Would nee some help for this :-)
Patient: 49 Old Female
Complaint: Hypertension and psoriasis
Pulse: Deep and slow on the right, deep and full on the left
Tongue: Pale, dry, 2 transversal "cracks" on the lung area, traces of teeths around tongue.
Symptoms: Sensations of alternate heat and cold during the night ( 49 y )
Dry sking with itching on psoriasis areas ( legs, nothing in the upper part )
Psoriasis worse in winter. Anxiety, "burning eyes". Sometimes pain in the chest,
pain in the 4 members worse at night
The patient has had much sadness since a difficult relationship about 5 years ago.
She tends to have hypertension and fell 2 times unconscious this year.
The overall exam makes me think of a blood deficiency ( dry and pale tongue, itching psoriasis ( liver ), dry skin ) but except from that there arn't many symptoms of Blood deficiency. Te pulse reflects an internal cold so how to understand the hypertension ? My treating would be axed on the liver blood ( itching psoriasis, pain in the 4 members worse at night, burning eyes ) and spleen qi ( teeth traces around tongue ). With a stronger spleen, there will be production of Blood and liquids which would nourrish the lungs ( cracks on the tongue ) and the liver blood ( itching caused by liver wind due to blood vacuity ? )
Anyway I'm just a beginner in Acupuncture, let's hope I got at least something right :-)
Thanks for your help with this