Complaints: Some esophageal herniation even after a surgical correction. As needed, he was taking proton inhibitor to control acid. Frequent burping. Heart burn with egg whites, pasta, and stress.
Acupuncture: Right-side Yin Horary points in Wood Order of LR1, HT8, SP3, LU8, and KD10. Herbal formula Bu Zhong Yi Qi Tang (Huang Qi, Bai Zhu, Dang Gui, Chen Pi, Huo Xiang, Zi Su Ye, Zhi Gan Cao, Sheng Jiang, and Da Zao) for a constitution with Lesser Yin and Greater Yin combination (aka Kapha in Ayurveda, Cold-Dry Melancholic in Unani, and Soeumin in Korean Sasang).
Treatment process: This patient had 8 visits in 3 months. Initially, acupuncture twice a week and gradually tapered down as symptoms improved. The GERD had lessened weekly. By the end of three months, symptoms were mostly gone. He hardly needed antacid, even after eating aggravating foods and stress.
Discussion: Cold body types have the more incidences of digestive tract diseases. And they do not do well with eggs and gluten. Huang Qi is good for prolapse and hernia. Digestive herbs such as Bai Zhu and Huo Xiang help to regulate acid reflux. Being young, this patient had a higher potential for improvement. From a highly educated and science-oriented family, this patient was pleasantly surprised with such a dramatic and quick improvement.