Next exam is 9/14/22. She is reluctant to go in reverse and clockwise. Still timid/fearful and adjustments were less in number and not split into L body and R cranial and sacral as before. She did allow tailtraction this time and relaxed well into traction. Dai Mai was quiet/open but Yin Wei Mai was on FIRE L >>R. I needled PC6 on L and KID KID 6 on R and YWM (along costochondral junction up to PC1 ) was ~75% “better”, less reactive. GB 32 on R was mild positive and she wouldn’t let me pick up and motion palpate L rear initially, so I put EPM on the radar, but don’t see other signs to pursue treatment. Because of the continued fear/timidity/PTSD/Heart Blood deficiency signs, I added Jing Tang’s Shen Calmer at 3 gm concentrate BID and continued XYS as before.
I saw Princess again on11/15/22 and she is moving better, interacting more with people, other horses, almost like a normal horse in outside arena, but still fearful especially close to walls, “scared of her own shadow” indoors. The trainer started her on a compounded omeprazole/ misoprostol paste and they feel it has helped some with behavior in the stall. Movement to R or clockwise is better, but still more hesitation and breaks in concentration going to R>L. And still resents the saddle and or being groomed in the flank. Her adjustments are fewer again, but back to L side between withers and L3, I got a really nice atlas dorsal on R and sacral apex to R (again-core to L and cranial sacral to R). Her tongue is still on red side but has more moisture, her pulse is deep and toneless, really difficult to get a good read on it. So, I said wtf and needled GB30 and sedated to release Yang from the Shao Yang. And lo and behold, there was nice tone to her pulse. I then sedated Yang Ming with ST and tonified Tai Yang with GV 3. She was then jogged in indoor arena and noticed improvement with fear and desire to move. So, could a toneless pulse still be a Shao Yang disharmony? If it responded how it seemingly did? It definitely changed the pulse, which always makes me feel better, for if nothing else, at least change the GD pulse! She did not show rear end (R) weakness today, though GB32 was mildly active, though quiet after needles removed. I reduced XYS and Shen Calmer to 2.4 gms bid and may discontinue and or replace based on your recommendation. My gut is telling me to start Xiao Chai Hu w/ Qin Jiao at 4gms bid and considering the Natural Path equine formula Heavenly Peace (?)
Or would NP Xiao Yao San be a better option? Not sure I’m seeing the Liver Qi stagnation resolve as I would like with the 2 current herbals. I was going to try to add in a video (before all this Qi stagnation arose at previous barn ) and where she was and is now. But not sure how that works or where you enter that? Or do you only do that in case reports?
Thanks again, sorry for the vomitus of information on this patient.. hope it helps anyway and it will make it easier to transfer to “Healed Cases” when we get there!
Brett