Patient: Female, 47 y
Complaint: neck pain, shoulder pain going to the right arm following large intestine channel
Symptoms: The patient presented a Yang attitude in general
and told me she had pain before her menstruation. Except from that no other symptoms
Tongue: Red, Dry, crack in the middle of the tongue with yellowish fur.
Pulse: Left pulse weaker than the right, all pulses weak in general.
My Diagnosis: The pain is situated on the Large intestine and small intestine, aggravated by work.
GB 20 and 21 ar painful with pressure. Localy it makes me think of a qi deficiency.
Adding the caracteristics of the tongue it makes me think of a stomach heat with phlegm due to yin deficiency.
My treatment: Liv 3, Liv 2, Sp 6, Kd 3, Pc 6, Gb 20 and 21, SI 10, LI 14 and 15.
The patient felt really relaxed after treatment. Nothing special happened on the next day.
I called her yesterday and she told me she had a horrible week with the pain worsened in the neck.
I'm used to telling my patients that there can sometimes be aggravated symptoms after treatment, a normal reaction to energy movement. But one week of worsened pain seems excessive to me.
How should I analyse this and, how should I face explanations due to my patient ?