Tanya

Back in 2010 I started having menstrual problems where I would go for 7 months without a normal period, this got me worried as for us women thats deemed as not normal,so I quickly visited my GP and as per normal tests were done which resulted in been referred to a specialist then I was then  put on a drug called prolactine to help regulate my monthly periods which meant taking half of this tablet every week for the next 3 years to ensure I kept getting my periods, after taking this for so long I wanted a more natural approach,as the weight gain was not fun and the mood swings were crazy as hell.
I set out to find some one who could help me, help myself in a more natural way where my body would eventually work the way it should and not depend on any type of medication. By this time my periods where coming each month but they were not stopping they were going from the normal 4-5 days to a week at the most,and sometimes  a week and a half,and to top it off I had hemroids too which was all tiring my out and making me worry, so I eventually found a herbalist in otahuhu who put me on these herbs that didnt really work they way I thought they would and after been on those  herbs for a month they didn’t really do much to slow the bleeding down or make any other of my symptoms go away,so I sought out to find another herbalist who would give me what I wanted for my body and “waaaaaahlaaah” after doing some research i found ” DR HARRY” and the ” Balance Health Clinic” I quickly made my appointment and visited his clinic.
Dr Harry did a full consultation which even includes your whole lifestyle habits and so on,from the time you enter his clinic DR HARRY makes you feel really confident and calm, as sometimes visiting clinics can be daunting and sometimes scary but I didnt feel any of these  at all. After my examination he advised me on my holistic lifestyle changes which I incoperated into my everyday living which is not even hard and theres not even  much to do its just twicking little things like drink warm water, eat food in warmth, staying warm, not exercise after work but  in the morning, sleeping with the windows closed kind of thing. After just 3 DAYS of been on his herbs and following his simple holistic lifestyle changes the bleeding stopped completely and so did the other symptoms by the end of the week all the uncomfortable feeling in my stomach had gone, no more bloating and the hemroids had completely stopped.
I could not be any more happier with the outcome from just one week, things have improved so much compared to a month ago when I thought there was no way I’d get the natural holistic help I wanted for my body,now I am on to a better, healthier me I have been back  for  a follow up visit, which DR HARRY checked me over again to make sure things are in tact which is what I love about this clinic and Dr Harry, its just like going to see your regular GP only difference is this is  holistic and natural, no chemicals or artifificial synthetic drugs which make your body react, its all natural Chinese herbs which is 100% effective and I  vouche for, without a doubt and above all Dr Harry is affordable his not out to make money of you, his all about helping you and making sure you become a better you.
I would highly reccomend Dr Harry and his clinic to anybody whose looking for a natural holistic way of healing there bodies, his herbs are a 100% effective and totally affordable  too and most of all Dr Harry is all about your well being, your health and improving your life so you can live  life to the fullest .
From a happier healthier female patient
Tanya ( Michele)

How to exercise in a smart way ?


