The snoring trouble of a 20 years old beauty, a medical case of Chinese medicine not dealing with snoring, but snoring was healed naturally.

by with No Comment Medical case study

Snoring is a condition in which the loudness of snoring increases more than 60dB after the patient is asleep, which hinders the gas exchange during normal breathing. Generally speaking, it has no great impact on the body, but about 5% of snoring patients also have different degrees of breath-holding phenomenon during sleep, called obstructive sleep apnea syndrome, which can lead to different degrees of hypoxia, and over time, it will cause hormone secretion dysfunction in the human body, thus causing damage to a variety of systems and tissues and organs; causing serious lack of oxygen to the brain and blood, forming hypoxemia and damaging the cardiovascular system. It can cause hypertension, coronary heart disease, cerebral infarction, heart rate disorder, myocardial infarction, angina pectoris, stroke, sexual dysfunction, etc. Serious cases can lead to sudden death at night. Snoring in children can affect physical and intellectual development. (The above is extracted from Baidu Encyclopedia)

 

For Chinese medicine, snoring is a side symptom, not a main symptom, so it is usually not used as the main basis for prescription when differentiating symptoms.

 

On February 7, 2022, a classmate studying TCM together in a WeChat group said that she recently visited a friend’s and was embarrassed by complaints of severe snoring in her sleep at night.

 

On February 9, she said she was again complained by her sister about snoring all night until she woke up in the morning, and it was not 2 minutes after she got into bed, the snoring was up.

 

Usually in people’s imagination, snoring is the exclusive problem of the fat middle-aged man, but it’ s a young beauty who snores too. She said she was sleeping alone before, so she didn’t know she had this problem. Now it’s affecting family and friends, so she’s seeking Chinese medicine to see how to treat it.

 

In the group, several students said they also snore, and all of them are girls, so it seems that snoring is really not the patent of men.

After studying Chinese medicine, this student also wanted to use Chinese medicine to try to treat it, and gave herself Han Xia Hou Po Tang. After drinking a dose, she felt that her nose was more blocked. The snoring sound was really loud when sheI tested it with the instrument.

 

She had no choice but to consult me, and after I interviewed her by video, I collected her symptoms.

Fear of cold

A little tiredness in the neck and back

Occasional coughing

Runny nose

Stuffy nose, no smell, can’t even smell the strong medicinal smell of the decoction of Chinese medicine, can barely smell a little vinegar only when she opens the lid of vinegar

keep spitting up at night

Feeling bloated and uncomfortable in stomach since morning

Feet are slightly cold

Tongue light red, fat, white smooth tongue coating, tongue moist and dripping

No pulse taking

 

She was diagnosed as Taiyang syndrome with fluid-retention in the body caused by external cold. She was prescribed 3 doses of medicine.

 

This girl likes to procrastinate and never went to buy the medicine after the prescription, while another patient who was interviewed on the same day had already given feedback that they were well, but she hadn’t taken the medicine yet! It seems that snoring is painful for others and not for herself. If she was the one who couldn’t sleep, I guess she would have gone to get the medicine the same day.

I urged her a few times, and scared her that I would not treat her if she didn’t listen to me, and then she went to get the medicine. Luckily, after taking 3 doses, the feedback came back that the symptoms were much better on the night of February 14, and the snoring was much reduced. She has the instrument test, before and after data comparison.

 

This is Chinese medicine, grasping the main symptoms, not treating snoring while it is healed natrually. This is the basic skill that must be mastered in learning TCM: to grasp the main symptoms from many symptoms, and only then can the prescription be energy-efficient enough.

Do you, a TCM enthusiast, know what I have prescribed based on the above symptoms and identification? Welcome to leave your comments in the comment section, think more and make more progress!

 

 

The way to deal with a gout patient who doesn’t trust TCM is to leave him in pain for two more days and then conquer him with one dose!

by with No Comment Medical case study中医诊断医案讨论

Gout man who doesn’t trust Chinese medicine

 

On May 9, 2021, a student from Fuzhou, Fujian Province, approached me, saying that her husband felt painful when pressing in the liver meridian’s Ligou point on his foot for a few days, and she had learned acupuncture and wanted to try acupuncture.

 

After she had placed acupuncture needles on several points, the femoral head was sore, more soreness and less pain, and her husband would wake up at 2 pm with soreness and pain. Firstly the bone next to the Gb 30 point and the groin to the knee, then the right knee to the buttock (the buttock bone was sore), and even the middle bone of the buttock was sore, and the knee was cold and sore.

 

Her husband did not believe that Chinese medicine could treat the problem and insisted on going to the hospital for a CT scan, where the surgeon diagnosed the cause as drinking too much and walking too much,who drinks a glass of liquor at night and walks about 20,000 steps, and gave him antibiotics to fight inflammation and osteotriol for osteoporosis.

…… I said, let him go to the hospital doctor to cure it, the pain is not on me anyway. I insist on the principle of “doctor does not knock at the door of patients”, I insist on not to treat people who do not believe in Chinese medicine, and not to treat people who do not trust me, as long as they show a little bit of distrust I am determined not to take action, not to waste each other’s precious time, so I do not worry about it.

