a condition with no name

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Hello All

I would love some input on the following case:

29 y/o caucasian male ptc 2 months ago

pmhx: d/c smoking (1 ppd for 8 yrs) 4 yrs ago, " health has declined since then "

cc: his " condition " is a group of the following symptoms: recurrent h/a which

seems to originate in sinuses, radiates to jaw and back teeth

-the most intriguing piece is the role of WATER: with this condition he'll have

high thirst, but when he drinks he will immediately urinate and the severity of

the h/a increases; he can minimize the symptoms by not drinking any water

-other (less bothersome) associated symptoms are burning in ears and chest, and

sore neck and back

-he never has the " condition " 2 days in a row, only 1 day duration; he will

know on waking if he'll have it that day or not

-there is a predictable crescendo/plateau/peak and descent to the symptoms

- there was a period in his life when he took a large amt of Advil to prevent

hang-overs, his own gut feeling is that this somehow contributed to the current

condition

-the frequency and severity of the condition had been increasing before he came

to me

-another ND had done bloodwork, all WNL except slightly depressed vit D levels,

kid funx normal, blood sugar normal

-no other practitioners have been able to give him a diagnosis

-tends to have high level of anxiety; says his whole family is like that

-digestion described as " nervous stomach " , if nervous will have loose stool,

generally erratic (alt diarrh/constip), gas and bloating

-minimal caffeine, etoh 1-3 drinks/night

-low energy, poor sleep, doesn't exercise

-of likely significance: SIDS @ age 4 months: turned blue and d/c breathing,

mother revived with CPR

O: short stature, pale skin, flushed cheeks; timid/anxious manner, no eye

contact while discussing symptoms; Chinese Pulse: thin, slightly slippery

A: Tubercular Miasm, need to work back to age 0-2 (KD); from Chinese Med

perspective: KD qi deficiency (weak voice, dark eye circles, strange rxn to

water, SIDS) with ST/SP imbalance (burning in chest, red cheeks, " nervous ST " )

P: Acupuncuture, COP, Undas # 2, 16, 34 (KD, male hormone, tubercular)

AI diet, esp. d/c etoh, BTGs

second round of Undas primarily for anxiety: 9,22,243 with Gammadyne Li

The patient had a great initial response to tx: many days w/o the condition, a

longer respite than he'd had ever. When he did get it the severity was less.

However, as time went on it started to creep back in frequency. I feel he may be

losing the faith he had after our first " successful " tx.

He has told me that other txs have seemed to work initially but then not hold.

Last visit I ordered a Lyme/Co-infection panel, he does have a history of tick

bites.

Am I missing some obvious auto-immune condition? I am considering #202 with

Luesinum 30K, is this an appropriate use?

Thanks in advance

Sasha

--

Sasha Rose, ND,LAc

Wildwood Medicine

97 India St, Portland, ME 04101

www.wildwoodmedicine.com

acupuncture -- naturopathic medicine -- yoga