there is one patient, aged 54 years old, and had suffered from lower back pain and neck pain for two years due to a lot of computing work. The pain was mainly on lateral sides. She also had constipation with small and hard stools and normally had bowel motion every 3 days. Meanwhile, she was taking HRT because of menopause. She usually felt stressful about her teaching job. Her tongue was red with thin white coating. The left pulse was tense while the right was deep and weak.

diagnosis:Qi stagnation and kidney deficiency

acupuncture given on
GB-31 Fengshi
UB-40 Weizhong
Liver-11 Yinlian
Kidney-7 Fuliu
UB-23 Shenshu
UB-32 Ciliao

with Du Huo Ji Shen Tang combines with Zhi Bai Di Huang Wan (12 days dose)

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after two weeks:

pain was relieved within few days. Then, lower back pain recurred and started moving down the frontal and lateral parts of the right thigh and both knees. The pain was a kind of dull pain with burning sensation and was more severe when getting tired or in the morning. She had regular bowl motion as well as faeces became well-formed which was a marked improvement. She always felt thirst but did not have much drinking.

Tongue: red, short and tooth-marked tongue body with yellow coating in center.

Pulse: thin and rapid in deep level (left) and deep and weak (right).

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I just feel confused about the origin of pain. Is the pain due to kidney deficiency or Qi stagnation? and what does ‘dull pain with burning sensation’ indicate?

Also I have noticed the second consultation had revealed some heat signs. How can this happen? what does toothmarks indicate in this case?

Thank you for reading and answering

it is appreciated if someone could give me some help and that will be very helpful to my study

Hey, I just completed the Robert Helmer Dermatology weekend course here in Vancouver. I thought it was a really informative weekend. I’m looking for other practitioners to chat with about different dermatology questions and to put Roberts suggestions into practice.

Ryan