 

On May 12, I went to Shanghai to attend an exhibition. The learner said her husband had done acupuncture in the hospital, but he was still in pain and had difficulty walking. The learner sent me the questionnaire and the situation, hoping that I would treat him with classic Chinese medicine.

 

I briefly asked about the symptoms and quickly determined that it was a combination of dampness in the kidneys and wind-cold dampness in the extremities. Due to the tight schedule in Shanghai, I did not issue a prescription. At the same time, I thought that since the patient did not believe in Chinese medicine, I would leave him in pain for two more days.

 

On May 14,the learner again urged, said her husband’s feet have been sore and uncomfortable, was to go to the customer’s home to measure the size to customize the bathroom, could not go and have her go. In the evening back to the hotel diagnosed by video chat with them and then prescribed.

 

She went to fill the prescription first thing in the morning on the 15th, saying her husband had been in pain all night and couldn’t hit the ground.

 

Fortunately, the first dose resulted in good feedback, and by the third dose he was able to walk easily. The prescription was adjusted back and forth twice.

 

After this biting pain, I guess this man who doesn’t believe in TCM can understand that TCM can cure the disease.Today the learner joked in the group that her husband drinks every day, saying with Master Guo,he fears no gout!

Do you, the Chinese medicine enthusiast, know what I prescribed? Welcome to leave a message in the comments section, more thinking, progress more!

Two treatments for kidney stones, TCM can easily and painlessly expel 5 mm kidney stones without surgery!

by with No Comment Medical case study

Kidney stone of a schoolmate

In 2019, a high school alumnus’ schoolmate contacted me and said that he had a kidney stone attack. He complained of this problem for years and only recently had pain. Asked me whether it is better to see a Chinese medical doctor or a Western medical doctor.

Ten years ago, he took Chinese medicine prescribed by an old Chinese medical doctor at the Chi Fu Hospital for a few months with little change. Later, the Western doctor who conducted the physical examination said that the stones were not large enough to require medication, while the kidney cysts could not be eliminated by taking any medicine.

I was studying TCM that time and had already cured several cases of kidney stones, including my mother-in-law, so I felt a bit lost and said with conviction that you should take the 14 doses I prescribed and then go for ultrasound, and guaranteed the stones would be discharged from the body.

 

I have not failed before, but this time I was quickly smacked in the face, after taking the medicine, nothing changed in the patient! Schoolmate reassured me, at least no more pain, forget about it first ……

This case has been hanging in my heart, I constantly reflect on where I did not do well.

Some time ago, we discussed the treatment of kidney stones in Wechat group of people who were studying TCM together, and Ah Bao said, “Has anyone really seen with their own eyes that stones can be discharged with Zhuling Tang? For example, kidney stones, if you have seen it, you should promote it, you know how many people suffer from stones every year? The pain is worse than death! There is no way to get rid of stones in the kidney that are more than 5 mm in size! There is no such a large physiological channel, unless the medicine can make the stone broken or melted. Its very very hard to to make the stone broken or melted by drinking Chinese Medicine, and people who have this ability can really earn big money  lying down! Hurry up and launch it for the benefit of patients!

This again stung the nerve of my once failed kidney stone treatment, I reflected on it and said: I can accept the challenge! But I have to diagnose in person, I dare not guarantee 100% success, at least 60% sure.

 

It was really a coincidence that at the end of 2021,the schoolmate who failed to expel the stone last time reached me again and said the stone was bigger than ever before.

To be on the safe side I said I would see him in person, and when I pressed the point of kidney stone with my hand, I was surprised that there was not much reaction! He felt only a little bit sore and I finally understood the reason why I missed the last time.

 

After taking the pulse, the ulnar pulse was sunken and thin, the left Cun pulse was weak, his back was cold, and the Ju Que point was painful to press. I prescribed two prescriptions in rotation.

After 2weeks,I received feedback from schoolmate that the kidney stones were gone. He used seven doses of each of the two prescriptions altogether. The cost is cheaper than laser lithotripsy, and surprisingly, the stone removal is senseless and painless!

Western medical examination can only be a reference, I suggest to have another face-to-face consultation, after which I will decide whether to continue to take the medicine for a period of time. Because he has gone back to his home town, he will come back in the Spring of 2022 for another consultation.

For you, TCM enthusiasts, do you know what I have prescribed? Welcome to leave a message in the comments section, think more, progress more!

Thyroid tumor-before.

The story of a thyroid tumor patient treated with Chinese medicine

by with No Comment Medical case study

This is the story of a thyroid tumor patient’s self-reported TCM treatment.

 

On November 7, 2021, when I was washing up in the morning, I found a protruding piece on the left side of my neck, and I felt a foreign body when I pressed it with my hand, which was round, smooth and hard. I personally suspected a thyroid nodule mass, because I had been thinking too much and staying up late with anger continuously some time ago.

 

The symptoms are as follows.
Foreign body feeling in the throat, can’t swallow, can’t spit out, this symptom has been intermittent for three years, although not serious, but stretched. Belching often, fear of cold in the stomach and spleen, cold hands and feet, moodiness, and a very low menstrual flow in November.

Thyroid tumor-before.

Thyroid tumor-before.

