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!

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.