When we talk about exercise, we nearly always refer to physical exercise. People exercise mainly for maintaining or enhancing physical fitness and general health. All kinds of exercises are very popular in New Zealand, including walking, biking, jogging, swimming, fitness classes, and so on. It’s common to believe that exercise can bring a lots of benefits to people, such as controls weight, improves mood, boosts energy, promotes better sleep, reduce risk of heart disease, strengthen lungs and respiratory system, strengthen immune system, reduce stress and depression, improve sleep, provide greater vitality, and so on. Some comment even says that exercise improves nearly all medical conditions in varying degree. But I am afraid this is a dangerous statement, since it might mislead people about the exercises.
There is no doubt at all that the above benefits could be achieved, but we should know that the above benefits only could be achieved if they are conducted in the right way. Quite a number of people doing regular exercises have certain health issues, such as chronic illnesses, frequent injuries, poor immune ability, and so on. What are the reasons behind ? What’s the right way to do it ?how we get the full benefits from exercises, and avoid potential dangerous threats to our health in the meantime ?
According to Traditional Chinese Medicine ( TCM ) theories, human body is a combination of two kinds of energies, those invisible, active and positive energy, named as Yang, those physical, inactive and conservative energy, named as Yin. When the Yin and Yang are in a balanced way, they interact and generate the stable, dynamic and sustainable energy between them, named Middle Qi, which is the root of human vitality. If the Yin and Yang are not balanced, Yin and Yang would be struggling to maintain its balance and fighting each outer, thus the Middle Qi won’t be stable and sustainable, in another word, human health will be in danger. Also, Yin and Yang are interconnected and interdependent each other, take a company for example, Yin is like the saving, Yang is like expenditure. Expending wisely like paying wages for skilled stuff, marketing campaign, buying know how, that can generate more savings, and on the other hand savings can help to build up the source for the expenditure. Virtually, the balance level between expenditure and saving can determine the quality and productive potential of this company. In this example, balance between them is the Middle Qi.
To understand a little bit more about the Yin and Yang factors in our bodies, the Yin in our bodies, such as physical organs, bone, blood, body fluid, tendons, muscles, vessels, skin, stillness, sleep, reserve, conservativeness, inhaling, and so on. The Yang in our bodies, such as spirit, warmth, passion, functions, movement, awakening, activeness, exhaling, and so on.
Based on the above TCM knowledge, it becomes easier for us to understand exercise. Firstly, exercise can be regarded as Yang, since it’s a kind of active movement. Secondly, exercises can encourage the general Yang of the body, since exercise can awaken the Yin of the body into Yang. Thirdly, exercise consumes Yin, or in other word, movement need support from body’s energy savings. Fourthly, exercise also support the energy saving, which is the Yin of the body. This is because once the Yang is sufficient, the body’s function will be maintained, thus helps the building up of Yin as well.
Here let me explain some issues related to exercise from pint of view of TCM.
What are the potential benefits from exercise ?
Exercise can encourage body’s yang functions, such as blood circulation and distribution, heart’s function of pumping blood, breathing, coordination of body activities, digestive system, cleansing phlegm, blood stasis, dampness, stool, water retentions, and so on. But the exercise consumes Yin, once the body’s Yin reserve is not enough to support exercises, the above benefits wont’ be achieved.
The best time for exercise
TCM believes that our body’s function is closely related with the nature, especially relative movement of the sun, moon and earth. The revolution of the earth to the sun determines the one year period and four seasonal changes. In one year , the sunlight to the earth increases from spring to summer, hence the temperature is rising from spring to summer.
The rotation of the earth determines the one day period, there are four seasons of one day as well, morning (3am to 9am ) can be regarded as spring, lunch time ( 9am to 3pm ) can be regarded as summer, afternoon ( 3pm to 9pm ) can be regarded as autumn, evening and night ( 9pm to 3am ) can be regarded as winter. From morning to lunch time, the temperature is rising, after that, the temperature is dropping.
Our body’s Yang energy is the same as nature, its rising in spring, summer of one year, in morning and lunch time of one day. Since the movement can encourage the Yang of the body, the stillness can encourage the Yin of the body. So the best time to exercise is spring and summer of one year, in morning and lunch time of one day. On the other hand, the best time to rest and keep stillness is in afternoon till night of one day, in autumn and winter of one year. once our exercise is against this natural flow, our body functions would be disturbed and illness could happen without any doubt. Once we follow this natural flow, health will be guaranteed. To apply this principle in one year, we may reduce exercise in autumn and winter, but still can do proper exercise in morning and lunch time of autumn and winter, as to follow one day’s rhythm. Nowadays, so many people believe that exercises can benefit their health whenever they do it, a lots of people doing exercise after work, even at night time, unfortunately these are harmful to health.
Balance of exercise and rest
The balance of exercises and rest will promote the Middle Qi, which is the source of vital energy as I mentioned. The balance can be achieved during one year’ cycle, one day’s cycle, between exercises, and during exercises. For example, we can do more exercise in spring and summer, less in autumn and winter, we can have regular breaks during exercises, sleep hours match the amount of daily exercises, apply a little bit of controlling during exercise itself, those are all the methods of balance.
How to modify exercises for people with chronic illnesses
For people with chronic illnesses, the body’s reserve, the Yin is usually deficient, so the exercises should be reduced in general. Exercise in a reasonable amount can help the functions of body, thus assist the reserves of body as well, but if exercise is over, this will increase the imbalance of Yin and Yang, causing the deficiency of the Middle Qi, and impairing health. People with chronic illnesses, their immune ability are also poor, so any exercises outdoors, have to be careful of the impact from wind, cold and dampness, which are supposed to be pathogenic factors according to TCM. For any repeated physical injuries, it’s not recommended to exercise too much using those injured areas, this is quite different view from that of Western Medicine.
Exercises in a wrong way won’t help losing weight
Nutritionist, Exercise Physiologist and Doctors tend to believe that if one takes the energy from food( protein, carbohydrate, fat and alcohol) that is more than one’s energy expenditure( basal metabolism and physical activities), excess calories are stored throughout one’s body as fat, one will gain weight. If one decreases food intake and consumes fewer calories than burns up, or if one exercise more and burns up more calories, one’s body will reduce some of the fat stores. When this happens, fat cells shrink, along with one’s waistline.
But TCM has a quite different idea about exercises and losing weight. Firstly, the energy in food is quite different from energy that is stored in human body. The media between the two types of energies is the digestive system. The food has to be digested and then the body is able to absorb the nutrients from the food and convert them into the energy human body can use as its own fuel. Generally this energy conversion efficiency may not exceed 100%, it varies depending on how sound the digestive system is. Also, in order to digest the food, human body invest its own energy in the process of digestion as well. Secondly, the energy in our body is stored as a form of essence and Qi in kidney, muscles and bone, not in form of fat only. Thirdly, the weight is regarded as rubbish in human body, such as undigested food and drinks, phlegm, dampness, that are not the forms of energy at all. Fourthly, in order to get rid of the extra weight, the rubish, human need to increase the energy level, not reduce the energy. Fifthly, the benefit of exercise is because exercise could encourage the functions of the body, hence the body can do a better job to cleans its rubbish.
So, that is why to improve the digestive system’s function is the very basic way to treat obesity in TCM treatment proposal.
Is exercise appropriate during recovery from injuries ?
People with injuries can still do their exercises in a certain level, but the exercise plans has to be modified accordingly. If the injuries cause the damage of physical tissues, such as fracture, tear of tendons, open wounds, then rest becomes the main principle during recovery, since the physical tissue is to be built up from rest rather than exercise. But exercise can be done in the morning and lunch time if it is moderate and not disturb the injured part of the body. If the injury mainly swelling, sprain, exercise can be used as priority for recovery, but has to be conducted without aggravate the symptoms, or causing extra tensions, and in the right time again of course.
Once people have injuries, Acupuncture and Chinese herbal medicine are also the two options to balance body, to maintain the functions of body and assist a quick recovery.

