Thank you for this question Barbara, this subject needed clarifying indeed, we had a little discussion with Joan about it.
In cases like this, it is best to treat the Stomach directly.
This treatment should be understood as support rather than correction. A helpful analogy is that of a cyclist riding against a strong wind for a long time who simply needs a push to keep moving. Only later do we begin to balance things more deeply.
If we take a more complex approach too early, we may risk further depleting Qi that is already exhausted. It is similar to someone who has not eaten for a long time — the first step is simply to offer gentle nourishment.
By supporting the Stomach Qi, we often see the other Qi begin to regenerate. It is actually quite rewarding to observe this process. Once this initial support has taken effect, additional points can be added if necessary — but it is usually better to wait until the next treatment.
In most cases, the Stomach is the “last of the Mohicans”, and its pulse may sometimes even appear excessive. In treatment it is best to keep things simple and direct, using points such as ST36, ST42, ST30, or BL21.