Case study with Thomas Avery Garran (Sep 11)

Responses

1. 

   Thomas September 9, 2024

   Here is the case for this Wednesday’s class: (please be prepared to address #s 1-4 below)
   1. What other questions might you ask?
   2. A diagnosis using Chinese medicine or Western herbal medicine.
   3. A treatment strategy based on the diagnosis.
   4. An appropriate formula.

   Case Study Class 11 September 2024
   Gender: female
   Age: 50
   Height: 5’ 6”
   Weight: 158 lbs
   Ethnicity: American/European
   Occupation: non-profit

   Chief complaint: menopause/sore throat
   Symptoms: sore throat with redness and a yellow patch at back of throat. Hot flashes, night sweats, heart palpitations, anxiety, gained 20+ lbs in last couple years
   Brief history: been pregnant once with miscarried twins, chronic fatigue (dx in the 1990s), multiple kidney stones, tinnitus, migraine headaches, IBS with alternating diarrhea and constipation (more constipation since menopause started)
   Diet and Lifestyle: eats pretty well, lots of veggies, some meat, perhaps too much starch.
   Sleep: difficultly falling asleep
   Energy: OK, varies, mostly tired but seems to power through the day without the use of stimulants
   Appetite: OK, eats and generally enjoys food
   Stool: dry, strained, small pcs.
   Thirst: doesn’t drink much water, no real thirst
   Urine: 4–6 X/day, sometimes darker
   Basic observations: Patient is in reasonably good physical health. She is trying a number of different things to find a path to health. Has some inappropriate fears around things like electricity (EMFs), and similar pop-culture health concerns.
   Pulse: n/a
   Tongue: slightly red, thin white coat, thicker toward the back