So I prescribed myself Six Jun Zi Tang plus Ban Xia Hou Po Tang with Cat’s Claw Herb and Xia Ku Cao. The doctor said it was suspected to be a thyroid nodule and asked me to go to the hospital to have an ultrasound done to confirm it. I didn’t have an ultrasound done because I was already sure it was this disease and didn’t think it was necessary to have an ultrasound done because ultrasound is only used for diagnosis.

I just picked up the herbs at Tong Ren Tang, and after a few days of drinking this formula, the symptoms of cold and fire appeared, so I temporarily stopped taking the medicine. After a few days, I took it again, and this time I drank it for 3-4 days, but I had a cold and fire again, so I had to stop taking it again, thinking it was not right.

I found that the lump on the left side of my neck was getting bigger and harder, and it looked very obvious by naked eyes, because I only learned 20 lessons from the Yellow Emperor’s Classic of Internal Medicine in my course, so I was not knowledgeable about the prescriptions, medicinal properties and dosage, and I only knew that acupuncture could also treat it, but some points were inconvenient for me to put needles on myself, and some points were too scared to acupuncture so I gave up the idea of acupuncture.

On December 8, I sought the help of Master Guo and described my previous prescriptions and symptoms one by one, the specific symptoms are as follows.
There is a lump on the left side of the neck, sized like a walnut, sore and swollen when pressed, moving up and down when swallowing, touching it hard, feeling something blocked in the throat.

Tongue coating: yellow in the morning and white during the day.

Appetite is not good, night sweats are severe, and there are green veins on the legs.

I feel that my voice is more hoarse than before, with cold symptoms, fear of wind, clear and yellow nasal discharge and sneezing.

Sometimes the heart will thump a few times, easily irritable and irritable, belching, dry mouth and bitter mouth.

Bad sleep, dreaming a lot, dreaming of being chased, running, and climbing uphill… waking up very tired.

Right abdomen is feeling something hard, I personally feel it like a cluster of gas.

Eyes are easily sore and blurred.

Master Guo diagnosed the symptoms and gave me a prescription for 7 doses. I went to get the medicine that day and boiled it in a casserole. I had one bowel movement after 11:30 pm, a watery stool, and my stomach was not uncomfortable. After that, I went to bed and slept well that night, my night sweats were much reduced, I don’t remember if I dreamed or not, and my dry mouth and bitterness were much reduced the next morning.

 

After 7 doses of medicine, the lump on the left side of the neck was much smaller, about two-thirds of it had disappeared, sleep was normal at night, fear of wind was reduced, night sweats did not occur, the right abdomen became softer (I felt that my stomach had never been so soft), but there was still phlegm stuck, sometimes it could be vomited out, sometimes it could not, loose stools, poor appetite, easily sleepy, poor mental state.

 

Master Guo adjusted the prescription and used 5 doses.

After 5 doses of medicine, the appetite returned to normal, the lump could not be seen from the outside and became very small, about the size of peanut rice when touched by hand, the night sweats were completely gone, the sleep was normal, the mental state returned to normal, the blurred eyes and the acidity disappeared, but the tiredness and pain in the calf belly were still present when waking up.

The prescription was adjusted by Master Guo, and 7 doses were used.

This time, after a delay of three or four days for some reasons, I stopped taking the medicine for more than 10 days due to the onset of menstruation, and finished the 7 doses of medicine on January 14, and the lump on the left side of the neck was only a little bit left, which could not be touched without careful touching, but could be touched about the size of a green bean by careful touching, along with the white phlegm spitting out, and felt that the green bean-sized lump was slowly decreasing, and at present, except for the tiredness and swelling of the calf belly after waking up and having phlegm spitting out, there was no more discomfort.

 

Finally, I was given a prescription to solve the calf and knee problem by Master Guo, with 5 doses, and I will give feedback after I finish the medicine.

Though: I was ill this time, I was fortunate to have gained something from it. In the past, I would have been apprehensive and scared, but not this time, because I was sure that Chinese medicine could solve my problems.

 

During this period, my husband has always been supportive of my choice and did not say anything about going to the hospital for examination and treatment or surgery, because he understands that the first solution that the hospital provides is removal.

 

I was fortunate to meet Master Guo, who had a clear idea of diagnosis and precise medication, and gave me great confidence and courage during the treatment.I truly felt that TCM is not a slow doctor, as long as the diagnosis is correct, the treatment is very fast.

 

I’m grateful to have met TCM, and grateful to have met Master Guo. At the same time, because of my lazy learning, I’ve just started to catch up with the progress of the Yellow Emperor’s Classic of Internal Medicine in the past few days, but my own illness has laid a solid foundation for me to learn TCM.

 

As for you, TCM enthusiasts, how do you prescribe a prescription based on the symptoms described by the patient? Welcome to leave a message in the comments section, more thinking, more progress.

Inspecition,the highest level of diagnosis in Chinese medicine, inspect and know is called God!

by with No Comment TCM Diagnosis

Inspection Diagnosis

 

The inspection diagnosis includes the complexion and morphology, but the focus is on the diagnosis of complexion and tongue. At the beginning of clinical practice, I often think that inquiring is the first of the four diagnoses, not able to understand the essence of diagnosis by inspection, but after a long period of practice, I can gradually understand the true meaning of “inspect and know is called God”, and the revelation of  “five complexions  diagnosis of ” is better than the appearance, the shape, and the motion.

