Volume 1 Issue 6 - December 2006

by Attilio D'Alberto

Male, 62, unemployed.

Main complaint(s)

Addition to alcohol for 40+ years. Psoriasis for ten years.

Signs and symptoms

The patient suffers from the shakes, pins and needles, irritability and dizziness if he doesn’t drink. The psoriasis is dry, red, flaky, slightly scaly and itchy. It is present on the scalp, right and left leg and buttocks. It is worse on the right leg. He sweats in the day and at night, feels hot and never cold and has a lack of energy throughout the day. He has insomnia, needs to drink alcohol to sleep, but has no dreams. He has a poor appetite and slight tinnitus. He has occasional shortness of breath and coughs up sputum that is thick, yellow and copious. His bowels are loose everyday. He wakes to urinate at night and is irritable and sometimes depressed. Tongue: red body, red tip with a thick yellow coating and teeth marks. Pulse: left side; forceful, slippery and wiry, right side; forceful and wiry.