past            a few words

present        focus - present pattern, patterns are dynamic and change

future        





how do you feel throughout the day, week?

words
the body
stomach, gutDD stomach or gut to do
what types of symptoms stomach!
hormonal systemabout skin
sleepless nightsheart
tension
liver
heartbeatpalpitations?
blemish skin, drygenerall dryness?lung


the mind
depressionliver
overthinkingspleen
obsessive thinkingthinking in circles,
friend does intermittent fasting/doesn´t eat breakfast - gets scared - can not stopped thinking about it
control

one thing that loop

worries - figuring out your life, what to do, social


 




overwhelm
emotionswhich ones?

aggressive, 
frustration,
irritability,
anger

sadness, loneliness
depression a bit but more in the past - takes a long time do do things,
no job,
depression still there

spiritual transformation, more connected to soul :) self transformation, self work



Qi of which organ does it affect?
emotional eatingtoo many snacksspleen
tensionwhere?
back, shoulder, neck, head 

throughout life (linked to stress, overthinking) 

tension headaches in the past not any more (neck, jaw, occipital)

but now better with tension!



liver
indecisivenessgallbladder 

the soul

loss of motivation

loss of intuitiondid you take the pill?
too little heart?
anxiety
heart
controllung


exhaustedused to feel exhausted, weak





questionswhat are your fears, worries, concerns, struggles?


immune system
stronger now. hasn´t been sick for past months
got sick a few times last month

 
notes


INFLAMMATIONS:
appendix (2 years ago. operation, has been removed)
a few days before that happened ear infection

pain under left knee suddenly in night (december, a few times) + fainting, paleness. can feel it as an inside pain. 
sometimes pain again under left knee

fainting (a little dizziness), vibrating (+ fear, anxiety about it), 

heartbeat (not so much related to anxiety)
sleep problems (can´t fall asleep), wakes up

too many thoughts 
heart racing 




stomach, gut

epigastrium
gas
inflammatory feeling in whole body, nausea, burps, farts.
discomfort epigastrium, in the middle
smells bad.

for days after a trigger 

comes in periods. reocurring.
constant stays throughout the day.
couple of days. 




emotional: can´t do anything - inflammation takes over whole body. no creativity. feeling sick. something is in you, that´s not supposed to be like. 

can´t hold it back - socially difficult.




update from her:
bloating, farting, brbs, feels like from under the chest muscles in the middle pain + lower stomach is blated and also some pain sometimes - BUT NOT JUST AFTER EATING BUT STAYS FOR SEVERAL DAYS (suggests that more related to intestines than to stomach)
stress, uncertainties in life, what to do in life

stool normal

but sometimes several times a day





skin inflammation
also breasts, on back , on chest (showed me picture)
dry

chest area + breast area

red inflammed, spots

around cheeks - redish complexion 

also mouth drynes

after coffee feel very dry

worse before period


= rosacea!!!

scaly(schuppig) skin on head  reduces confidence, body dysmorphyia 
dryness = Yin deficiency



update: some pus/pustules. feels warm.
urinego to pee often 

dark, brownish, dark yellow - to do ask observation


update: darker yellow




climatedifficult to say if warm or cold 

more warm 
gets red in the face, flushing, blushing! redness on checks

but can also be cold 
colder at night

could be both


update: hands go between warm & cold 

periodsvariable length

no pain 
normal

used to take period but 15 years ago 

nailswhite spots on nails
blood pressurementiones blood pressure a lot

nutritionwhat could possible be contributing to worsening/aggravation of symptoms?
eg if someone eats a lot of cold foods even tho they have too much cold in body
lifestylewhat do you do?pay attention to what could worsen the symptoms?
eg working a lot in front of computer
or working in cold environment if already cold anyway


what does a day, month, cycle feel like?patterns of sleeping, eating, eliminating, working, relaxing


lifestlyeno work

morning - positive (breakfast, affirmations), oats porridge
no coffee
teas

a bit more alone type
visit, hobbies, play music, collect herbs, visit family


food is a big topic.
obsessive snacking.

(bad mood if doesn´t get food)

regular meals

a bit too little structure


spleen
weight fluctutationsbetween skinny and overweight

hours of the daynoon, afternoon, night


dizzinessstarted this month
tickely, shaky, something is moving around (goes up to the heat, chest, area





nutritionbreakfast (porridge)

eggs, rye bread (lunch)

vegetables, grains (dinner), chickpeas, beans

sometimes meat

snacking: chocolate, oat milk, cacao, fruits

not a lot of raw

flavour: sweet


drink a lot of teas


sourdough. organic tries

supermarket food





liver pulse: weak, almost missing 





taking nowmushrooms
multivitamin
zink









Dia
tonguewhite coating across the whole tongue especially in the back area and middle
weird patches at the very back!!! like crocodile - almost like a pilz



pulsevery strong superficial in spleen position!
stronger in lung position

weaker in heart position 
middle strong in kidney position 

weak in liver position 

note: the strong superficial spleen = bc stomach! (ICM stomach)

Thherbs that clear dampness + heat (white book)plantego
nettle
cleavers tinctures? ask Matthiew!



Th
mind, soulTo stay present in everyday life, it helps to be deeply rooted

within yourself; otherwise, the mind, which has incredible

momentum, will drag you along like a wild river.

What do you mean by "rooted within yourself"?



It means to inhabit your body fully. To always have some of

your attention in the inner energy field of your body. To feel

the body from within, so to speak. Body awareness keeps you

present. It anchors you in the Now (see chapter 6).



Then become aware of the entire inner energy field of the body. Don't think about it

- feel it. By doing this, you reclaim consciousness from the

mind. 

When you can feel the inner body clearly as a single field of energy, let go, if possible, of any visual image and focus exclusively on the feeling. If you can, also drop any mental image you may still have of the physical body. All that is left then is an all-encompassing sense of presence or "being. ness," and the inner body is felt to be without a boundary.



Then take your attention even more deeply into that feeling.



Become one with it. Merge with the energy field, so that there is no longer a perceived duality of the observer and the observed, of you and your body. The distinction between inner and outer also dissolves now, so there is no inner body anymore. its formless. by going deeply into the body, you have transcended the body.
don't give 100 percent of your attention to the external

world and to your mind. Keep some within. 



Feel the inner body even when engaged in

everyday activities, especially when engaged in relationships

or when you are relating with nature. Feel the stillness deep

nside it. Keep the portal open.



You feel ias a deep sense of peace somewhere in the background, a

stillness that never leaves you, no matter what happens out

here. 










-------------


Rita:
UT damp heatwhat Rita said about tongue picture lot of dampness(!!!!root problem) and heat in intestines & reproductive organs(uterus+ovaries)
in the back of the tongue
-> intestine problems & menstruation problems

+ deficit in Qi of the heart (which causes the anxiety problems)






so feeling dry BUT dampness !!!herbs: 
genital area itching, red rash, or discharge + recurring or chronic skin disorders: Phytolacca, Rumex, Smilax

Diadeficient Blood (irritability, poor sleep, diziness, itching, prickling skin/scalp, dry skin, hair, palpitations) - liver

stagnant Qi (nausea, gas in stomach, hiccups/ belching/flatulence), congested Qi

Wind (itching/prickling/twitching and other discomfiting sensations in skin & muscles, dizziness) kelsey book 



kelsey book 


kelsey book



herbs to disperse Qi: Ginger


herbs to purge Wind: peppermint
liver-spleen disharmony!!kelsey book herbs that harmonize liver & spleen
depleted moisture (flushing, dry mouth, skin, throat)

depleted Blood (restless, irritable, pale, withered dry skin, hair, weak, pale, poor sleep) - liver kelsey book herbs that consolidate moisture: p.273: 
herb for spleenn + that consolidates moisture: dioscorea rhz. (wild yams)


after Rita´s Dia
tonify heart Qi sage 

dry dampnessginger

plantego tincturepure moisture + cooling (kelsey)

ICM:
clearIntestinesHeator Intestines Damp Heat

cleartopicalHeat,DampHeat,HeatToxin(anti-inflammatory,antimicrobial)red,irritatingskinrashes,bloodpoisoning,ulcers,wounds, bites, stings




climate“outer” dryness, feels dry BUT inner moisture
ICM
which one of the 4 imbalances (Jeremy ross)disturbance (calm) + stagnation (move)

Qi stagnation ginger (disperses Qi)

HT spirit disturbance (?)signs:palpitations, insomnia, anxiety, trembling, worse with emotional stresslime flower (restlessness,irritability,insomnia,nervousheadaches; hypertension associated with nervous tension)

Oats, 
(palpitations, insomnia, anxiety + depression: Avena+Hypericum, Leonurus+Melissa)

(palpitations, insomnia, anxiety + especially children: Chamomilla+Hyssopus, Nepeta+ Tilia, Nepeta + Passiflora, Passiflora + Tilia)
LR invades ST!!signs: epigastric discomfort, nausea, depression and frustration, tremors, convulsions, white tongue coat, tendency to liver Qi stagnationexplanations: chronic excessive worry and feelings of insecurity, originating from SP Qi Deficiency, can predispose to ST Qi Deficiency, ST Qi Stagnation, and then to LR invades ST

emotions <-->stomach: frustration and supressedanger can result in LR Qi Stagnation which can invade ST, contributing to ST Qi Stagnation
emotional disturbance due to fear, anxiety, or anger, may contribute to ST Qi Stagnation, with epigastric distension, discomfort, or pain
(Liver Wind)signs: tics, tremors, dizziness, irritability, anger, headaches(herb: peppermint (for adverse climate wind))

ST Food retention!signs: sensations of discomfort/distension/fullness in epigastrium, nausea, belching/(burps)!, (sour regurgitation), thick white coat
fullness doesnt match!herbs: Mentha, ginger, rosmarinus(depression)
ST Qi Rebellious!nausea, belcing/burps!, excessive thinking, worry, symptoms related to emotional stress, or to eating while emotional upsetherbs: Mentha, Chamomile, Ginger, citrus  aur, acorus
ST Qi stagnation!!epigastric distension and discomfort or mild to moderate pain, nausea, worry, suppressed anger, frustration, depression; worry, excessive thinking, herbs: fennel, ginger, rosmarinus, mentha, citrus aur., acorus
(ST Yin deficiency?)
Spleen worry!!!digestive disorders that are aggravated by worry, eating disorders, digestive disorders + strong worry or anxiety, digestive disorders, especially nausea + worry or anxiety▪digestive disorders + worry or anxiety + depression, irritable bowel syndrome, obsessive thinking; excessive thinking, especially with no resulting practical action, 
note: pulse doesn´t match


explanation: constitutional tendency toSP Qi Deficiency may contribute to chronic worry and feelings of insecurityanything that causes SP Qi Deficiency, eg.malnutrition and irregular eating habits may contribute to SP Worry, since SP Qi is necessary to provide feelings of security and stability

for persons that worry, physical rest, relaxation, and refreshing sleep are essential ▪it is necessary for these persons to learn one or more of the following: breathing techniques, Qi Gong, positive affirmation exercises, and appropriate meditation techniques; for the morning, when there is acute worry, and before bedherbs:
chamomile,
melissa,
mentha,
rosmarinus(depression),
avena,


(spleen Qi deficiency)
gas, farting explanation: as signs that the body’s “Qi” (energy/function) is not moving smoothly through the digestive system. TCM doesn’t view gas as a disease by itself — it’s considered a symptom pattern that points to imbalance in organs like the Spleen, Stomach, Liver, or intestines.



SI Qi stagnation!!!flatulance!!!, abdominal discomfort and mild pain, maybe white coat, emotional & mind fitsherbs: fennel, rosmarinus, acornus, chamomila, citrus aur., mentha
large intestine dryness!! <- -> dryness skin, mouth, throat
herbs: Althaea, Glycyrrhiza, Plantago, psyllium seeds
LI Qi stagnation constipation, maybe with stools in small bits, maybe worry/depression/frustration/anger, maybe white coat, mental obstruction with thoughts not flowing, Are these symptoms worse with emotional blockage such as grief, sadness, depression, frustration, or suppressed anger?herbs: fennel, ginger

anxiolytic + anti-emeticfor nausea or vomiting + nervous tension; eg. Ballota, ChamomillaBallota: (calm Stomach Rebellious Qi, calm Heart Spirit Disturbance)Rita has Ballota!

pain legblood.& Qi stagnation in channels ? 
skin= channel!!!
heat in channels? ( red rashes with dryness) herb:
echinacea tincture (cooling, anti-inflammatory, antimicrobial)(for purulent conditions!!)

(smilax 4??)
phytolocca: cooling, scaly skin (schuppig), skin boils,acne, chronic dermatitis, (KONTRAINDICATION)
heat in channelsherbs: local skin redness, swelling, and discomfort or pain, maybe dryness; + general: Aesculus, Calendula, Galium, Mahonia, Rumex, Smilax, Urticaleaf

local skin redness, swelling, and discomfort or pain, maybe dryness; + especially dryness: Althaea, Stellaria, Violatri.

(CAVE if stomach pain SI Qi Stagnation)


hepatic weakness??


tongue
shrunken, dry, parched (depleted moisture)


root organ networks

spleen
liver
liver (tense, irritable, indecisive)kelsey book 
heart (easy flushing, insomnia, palpitations)kelsey book 
spleen (worried, obsessive, poor digestion with gas, bloating)



Th
supporting her with symptoms, with all the chinese syndroms that match
+
also supporting Ria´s root dia - the damp heat

herbs
lime flowers (palpitations + insomnia + anxiety)
marshmallow root
ginger
fennel seeds
liquorice 
calendula (also internal) (detox, lymphatic, anti-inflammatory)
oats- oat straw (palpitations, insomnia, anxiety + depression)
sweet and moisturizing tea: fennel seeds and liquorice root

something to consolidate moisture (but also adding something that will disperse moisture)
CitrusThe flowers, leaves, or fruit can be used as a gentle sedative for nervous restlessness and disturbed sleep.

Usedasastimulatingaromatictonicthatwarmsthestomach, improves appetite and digestion, and relieves flatulence.


tonify and regulate Stomach Qi, regulate Spleen Qi and IntestinesQi, regulate Liver invasion of Spleen, Stomach, and Intestines(bitter digestive tonic, carminative, spasmolytic, cholagogue)


Carminative, aromatic tonic 
ginger (carminative + anti-emetic)
mentha (carminative + anti-emetic + depression)
nutrition
soaking oats overnight before cooking
honey (moisturizing)
try stop drinking oat milk - often more gas

avoid inflammatory AND foods that accumulated dampness - like bread, milk products(yoghurt and cheese),
avoid sweet sticky food

cooling + dry foods are okay. 


regular mealtimes very important (for spleen & stomach Qi)
radishkelsey bookdecongests Qi
celery, parsleydecongest moisture

mushrooms

externalcalendula skin oil
honey + chamomile mask

othersgood vit D
payment:

750dkk for 2 hours
100 dkk for limeflower and marshmallow tea





next session:
tell her that what long term/several sessions would like like each session would contain one elementemotions
mind (letting go technique, getting out of a loop)
deepening body sensibility (to connect with your signs, to feel your body more from within, so you have a stronger connection to it, eg to the stomach, to the leg; working on not being afraid of the dizziness and leg pain, working on fear that something happens again, working on anxiety/vorerwartung of symptoms)


skin sensual, how to make skin wash + mask. 




can make you a skin oil (with moisturizing, anti-inflammatory herbs)
say it doesn´t do anything if you go to someone else with what I said - always about the way a person/herbalist thinks
doesnt make sense to go to so many different people, better one person who works on several levels


TO DO questions:

any reoccuring itching/infection in genital area? (UT symptoms ICM)
do you tend to have fever?
to do urine

is the skin itchy?

epigastric fullness?








other options:
Blood Heat
red, dry itchy skinHeat in channelsskin

HT blood deficiency

HT Qi Deficiencypalpitations

HT Qi Disturbancefluctations in blood pressure, body temperature
HT Yang or Yin deficiency palpitations

Liver cold invasionthick white tongue coat
Liver Qi stagnation

LR GB Qi Deficiency
LR Yang Hyperactivity


Liver Windtics, tremors, convulsions
LR Yin Deficiency

from Rita:

dioscoa
dried ginger

next session:

the “translation”1 hour50 euros
herb costs