I'm wondering if you could clarify some things about Shao yang Disharmony as a TCVM pattern.
Is it correct that Blood deficiency and Damp are underlying patterns that then can eventually lead to Shao Yang Disharmony? Can it also occur alone, without a predisposing factor/pattern?
With my patients I am often finding Shao yang Disharmony, as it's the later stages of chronic disease by the time they get to me, so I don't seem to be seeing as many patients with just Blood Deficiency or just Damp etc. I am wondering if I am over interpreting / over diagnosing this.. but if those patterns often lead to SYD, would it make sense to almost always pair a XCHT based formula with a second formula to address the underlying pattern? ie 'open the gate' to allow the underlying pattern to be resolved - Is it the first step in unpeeling the layers that is often needed to get a response?
I feel like I find a toned, thin, deep pulse in many of my patients, which I have interpreted as Blood Deficiency with Stagnation (not sure if this is correct!) - which again I feel like I would reach for a XCHT based formula with a Blood tonic.
Thanks for your help, any extra info would be great!