Wiry (rather than Fine or Floating-Empty).
Treatment principle The treatment principle is to drain Liver-Fire, extinguish Liver-Wind,
resolve Phlegm and nourish Kidney-Yin.
As for the constipation, although she did not consider this to be her
main problem as she consulted me for her Parkinson's disease, it is
related to the underlying condition of Liver-Fire and it is necessary to
drain it by moving downwards.
This patient was treated only with herbs (as she was receiving
acupuncture from a colleague who referred her to me for herbal
treatment).
Herbal treatment I used a variation of Ban Xia Bai Zhu Tian Ma Tang
Pinellia-Atractylodes-Gastrodia Decoction, which is a formula to
extinguish Wind and resolve Phlegm:
Ban Xia Rhizoma Pinelliae ternatae 9 g
Bai Zhu Rhizoma Atractylodis macrocephalae 6 g
Tian Ma Rhizoma Gastrodiae elatae 9 g
Chen Pi Pericarpium Citri reticulatae 4 g
Fu Ling Sclerotium Poriae cocos 6 g
Zhi Gan Cao Radix Glycyrrhizae uralensis praeparata 3 g
Sheng Jiang Rhizoma Zingiberis officinalis recens 3 slices
Da Zao Fructus Ziziphi jujubae 3 dates
Da Huang Rhizoma Rhei 6 g
Mang Xiao Mirabilitum 6 g
Di Long Pheretima aspergillum 6 g
Sheng Di Huang Radix Rehmanniae glutinosae 9 g
Explanation The first eight herbs constitute the original formula which extinguishes
Wind-Phlegm.
Da Huang and Mang Xiao were added to drain Fire by moving
downwards.
Di Long was added to extinguish Wind and stop tremors.
Sheng Di Huang was added to nourish Yin.
This formula was administered for about 3 months with slight
variations. After 3 months, her bowel movements became normal and
regular without the use of laxatives and her tongue was less dry. At this
point, the formula was changed to the following variation of the same
prescription: