Old Mans Blues

Case History Discussion

A man in his 60s developed gout very suddenly and unexpectedly. It was unexpected because he doesn’t drink alcohol and does not have the diet traditionally associated with the condition. He used celery juice, supplements, and paracetamol and, after about a month, was fully recovered. However, he started to develop symptoms of back pain, chest pain, and breathlessness upon exertion. He went to the doctor, and initially, his BP was high, and blood tests showed high acid levels reflecting the gout. But as he started to monitor BP at home, it became clear that it was normal. He probably suffered from “white coat syndrome” at the surgery. The problem persisted with tightness felt around T6 on the back and then pain in the chest. He generally felt stiff, and even one of his hips felt stiff (a new symptom). The problem could have been digestive, but there were no signs of reflux, bad taste, or problems after eating any more than at any other time. It was any exertion that brought it on.

My main thought is that this involves his liver. If there is a problem with the liver, it could lead to the blood acid balance problem, and the physical symptoms of tightness do seem to be more liver-related than heart/lung-related (although he is due for further tests to confirm this). I would initially diagnose this as a version of Liver Qi Stagnation and start working on freeing the liver.

So my points might include:

  • Huatojagi points at T4, 6, 7, 8, 9, and 10 areas.
  • BL 18/19
  • LIV 13/14
  • REN 12 (particularly if the liver is affecting digestion)
  • REN 15
  • GB34 & LIV 3

Massage and/or yoga to free the middle jiao of stagnation.

Dietary advice from a specialist.

Happy to hear your contributions!

Call Us