Question Details
Itchy Face
by landauvet - November 25, 2009
Hi Steve,
I am seeing a 6 year old Lab Ret FS. She was having a weight problem as well as itchiness to face and ears. Her weight has done great. I just saw her after the last few months of being on SMS. Her weight is excellent as her vitality and coat.
She has a fine dander, slight hair loss around her eyes and a hot, itchy head. No skin lesions but very itchy.
Tongue: red slightly
Pulse: Superficial, forceful and slippery. Bl-19 tonification, GB-1 sedation, GV-14 sedation all moderated the pulse. I tried simultaneously tonifying GV-4 and sedating GV-14, this did not seem to help.

BL-40 and GB-34 no change to pulse.

I am confused because many symptoms of blood deficiency and wind do not go along with the full forceful pulses. GB ass point significance?

If I went with a blood deficiency formula, I want to make it descend yang also. What do you think?

Kevin
Replies
by naturevet
November 25, 2009
Hi Kevin,

If you're sure about those head GB points, then the pulse plus the GB involvement leads me to want to prescribe Chai Hu Jia Long Gu Mu Li Tang. It has a descending yet dispersing effect and strongly clears heat from the head TB and GB channels. Blepharitis can arise from heat in various channels, but the GB channel is one of them. Based on what you've reported, that's what I'd try first. I've had a few good cases of my own lately that responded to this formula - one was a pemphigus case - so it's got the punch if symptoms and signs agree, which I think they do here.

Steve
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