Harry Chen
23rd Oct. 2014

Traditiional Chinese treatment fosters better health


Traditional Chinese Medicine (TCM) is a natural medicine practiced in China for more than 5000 years.It is believed that TCM was reorganised and established by ancient Chinese sages, such as Huang Di, Shen Nong and Qi Bo. TCM recognises oneness of Nature and humankind, holism of the human body, soul and spirit and the Meridian system.

‘Yin Yang’ is a term used to describe the interactions and transformations of opposite or contrary aspects of things, or opposite aspects of one thing. The ideas and philosophies can be successfully applied in diagnosis and treatment of diseases, and in general health care. TCM is getting more and more popular over the world.

Acupuncture

Acupuncture is one of the principal components of TCM. It is based on the belief that living beings have vital energy called Qi that circulates through 12 invisible energy linesknown as Meridians in the body.Each Meridian is associated with an organ system such as liver, heart, spleen, lung, kidney, gallbladder and large intestine.In a healthy human body, the Qi flows freely throughout the Meridians in a balanced and regular way,maintaining good health.An imbalance in the flow of Qi throughout a Meridian is how a disease begins. Acupuncture works to “re-program” and restore normal flow of Qi by manipulating thin, solid needles that have been inserted into Meridian points of body.

The general belief is that acupuncture is safe when administered by well-trained practitioners using sterile needles, reducing the risk of adverse effects.

Although sometimes described merely as a means of pain relief, Acupuncture is actually used to treat people with a wide range of illnesses. Its focus is on improving the overall balance and wellbeing of the patient, rather than subduing superficial symptoms.

The skill of an Acupuncturist depends on their perceptions about the ideas and philosophies of TCM, the ability to understand the physiology of body and pathogenesis of diseases, ability to track the cause of the disease,selection of meridian points and manipulation of needles.

Chinese Herbal Medicine

Chinese herbal Medicine refers to another principal component of TCM.

The first traditionally recognised herbalist is Shen Nong who is said to have lived around 2800 BC. He reportedly tasted hundreds of herbs and imparted his knowledge of medicinal and poisonous plants to farmers.

