Hello - this is my first post to yinyanghouse. I was wondering if someone could help distinguish between these two patterns for a patient of mine. She is already on prescription medication for bipolar disorder. She is interested in a herbal formula to possibly help minimize the amount of prescription drugs she is on. I have narrowed her down to two patterns. Either Phlegm Fire Harrassing the Heart or Blood Amasssment (Stasis). R
Patient is 30 year old female
I can not rely on her periods diagnostically since she is on the pill.
The signs she presents for Phlegm Fire Harrassing the Heart >
Mania / Depression symptoms ( although she is basically under control for any manic or depressive symptoms since she is regulated by her prescriptions.), Insomnia, Restlessness, Obsessive thoughts, Talks fast, Pulse - rapid strong, might be slippery?, Tongue - no thick yellow coat and only slightly red
The signs for Blood Amassment >
Mania / Depression symptoms ( although she is basically under control for any manic or depressive symptoms since she is regulated by her prescriptions.), Cramping lower abdominal pain, Restless, Always thirsty - drinks tremendous amount of water, Easily Bruises, Pulse - strong rapid, Tongue - slightly red, no coat
I was thinking of starting in conjunction with acupuncture one of the two formulas -
Phlegm Fire Harrassing the Heart > Formula - sheng tie luo yin
Although Sheng tie luo (Copper filings) have been removed from formula and shall remove - zhu sha, and add - da huang. Also thought I would add Shi Gao (Gypsum) or Zhi Mu (Anemarrhena) for her thirst if went with this formula
Blood Amassment > Tao he cheng qi tang
Does anyone have any insight for this case?
Thanks - Jacob