She was vomiting frequently and improved with z/d diet. She is also on tapazole for hyperthyroidism. Lactulose for the bowel issue. Her stools are not hard - on the contrary they are usually somewhat soft but formed. When she is in the middle of a constipation episode she will also vomit and become inappetant. Her pulse is weak and her tongue is red around the edges with a white thin coating which I consider normal, Underside of tongue is somewhat congested looking. She is restless at night and seeks heat during the day.
I'm thinking she has deficient heat and qi and kidney yin deficiency. I was thinking she just doesn't have enough qi to move her bowels. The signs that don't fit deficient heat are a softer stool since I would expect hard and seeking warmth during the day. Please help clarify and herbal recommendations. Thanks.