His book ‘Shennong’s Materia Medica,’ is considered as the oldest book on Chinese Herbal Medicine. It classifies 365 species of roots, grass, woods, furs, animals and stones into three categories of herbal medicine.

Every Chinese herb has its unique nature and flavour, and can be used individually or in a formula to regulate the balance and maintain the functions of human body.

There are four Natures and five Flavours. The Four Natures are hot, warm, cool, and cold.

Hot and warm herbs are used to warm stomach, eliminate coldness,and tonify the body, while cool and cold herbs are used to clear heat, cultivate body fluid and detoxicate the body.

The Five Flavors are acrid/pungent, sweet, bitter, sour, and salty, each corresponding to one of the organ system, also each flavor implies certain therapeutic actions to the body, such as, the pungent can promote the circulation of Qi and blood, disperse Qi; the sweet can tonify the body, relieve pain, moisten; the bitter can clear heat in heart, clear summer heat, eliminate dampness; the sour can induce astringency, tonify blood; the salty can soften hard masses, tonify essence of kidney.

There are roughly 13,000 herbs used in China and over 100,000 medicinal formulas recorded in the ancient literature. Plants including certain amount of food, vegetables and nuts are the most common elements used. The forms of formula include decoction, pills and powders. Chinese herbs also can be applied externally.

Tui Na

Tui Na is a form of Chinese therapeutic massage which is a hands-on body treatment.

It uses Chinese Medicine principles to bring balance to the body. The practitioner may brush, knead, roll/press and rub different Meridian points or areas of body to get the Qimoving in the Meridians as well as the muscles.

It is not an effective for pain syndromes such as arthritis, sciatica, muscle spasms and pain in the back, neck, and shoulders.

It also helps chronic conditions such as insomnia, chronic fatigue, digestive dysfunction, circulatory problems, hormonal imbalance, constipation, migraines, stress, anxieties, and depressions.

Harry Chen

11/10/2014

Vedio information

Harry’s research about deppression

Hao Chen
2006/10/4

                                                                              Depression
Abstract

Introduction of depression
Introduce the basic facts for depression in New Zealand and the world.
Depression form western medicine point of views, including definition,
Diagnosis and symptoms, causes and treatments.
Depression form Chinese medicine point of views, including four concepts in Chinese Medicine, main basic patterns,

summarizes the acupuncture treatment from literature in the last 5 years
Guasha and cupping
Acupuncture ( filiform needling ) treatments
Ears acupuncture
my own understanding about the mechanism and effect of acupuncture treatment of Depression

Conclusion and references

One: Introduction of Depression

1. Basic facts for Depression

Depression is common to many New Zealanders, their families, and friends.

  • 1 in 5 women and 1 in 10 men experience depression in New Zealand.
  • Rates of depression are increasing for men and women, and people are experiencing it at an earlier age.
  •  There is a strong link between depression and suicidal attempts and behavior; depression is associated with half of suicide cases. 460 people took their lives in 2002 and 5000 were hospitalized after attempting suicide.
  • It’s a global experience – the World Health Organization predicts that by 2020 depression will be the second highest cause of death and disability in the world.

2. Depression from western medicine point of views

Clinical depression (also called severe depression disorder, major depression disorder) is a state of sadness, melancholia or despair that has advanced to the point of being disruptive to an individual’s social functioning and/or activities of daily living. Although a low mood or state of dejection that does not affect functioning is often referred to as depression, clinical depression is a medical diagnosis and is different from the everyday meaning of “being depressed”.

Diagnosis and Symptoms
According to the DSM-IV-TR criteria for diagnosing a major depressive disorder (cautionary statement) one of the following two elements must be present for a period of at least two weeks:

  • Depressed mood, or
  • Anhedonia

It is sufficient to have either of these symptoms in conjunction with five of a list of other symptoms over a two-week period. These include:

  • Feelings of overwhelming sadness or fear or the seeming inability to feel emotion (emptiness).
  • A decrease in the amount of interest or pleasure in all, or almost all, activities of the day, nearly every day.
  • Changing appetite and marked weight gain or loss.
  • Disturbed sleep patterns, such as insomnia, loss of REM sleep, or excessive sleep (Hypersomnia).
  • Psychomotor agitation or retardation nearly every day.
  • Fatigue, mental or physical, also loss of energy.
  • Intense feelings of guilt, helplessness, hopelessness, worthlessness, isolation/loneliness, anxiety, and/or fear.
  • Trouble concentrating or making decisions or a generalized slowing and obtunding (to dull or blunt, especially sensation or pain) of cognition, including memory.
  • Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.
  • Feeling of being abandoned by those close to you.