 

1. Complexions diagnosis

Complexions Diagnostic is also called “five-complexion diagnosis”. The main focus is to observe the complexion of the face, and other parts of the body can also be analogous. Observation of facial complexion can measure the vitality of the viscera and blood, because the 12 meridians and blood are injected into the face, and there are corresponding changes under the disease.

 

Regardless of the five complexions, the common basic feature to distinguish the positive from the negative is that the positive is bright and terma, while the negative is obscure and exposed. At the same time, it also further relates to the eight levels of diagnosis to grasp the different nature of the lesions. For example, if the face is red, the redness on eyes and face indicates excesssive, and the redness on cheeks indicates deficiency; if the face is greenish, the pale face indicates cold, and the redness on face indicates heat. The Su Wen – Five Organs Generation Chapter determines the good and bad fortune of the patient according to the complexion of the face, pointing out that “those who are as green as the emerald feather can be saved, those who are as red as the crown of a chicken can be saved, those who are as yellow as the belly of a crab can be saved, those who are as white as the paste of a wild boar can be saved, and those who are as black as the feathers of a bird can be saved”; “those who are as green as the straw can not be saved, those who are as yellow as the hedgehog can not be saved, those who are as black as the coal can not be saved, those who are as red as the blood of a squid can not be saved, and those who are as white as the dry bones can not be saved.

 

The specific methods of the five organs in the corresponding parts in the face from the Nei Jing can be found in Su Wen – Theory of Stabbing Heat, which uses the forehead for the heart, the nose for the spleen, the left cheek for the liver, the right cheek for the lung, and the chin for the kidney. It is simpler than the “Ling Shu – Five Complexions” method.

 

Inspection of the eyes is an important aspect when inspecting the face. It is important to see whether the eyes are bright or dark, and to pay attention to their pathological characteristics. The floating eye cell is caused by wind or spleen deficiency and dampness, the swollen eye is caused by liver fire and phlegm stasis, the oblique view is caused by wind and fire, the straight view and upward view is caused by phlegm and stasis clouding the mind, the unequal pupil size on both sides is caused by water stasis in the skull and brain, the greenish eye and flexible vision is caused by liver exuberance, the red blood filled eye is caused by fire in the heart and liver, the deep yellow eye is caused by damp and heat in the liver and gallbladder, the pale white eye and face is caused by blood deficiency, the dark eye orbit is caused by phlegm stasis and kidney deficiency. If there are yellow spots in the eyes, it is due to phlegm and stagnation.

 

2. Tongue Diagnosis

Tongue diagnosis is mainly to observe the texture, coating, shape and dryness of the tongue.

 

As the veins of the five organs are all connected to the tongue, depending on the transmission of Qi, blood and fluids, so through tongue diagnosis we can observe the deficiency and excess of the internal organs to which the lesion belongs, the surplus and deficit of Qi and blood, the nature and depth of the disease.

 

We should pay attention to the color of the coating and the changes in the texture of the tongue. A light red tongue is normal; a light white tongue indicates deficiency of qi and blood; a red-red tongue indicates heat and yin; a blue-violet tongue indicates blood stasis.

 

Color of coating of tongue can be white, yellow or grayish black. White coating of tongue is mainly for exterior and cold, thin white and moist for normal people, thin white and dry for fluid deficiency exterior, thin white and slippery for cold and damp, thick white for dampness, phlegm and food accumulation. and rotten coating of tongue for dampness and heat and filthy turbidity up steaming.

 

Yellow coating is mainly for interior and heat, thin yellow for the evil heat is not yet strong, starting to spread into the interior; yellow greasy for damp heat or food accumulation of heat; yellow and sticky for dampness, phlegm and heat gum; yellow and dry, even burnt yellow for dry heat damage to fluids; light yellow and lubricant, mostly for dampness and phlegm aggregation.

 

If the coating is gray and black, a dry coating is mainly heat and a moist coating is mainly cold; a white, greasy, gray and black coating with a moist tongue is Yang deficiency and cold dampness and phlegm; a yellow, greasy, gray and black coating is dampness and heat for a long time,while a burnt, black and dry coating is heat and drained fluid.

 

At the same time, the dryness and moistness of the coating should be observed in order to know the excess and deficit of fluid in the body and its distribution.

 

① According to the external influenza and internal injuries, respectively, grasp the focus.
External acute fever: emphasis on the observation of the coating of the tongue, in order to understand the nature of the disease, hot and cold, and the progress and decline of the evil.
Internal injury chronic miscellaneous diseases: emphasis on the observation of tongue texture, in order to understand the deficiency or excess of qi and blood in the internal organs, the characteristics of the symptoms and the attributes of the disease mechanism

 

②The same coating of the tongue, in terms of the deficiency and excess, heat and cold, there is a difference between the lightness and the depth, for example: white greasy tongue is cold and damp, but the degree of white greasy varies greatly, we must judge the lightness of the dampness; the same yellow greasy tongue, the disease is damp-heat, but deep yellow thick greasy for deep damp-heat interior, the central accumulation of rotting is damp-heat and stagnant, if dry and less fluid, there is an opportunity to hurt Yin.

 

③ distinguish the true and false attributes of the disease mechanism: the same black coating, if black and lubricating, is the strong Yin cold interior, with the trend of exceeding water transforming to fire; if black and dry and cracked with thorns, it is the evidence of extreme heat.

 

④ Pay attention to the mixed pathogenesis: If the tongue is yellow and white, it is mostly mixed with cold and heat, or the warm evil is transmitted from the exterior to the interior. If the texture of the tongue is light and less fluid, it is mostly a sign of deficiency of Qi and Yin.

 

⑤ identification of the correspondence of five organs in the tongue: “Bi Hua Yi Jing” said that “the tip of the tongue is for heart, the middle of the tongue is for spleen and stomach, the edge of the tongue is for liver and gallbladder, and the root of the tongue is for kidney”. This can be for your reference in diagnosis.

 

The tongue is closely related to the heart and stomach pathology, because the tongue is the seedling of the heart, the color and texture of the tip of the tongue can mostly show the pathology of the heart meridian; the tongue is the gastroscope, the tongue coating is produced by the steam of the spleen and stomach, the color and texture of the coating can mostly show the pathology of the spleen and stomach.

 

Observation of tongue shape is also an important part. The old and young are observed to identify evil or deficiency; the fat and thin are seen to identify yang deficiency, dampness or deficiency of yin and blood; the tongue with cracks is for the loss of essence and blood and yin and fluid; the “Strawberry like” tongue is for the heat of the internal organs, and the tooth marks on the tongue are for the deficiency of yang and dampness interior. Atrophy of the tongue is extreme heat and yin damaged, and prolonged atrophy is deficiency of qi and blood; Stiff tongue is heat and yin damage, or wind and phlegm blocking the veins; Crooked tongue is internal wind and phlegm, and stasis blocking the veins; Curled tongue is cold and dense, or phlegm blocking the root of the tongue, or heat damages fluids; Coarse swelling and bruising of the veins under the tongue is blood stasis.

 

tongue diagnosis

Uterine masses, menstrual stagnation and abdominal pain, no need for surgery, TCM can be effective in 3 doses on accurate dialectic!

by with No Comment Medical case study

Case of uterine mass, menstrual stagnation and abdominal pain

Ten days ago, I suddenly received a request for help from a friend in Shandong province on Wechat, complaining of stomach pain and menstruation at the same time, which was black and dirty and still dirty at the end. She had not eaten for several days, only congee, no appetite, feeling bitter in the mouth, stomach pain involving the pain round the waist. Its like a wave which is quiet normally, when seizure will be in pain from light to heavy then to light.

 

She asked if she could take any Chinese medicine. I didn’t know her situation well enough to give any advice, so I refused at that time.

 

She then went to the hospital to see her doctor, who asked her to be hospitalized for a detailed examination before making further treatment plans. After examination, it was found that there was a 5.7*4.6 mass in her uterus and the ultrasound showed a smooth edge of that mass.

 

The doctor recommended an immediate surgery, but as the fever had been persistent, the inflammation needed to clear before surgery could be performed. The patient was allergic to the antibiotic cephalosporin and was given levofloxacin infusion for three consecutive days, which did not reduce the fever. The fever was usually in the afternoon, 37-38°C.

 

She expressed that she sweats easily on her chest, sweats on her upper body when she has fever. She has no appetite, her stomach hurts, her belly is so tight that it hurts when she tugs on her clothes, she is more comfortable when she lies down, but it hurts badly when she stands, and her right breast hurts a little occasionally.

 

After a week of examination and infusion in the hospital, the patient was still not well and was so upset that she didn’t want to have surgery, so the doctor could only discharge the patient to go home for three days and then follow up.

 

In WeChat messaging with me are crying, feel so helpless, too much pain feel very uncomfortable, she are ready to die, and said to her husband if she died, he can marry again, as long as her children are raised well. She told me to help her no matter what.

 

I asked her to send me the Ten Inquiries of Chinese Medicine, a photo of her tongue, and a small video briefly describing her condition.

tongue diagnosis

tongue diagnosis

tongue diagnosis

tongue diagnosis

I. Sleep
Will wake up several times at irregular times
II. Appetite
No appetite
III. Stool
Loose stools, unformed, about twice a day
IV. Urine
Yellow color
V. Sweating
Easily sweat on the chest, sweat on the upper body when fever
Sixth, thirst
Sometimes thirsty and want to drink hot water
Seven, the temperature of the feet
Warm

Eight, the body’s hot or cold when sleeping
A bit cold
IX. Menstruation
Normal menstruation, occasional menstrual pain, there will be blood clots
X. Physical strength
No energy

I wrote a prescription and told her to soak the medicine in a small cup of wine and water for 20 minutes and then boil it for 40 minutes, with one of the medicines, mannitol, to be added when drinking every bowl of the medicine.

 

She may have diarrhea after taking the medicine, but don’t worry. If three doses are not effective, seek another highly skilled doctor.

