L ear
Dizziness - vertigo is a spectrum. triggers: rainy weather/changes (most clear trigger); associated with PMS phase, stress, computer work.
often will have dizziness upon waking, but vertigo is more rare (lately hasn’t happened). when it happens, feels HOT, sweaty, can have nausea with or without vomiting.
When vertigo present, needs to lay in a quiet dark room.
Recently, after a big road trip during which she lost her eyeglasses (she is very nearsighted), she’s had dizziness daily upon waking.
Anger, irritability (d/t recent life stress)
Poor sleep, wakes at 3am with busy mind
GI: she has a pattern of having a full BM, well formed, easy, complete in the morning, but if she goes for a run after that, then bowels get activated and she has to urgently stop in the woods to empty bowels - loose, mod-large amount. (if she doesn’t go for a run, this does not happen)
Appetite, thirst, urine normal. temp/sweat normal except during vertigo onset.
GYN: ~28d cycle, PMS sx milder with tx/herbs but present: irritability, breast tenderness. menses now mod bright red flow, no/mild pain.
MSK: neck pain along vertebrae
Abd: healthy soft overall, some pressure pain at ren 10, R st 25-26
I diagnosed as:
- GB excess: convex - upsurge sx vertigo; GB channel/ear involvement; insomnia; anger (not sure if this is the right kind of anger for GB? she’s not very aggressive, I think it’s more internalized anger); R PC+ seemed right b/c when having vertigo she needs quiet, dark, calm.
- SJ excess: heat in UW (heat during vertigo flare), eyes with shen, polite, considerate of others; ear/SJ channel involvement
- KD excess: symmetrical, fertile (2 kids, strong PMS symptoms)
She seemed to do well with the R PC+ points: neck looser, abdomen cleared, her coloring was good, she felt calm.
Later that day she emailed me to say she had a bad vertigo flare in the afternoon. It lasted 3h and went through her fairly typical progression.
I’d appreciate some input:
- does the GB excess seem correct?
- Do you think the PC+ tx induced a vertigo flare?
- What next?
-Saam newbie, Fang Cai