Stye and Drooping Eyelid Case

[Kevin]

I have a patient who has developed a stye on her L eyelid, along with some trouble with focus of vision on that eye. Is this Jueyin territory (either WZYT or DGSNjWZYT)? She has the deep thin wiry pulse on the L guan (chi is tight). My concern is that I believe she has HT yang exceeding outwards, with a floating L cun (it is there when I first press on it, and then it quickly disappears). She also has a rollup on her L cun. The R pulse has a tight cun, and the guan is generally weak, but almost slippery. Chi is deep thin wiry. If the L cun is floating and weak, does that preclude me from working on the Jueyin level? Would I be better suited to tonify HT yang and anchor? I’d love to hear ideas.

[Arnaud Versluys]

What conformation do eyelids belong to?

[Kevin]

Taiyin, assuming the 6 Qi conform to ZangFu correlations. Some additional info: patient has reported similar visual disturbance in the past when doing photography and focusing intently with one eye for long periods. She likens this current visual problem to the compresses she was using for the stye less than the stye itself. This is what had me leaning towards Jueyin to start. Though really I’m a bit confused. Not sure where to go if I was looking at Taiyin either

[Arnaud Versluys]

Taiyin or yangming depending on excess or deficiency. But why did yangming become excessive? Primary or secondary excess?

[Arnaud Versluys]

And what confirmation are visual disturbances? And what conformations are acute problems?

[Kevin]

So even if the pulses are generally deeper (besides the floating L cun), the acute nature would have me looking at the yang conformations? I’m not sure about the nature of yangming excess here. I’ll have to think about that some more.

[laurieayres]

Always keep line 148 in mind, yang symptoms on top of a yin pattern ‘Although the pulse is sunken and tight, it does not indicate Shao Yin disease. Why [this is] so is because with yin [disease] there will be no sweating and now, in the present case, sweat issues from the head; therefore, one knows [this] is not a Shao Yin [disease].’

[Author]

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