 

She gave feedback after taking the medicine: when she drank the first bowl, the medicine was very hard to drink and she wanted to vomit, and by the afternoon she still had a fever, and the strangury hurt two or three times around seven o’clock, but the pain was much less. I instructed her to continue to drink the next two doses.

 

This morning, she asked me if she should continue to drink the medicine since she had finished the three doses, her body temperature had returned to between 36-37℃, her stomach didn’t hurt anymore, she didn’t have to cover her stomach when she went to the bathroom, she could walk more easily, and her appetite had improved. I asked briefly and wrote another prescription to close, and told her to go for an ultrasound after drinking the five doses.

 

Can you, the TCM enthusiast, analyze what I prescribed? Leave a message in the comment section and I will publish the answer subsequently. Thinking is the only way to make progress!

The diagnosis of listening and smelling, how to diagnose the condition by sound and smell?

by with No Comment TCM Diagnosis

Diagnosis by smell&sound

Listening & Smelling diagnosis is a diagnosis method to understand the condition and provide a basis for diagnosis by the sound and smell. Further, listening to the patient’s complaints and understanding his or her suffering is also closely related to the diagnosis of Listening & Smelling.

 

Listening to the voice: If the patient’s voice is hoarse, or he even loses his voice, the sudden onset of violent illness is more likely to be excess syndrome, while the accumulation of long-standing illness is more likely to be deficient, or health qi is deficient while pathogenic qi is excessive . Delirium and wild speech are excessive, and are mostly caused by phlegm and fire-heat stasis; Zheng sound and solitary speech are mostly caused by great injury to heart qi, or qi depression and phlegm obstruction; strong tongue is mostly caused by wind and phlegm obstruction.

 

Hearing breathing: in patients with wheezing and roaring, wheezing is mainly characterized by polypnea, roaring is mainly characterized by phlegm sound in the throat, and roaring must be accompanied by wheezing, while wheezing may not be accompanied by roaring; wheezing and phlegm surge with loud sound and heavy breathing is excessive, wheezing and phlegm sound like snoring, weak breathing, intensified while moving is deficient; short breathing or hard to breathe, low sound hardly to hear, is deficient, different from rapid shortness of breath, the number of breath is not continuous, and the symptoms have the difference of deficiency and excess.

 

Listen to the cough: frequent, violent, paroxysmal, lound sound and shortness of breath, mostly attributed to the excess symdrome of external sensation; the slight intermittent cough, low sound and shortness of breath, mostly attributed to the deficiency symptom of internal injury; in the case of asthma caused by prolonged coughing, then the nighttime coughing continues unabated, while breathing is short, even eructation, belching, sighing, sneezing, intestinal tinnitus

 

Listen to the vomiting: should be distinguished from vomiting when eating, vomiting at night while eating in the morning, vomiting slowly or acutely so as to distinguish the deficiency and excess; Hiccup loudly and frequently is excessive, lowly,weakly and intermittently deficient.

 

Smell the odor: breath comes with sour and rotten odor means gastrointestinal stagnation; putrid smell in the mouth, gum erosion means ulcerative gingivitis; coughing and vomiting fishy pus, blood and phlegm means pulmonary carbuncle; warm-heat disease has bad breath or sweat odor for epidemic poisoning; the body has corpse odor means the danger of organism failure, etc. In combination with the identification of disease, we need to pay attention to urine odor in the mouth of uremia, liver coma liver odor, diabetic ketosis rotten apple smell, coughing and vomiting blood patients with the smell of blood.

A serious disease that western medicine believed may become sepsis, Traditional Chinese Medicine classical formula cured 80% with a dose!

by with No Comment Medical case study

Sifu’s illness (taken from the internet)

In the summer of 2006 I was fortunate enough to attend a course of study run by my teacher. It didn’t take long for the test to come. That winter, one day the master asked me to see him in a hurry. My master was an old monk on the mountain and was usually extremely strict in self-discipline.

 

At that time, I was next to the master when he had an attack. I had just finished my teacher’s course not long ago and did not have much experience with classical fomular yet. I was very nervous because Master’s condition was very dangerous.

 

When Master returned from Myanmar, he had a high fever, severe fever and chills, a heartbeat of over 130, painful untouchable skin, painful swollen joints in the limbs, swollen face, eye droppings, eyes that could not be opened, and small pustules on the skin all over his body.

 

He invited an authority from the Western medicine immunology department to look at the situation and said that the master’s situation was very serious and could lead to sepsis and ulceration of the whole body.

 

I immediately called my teacher, described the master’s symptoms, teacher asked, “Feel to see if the old monk sweat out of the body? Is there nausea and vomiting?”

 

I said: there is a little sweating, no vomiting.

 

Teacher said, “Do not care what Western doctors say the name of the disease, how serious, do not be nervous, its just a small problem to TCM classical formular. A dose of formula with six bowls of water boiled into two bowls, take the first bowl before meal, within three hours if the symptoms go, then stop taking, if the symptoms are still there, then take the second bowl. ”

 

According to my teacher’s instruction, I gave the master a prescription to get the materia medica and decoct, and fed him the first bowl, the symptoms of cold and heat went away 80%, and then took the second bowl, and the cold and heat were eliminated.

