Patient is complaining of neck/shoulder pain that does not feel muscular and has been with her for 2 years. It has not responded to any other treatments, but after a few days on shaoyang herbs her eczema flared up severely all over her legs and feet. It filled with oozing clear pus, and skin became raw. She stopped herbs. Has lots of other chronic health issues, too. I clearly have the diagnosis incorrect and would love some insight on what went wrong. Today’s pulse: L1 deep slippery, L2 deep thin wiry rapid, L3 deep, Dong 1/2 (and L2 & L3 feel slightly higher than L1…?). R1 deep, R2 deep big, R3 deep wiry. The previous week the L guan seemed a touch higher. Overall all her pulses are deep though. She came in with lingering sinus congestion that she didn’t want to take abx for (3 weeks, green mucus). I had her on CHGZGJT + GL/XB + GG, SM. Her eczema immediately broke out around her mouth/lips & inside her mouth after starting the formula. The congestion improved after a week. I moved to CHGZGJT + GL/XB + LGZGT, and 3 days on that and the eczema on her feet broke out. Congestion is all better. Other S/Sx: very vivid dreams, incomplete BMs, large internal hemorrhoid resulting in the need to splint to have a BM, “allergic” to almost all environmental allergens and cycts in her breasts. She has a history of chronic infections and eczema since infancy: steroid creams as a baby, recurrent sinus infections, lung, bladder and kidney infections from infancy through teenage years. She reports being on abx almost every other week for much of childhood. Pulse looks like a Yin conformation (DG) pulse, but sx seem like Yang conformation. Could this be a GCXXT pulse that’s just overall deep and weak, and I’m not reading it right? And why oh why is the CH formula flaring up the eczema like this?
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