His tongue was pale pink, pulses were wiry & stronger on the right side, his pads were dry & cracked & he was reactive to palpation along his lumbar paraspinals. I started treated him for a Kidney Qi deficiency and the first night after treatment he slept for 5 hours.
Over the past few months he has been showing more signs of Liver imbalance so I've adding more Liver points and he was continuing to improve in that there were no accidents, he was able to urinate w/o straining and he was only waking them up once during the night to go outside.
At the end of January, he started to decline again. A UTI was found by UA & he was started on antibiotics but he is now back to where he was last August. At his last visit he seemed to match the Stagnation Dribbling pattern so I added LIV 2, LIV 3 & wei-jian. He went home & slept through the night.
His UA still shows blood so the plan is to repeat imaging. I feel like I'm missing something. Should I look for another underlying pattern? As far as herbs, should I add a Liver tonic &/or Kidney support?
Thanks!