 

……… However, because I was too nervous, I made a mistake in the first dose on ephedra as 25 grams, the same as the Cinnamon Twig.  As a result, the master’s condition improved very significantly, but his lips got dry and ruptured!

 

I have not yet mastered the classical formula well, so I had to ask my teacher for help again. Teacher asked about the prescription and pointed out that it was because I had reversed the dosage of Ephedra and Cinnamomum that the patient had dry lips, otherwise the patient would have been able to finish the work in one dose.

 

Regarding the master’s severe joint pain, the teacher suggested to add 15 grams of Rhizoma Atractylodis Macrocephalae, 15 grams of Radix Pseudostellariae, and 25 grams of Divaricate Saposhnikovia Root to the original prescription. Before I left, I went to the mountain to visit Master again, and his skin was reborn like a skin change. Master told me that after the first dose, the skin of his toes could be taken out intact like a thumbtack.

 

Once I was introduced to Chinese medicine, I believed that it was very good, and after studying with my teacher I saw even more the power of classical formula. But this time I personally witnessed the miraculous effect of the medicine, it was beyond imagination, and the teacher has not seen the patient since the beginning!

 

Do you want to know how the teacher made the prescription? Welcome Chinese medicine enthusiasts in the comments section to leave your syndrome differentiation and treatment, later teacher’s prescriptions will be published for you to study, by this way you can get faster and greater progress

中医十问

How to make TCM inquiry? There are 10 inquiries you must know!

by with No Comment TCM Diagnosis

中医十问

TCM Inquiry

TCM Inquiry is a method for doctors to understand the state of health and diagnose illnesses through purposeful questioning of patients or companions, and it is one of the important elements of inspection, listening and smelling, inquiry and pulse-taking.
In the Su Wen – Zhengsishilun: If the doctor does not ask patient when and how did the disease begin, if the meals are in order,sleeps well or not,or if he is injured by poison. If the doctor does not know about this first, just take the pulse, what disease can be diagnosed?”

 

the correct method of inquiry can help to make a rapid and accurate diagnosis of the disease.

 

If you don’t know how to do it correctly, you are just like talking as a chicken to a duck, and the patient won’t know what he is talking about.

What is the right way to do the inquiry? Master the following ten questions of Chinese medicine, you will be able to diagnose the patient’s condition.

 

1. Ask about sleep
How is your sleep?
Do you sleep until dawn?
Do you wake up regularly every day?
If so, when do you wake up?
Do you dream a lot?
Normal: sleep until dawn

Excessive or insufficient. Intermittent sleep, unrestful sleep
Hint: The liver does not collect blood or the heart blood is weak, the soul does not return to the heart

Constantly waking up at 1 to 3 o’clock
Hint: Liver Tumor is in the process of forming or has become real

Waking up from 3 to 5 o’clock
Hint: Lung Tumor is in the process of forming or has become real

 

2. Appetite
Do you feel hungry? Do you have the desire to eat any special food or favorite food? Or not hungry, no appetite at all.
Normal: appetite, with a taste for food

Excessive or insufficient.
Excessive
Hint: Heat in the Yang Ming meridian or under the influence of hormonal drugs

No appetite
Hint: damage to the spleen

No taste for food
Hint: damage to the pancreas

3. Stool
Are you constipated? Do you have stool every day? What is the color of your stool? Is it loose? Smelly or odorless?
Normal: daily, formed stool, not soft nor hard

Thin: watery in the middle energizer and intestinal tract
Hard: Yang-ming internal organs are solid
Downward flow of clear grain: spleen Yang deficiency

 

4. Urine
What color is your urine? Do you urinate frequently? Or can’t urinate? Or no urge to urinate? How many times a day on average?
Normal is: light yellow urine
Yellow or dark yellow urine: there is still dry stool in the intestines
Clear, white urine: cold inside, not enough heat in the small intestine

 

5. Ask about thirst
Are you very thirsty? If thirsty, what temperature of water do you want to drink most? If you are not thirsty, do you often forget to drink water? Or no matter how much you drink, you can not quench your thirst?
Normal: Sometimes feel thirsty
Not thirsty: water stops in the upper energizer or there is still unclean food left in the stomach
Thirsty and can’t be quenched by drinking a thousand glasses: Yangming meridian heat or kidney yang deficiency that prevents Lung gold from producing water
Thirsty and want to drink ice water: internal heat
Thirsty, want to drink warm water: cold

 

6. Ask about sweating
Do you sweat easily? Do you have night sweats in the middle of the night? Do you sweat a lot? Or do you hardly sweat?
Normal: sweat easily in the heat or exercise
Excessive sweating: deficiency of surface Yang, unable to protect the surface
No sweating: the heart cannot control five fluids because of the impaired heart function

 

7. Ask about the body is feeling hot or cold when sleeping
normal is: no special feeling.
Cold all over the body: Yang deficiency
hot on top and cold underneath: yin and yang divided
Cold and heat together: Yin and Yang fighting each other
Hot and dry all over the body: Yang does not enter Yin (chronic low fever)

 

