Px is 40 y.o male.
Chief complain: he suffers from R + L sided pain around his scapula, moreso L. sided along the inferior border. Px is also very "stressed"
*Levator scapula/trapezius and most of upper back is very stiff.
Very dry/red eyes He also suffers from bloating/gas that feels better after he eats something. If he does not eat the pain gets worse along the intercoastals.
Px tends to be constipated.
Tongue: red and NUMEROUS DEEP FISSUED CRACKS all over tongue.
This is a "VERY CLOSE" and accurate depiction of the tonguie.
Pulse: L sided i could not feel anything.. I don't know if there is a bifurcation etc, but was non existant. R sided that wasn't an issue.
From what i've read those fissures are yin deficiency, and upon questioning he has had this since birth.
Overall I'm thinking more of a LV/GB disharmony b/c of the above symptoms with maybe qi stagnation in the LV. Any help would be appreciated!