The patient presented with a complex array of symptoms that could easily overwhelm a practitioner or confuse the diagnosis. However, the presentation painted a clear picture of weakened Center Qi and an accumulation of dampness and heat in the Liver and Gallbladder systems. The tongue color confirmed the illness and the pulse its location. When treating the Liver one cannot address it solely or directly – restoring the Spleen is paramount. Akin to growing a garden this process takes time, the efficacy of which is clearly portrayed in the case history.
After 6 weeks of treatment amylase reduced from 197 to 165, lipase 156 to 83. Bowels are brown color, no mucus. As of 9/14/15 amylase at 136, lipase 65; both values considered normal depending on the lab range values utilized. CT scan of abdomen revealed no acute disease. Complete metabolic panel shows low sodium and chloride (danger of restricted salt intake). Gall bladder and biliary scan revealed normal gallbladder ejection fraction, gall bladder organ thin-walled, free of stones and sludge. Vitamin D in normal range (86), cholesterol in normal range. No abdominal pain or distress, bowels are well-formed with no abnormality.