8. Temperature of the feet
Do you usually feel very hot or very cold? Are your hands and feet cold?
Normal is: warm
Ice: insufficient heart yang, the heat from heart to the small intestine is insufficient

9、Menstruation -must ask about menstruation for womenIs your menstruation delayed or early every time? Is it painful? Have you ever had a baby?
(Note: Menstruation is the milk, when the heart Yang is not enough, the milk in the lungs can not be all or on time to the uterus and discharge )
Normal is: regular monthly, no discomfort
Premature menstruation: heat in the interior
Delayed menstruation: Cold in the interior
Menstrual pain or clots: cold inside

10、Strength
Are you in good spirits? Or are you tired all the time? When you wake up in the morning, do you feel good? Or are you unable to get up? Can you concentrate? How about the sexual function.
Normal: good physical strength
Poor physical strength: Insufficient heavenly yang so that lung yang cannot reach down to the kidneys. Or Insufficient innate kidney yang. Therefore, feeling fatigue all the time.

 

He who can know Yin and Yang can be a doctor. In the diagnosis and inquiry, the great method of yin and yang is applied at all times to determine the disease.

 

In fact, the ten inquiries in Chinese medicine are to collect the deficiency or excess of yin or yang of the patient, and only when the deficiency or excess of yin or yang is known will there be a direction to prescribe medicine.

 

What can be seen is yin, and what cannot be seen and functional is yang. When yin and yang are in harmony, yang is submerged in yin, so the yang side is cool, such as the back of the hand and forehead, while the yin side is warm, such as the palm of the hand is warm. When yin and yang are out of balance, if yang does not enter yin, the body will feel hot and dry; when yin and yang are in harmony, the body will feel hot on top and cold on the bottom; and when yin and yang are fighting each other, the patient often has the phenomenon of both hot and cold, so from the change of yin and yang, we can also know whether the patient is in the aggravation or decrease stage of the disease.

 

Click on the TCM Diagnosis Inquiry created by Zhengdao TCM to give your body a diagnosis.

How to learn TCM Pulse-taking for Beginners

by with No Comment TCM Diagnosis中医诊断

Pulse-taking

 

In TCM, the diagnosis is based on inspection, listening and smelling, inquiry and pulse-taking. The so-called “pulse-taking” refers to the ancient pulse diagnosis, also known as pulse polpation, and pulse feeling. The formation of the pulse is closely related to the qi and blood of the internal organs, and if the qi and blood of the internal organs are diseased, the operation of the blood vessels will be affected and the pulse will change. Firstly to identify floating and deeping,second deficiency and excess; third length and shortness, fourth slowness and rapidness; fifth to check the pulse shape

 

TCM from ancient times to the present has always attached more importance to the pulse diagnosis, which is the symbol of TCM. Other countries do not have this technique, before the Han Dynasty there has been “pulse diagnosis”, “Kui Du” are the works collecting pulse-taking methodsk. These two books used the nice pulse diagnosis method in three parts of body. And cun pulse-taking method was created by the magpie, has been widely used.

 

1,cun pulse is devided to 3 sections: cun,guan,chi

2, the right hand is a person’s qi part, the left hand is a person’s blood part
The beating of a person’s pulse, the right hand presents the condition of qi and the left hand presents the condition of blood.

3、The correspondence between the three parts of the left and right hand and Five zang-organs and six fu-oragns：
(Qi) Cun of right hand : upper energizer ~ lung (large intestine)
Guan: middle energizer~ spleen (stomach)
Chi: lower energizer ~ kidney (triple energizer, endocrine)
(Blood) Cun of left hand: upper energizer ~ heart (small intestine)
Guan: Middle energizer ~ liver (bile)
Chi: lower energizer ~ kidney (bladder, urinary system)

4, Float,middle and deep. The three degrees of pulse taking force method
Float to take: fingertips, gently pressed against the skin of the pulse above
Middle take: fingertips, press some into the flesh
Deep to take: fingertip, press to the bone to the whole pulse, as if it was pressed off, stick to the bone.

5、The pulse of the four seasons (the unity of heaven and earth)

 

Take the analogy of the natural world: blood vessels are just like rivers,whose flow is like the change in the 4 seasons in the year:

 

In the spring, the snow just meltes, the river begins to trickle inside, the water little by little begins to come out, and then more and more water; in the summer time, the water will be more vigorous; in the autumn time, the level of river begins to lower. In the winter time, the surface of river sometimes freezes, the water is at the bottom.

Spring pulse ~ string pulse, like a string or a water pipe has not been full, so it is relatively thin, but because the water pressure is increasing, so there will be a little tightening,with the feeling of strangulation, just like a string.

Summer pulse ~ flood pulse, the blood flow is relatively large, like the river water flow is more vigorous when there will be a larger pulse. In summer, the pulse will be beating slightly faster, bigger flow feeling.

Autumn pulse ~ floating pulse, blood vessels in the summer has been propped up, but the water begins to lower, so will feel floating outside,while empty inside. Ancient books called this feather pulse, like touching a feather, that is, will get the blood vessels very wide, but press down inside empty, as if this pulse is something floating on top of water

The pulse in winter ~ deep pulse, the cold weather in winter, people’s nutrition is storaged inside, the pulse is sinking down.