Stiff shoulders and trapezius and PE

Thanks for your answer.



His pulse is weak and he often feels cold.

The tongue has a thin white coat in the center area, but the sides are a bit red and with teeth marks.

He also has a vertical line which goes from the kidney/bladder area to the tip (heart weakness?).

In the kidney/bladder area he has also 4 small bumps.

He doesn&#39t suffer from deep fatigue, but only feels his knees a little weak, as if he is not grounded very well.

And are you asking for herbal and/or acupuncture advice? If acupuncture, what points have you already done, what has changed and what hasn&#39t with what frequency of treatment. If herbal medicine, what have you done and at what dosages over what time frame.

Clearly red in the tongue indicate heat, so you have to very careful assuming yang deficiency. The line from the back of the tongue through the tip is a general indicator of a propensity towards mental illness.

Does he still have higher states of anxiety? Does he have any panic attacks any more at all? While a vast generalization, generally people who are truly yang deficient will not have problems sleeping - so there is some heat involved. I would be more apt to move the liver qi stagnation and mildly tonify the kd. Formula wise something harmonizing like xiao yao wan would be good for the liver and spleen. If there are still higher states of anxiety and along with the sleep problems working in some suan zao ren or tian wan bu xin wan may also be called for.

What has worked when treating others with those symptoms is balancing the vagus nerve and calming the nervous system in addition to the points you&#39ve already worked on.

Many thanks,



I will add those points to the treatment.



You have been very helpful