Medical History: Elderly woman about 70 years old. In generally good health except for her main complaints.
Questioning exam: Visible fatty tumours on upper arms about one to two centimeters in diameter, deformed fingernails, occasional leg pain.
Pulse exam: Generally slippery, especially at the lung and spleen positions. Otherwise thin although not overly weak.
Tongue exam: Slightly thick white tongue coating, slightly pale and thin tongue body.
OM Diagnosis: Lung and spleen qi xu, with dampness and phlegm leading to the formation of fatty tumours. Liver blood deficiency failing to nourish the nails and lower limbs.
Treatment Principle: Tonify lung and spleen qi, clear dampness and phlegm. Tonify liver blood.
Point Prescription: Lung 7, Ren 12,6,4 Spleen 9, Liver 8, Spleen 6, Stomach 40
Herbal Formula: As I was practicing in rural Chiapas, Mexico at the time, I had no access to my usual apothecary, and had to turn to the only medicinal commonly available. Because of her gnarled fingernails indicating liver blood xu I prescribed two tablespoons of lightly toasted ground sesame seeds/day.
Lifestyle Prescription: I educated her on the Chinese medical care of the spleen, regarding sugar, cold drinks and oily fried foods, as well as moderate amounts of meat and eggs to tonify blood.
She followed all the recommendations diligently.
Results: Over the course of one year the patient received weekly treatments. The pain in her legs resolved completely and the forty odd tumours she had had on the lung, heart and san jiao channel areas of her upper arms reduced to about two or three per arm. Her fingernails and toenails, of which had 17 had been incredibly dry and striated and corrugated, with bits of the nails almost missing and looking very tender and damaged became fully formed lustrous and shiny, and at the end of the treatment the majority of her fingernails were transformed, with only three of the finger and toenails which had been the most malformed showing slight striations.
Synopsis: Fatty tumours, deformed fingernails, leg pain. Lung and spleen qi xu dampness and phlegm, liver blood deficiency.
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