I have a fertility patient that I can't figure out.  She has a bloated abdomen which feels like a balloon.  She denies feeling bloated.  The other noteworthy symptoms are:  hormonal acne, alpha thalassemia, iron deficiency anemia, a flat-demeanor (not unkind, but kind of dense like, hard to read, flat effect).  She walks very delicately with small steps but she has a inverted triangle morphology with a broad upper back and shoulders.   

She has responded well to GB+, UB+, LU+.  I can't tell if she is LV excess or SJ excess with her demeanor and dark eyes.  Her feet are slightly cold.

I have tried many things, including P+ which delayed her period, but I can't seem to deflate her abdomen.  I am very curious about this.  What would you suggest?

The other question is:  for patients with thalassemia or anemia, would it automatically point you to supplement LV or SI to build blood?