An additional indicator could be the excessive use of drugs or alcohol. Depressed adolescents are at particular risk of further destructive behaviors, such as eating disorders and self-harm.

Causes of depression
No specific cause for depression has been identified, but a number of factors are believed to be involved.

  •  Heredity
  •  Physiology – There may be changes or imbalances in chemicals that transmit information in the brain, called neurotransmitters.
  • Seasonal affective disorder (SAD) is a type of depressive disorder that occurs in the winter when daylight hours are short. It is believed that the body’s production of melatonin, which is produced at higher levels in the dark, plays a major part in the onset of SAD and that many sufferers respond well to bright light therapy, also known as phototherapy.
  • Psychological factors – Low self-esteem and self-defeating or distorted
  • thinking are connected with depression. Although it is not clear which is the cause and which is the effect, it is known that depressed persons who are able to make corrections in their thinking patterns can show improved mood and self-esteem.
  • Early experiences – Events such as the death of a parent, abandonment or rejection, neglect, chronic illness, and physical, psychological, or sexual abuse can also increase the likelihood of depression later in life.
  • Life experiences – Job loss, poverty, financial difficulties, gambling addiction, long periods of unemployment, the loss of a spouse or other family member, divorce or the end of a committed relationship, involuntary celibacy, or other traumatic events may trigger depression. Long-term stress at home, work, or school can also be involved. Bullying in late adolescence is also thought to be a contributing factor.
  •  Medical conditions – Certain illnesses, including cardiovascular disease, hepatitis, mononucleosis, hypothyroidism, and organic brain damage caused by degenerative conditions such as Parkinson disease, Multiple Sclerosis or by traumatic blunt force injury may contribute to depression, as may certain prescription drugs such as birth control pills and steroids. Gender dysphoria can also cause depression.
  •  Diet – The increase in depression in industrialized societies has been linked to diet, particularly to reduced levels of omega-3 fatty acids in intensively farmed food and processed foods.
  •  Alcohol and other drugs – Alcohol can have a negative effect on mood, and mis use of alcohol, benzodiazepine-based tranquilizers, and sleeping medications can all play a major role in the length and severity of depression.
  •  Living with a depressed person – Those living with someone suffering from depression experience increased anxiety and life disruption, increasing the possibility of also becoming depressed.

Treatment
Treatment of depression varies broadly and is different for each individual. Various types and combinations of treatments may have to be tried. There are two primary modes of treatment, typically used in conjunction: medication and psychotherapy. A third treatment, electroconvulsive therapy (ECT), may be used when chemical treatment fails.

Other alternative treatments used for depression include exercise and the use of vitamins, herbs, or other nutritional supplements.

3. Depression of Chinese medicine
Depression is similar to TCM’s Yu syndrome, Baihe disease, Zangzao, Diankuang etc. There are four concepts in Chinese Medicine that are extremely useful in understanding the depression patterns.

The Six Depressions or Six Stagnation
The six depressions involve stagnation of either qi, blood, dampness, phlegm, food, or fire. qi stagnation underlies all the others because qi is responsible for the movement and transformation of blood, dampness, phlegm, and food, and also because stagnant qi, being yang in nature, may eventually turn into fire or heat. Blood, dampness, phlegm, and food are all yin substances; if the qi becomes stagnant and depressed, it may result in any of these four not being moved or transformed properly, and they may accumulate. At the same time, the accumulation of any of these four yin substances may obstruct the free flow of yang qi, further complicating qi stagnation.

The theory of similar Transformation
According to Liu Wan Su, a great master of internal medicine from the Jin-Yuan dynasties, he believes any evil qi accumulating in the body, whether externally invading or internally engendered will tend to become warm over time because the basic host or ruling qi of the body is hot. For this reason, even if a disease was initially caused by cold, or is original yin in nature, there is a tendency for this disease to transform into a hot pathology if the host yang qi is sufficiently strong.
When qi becomes stagnant and depressed, it backs up and accumulates, and
may transform into pathological heat or fire because qi is yang in nature. Even though the other four depressions-blood, dampness, phlegm, and food-are originally yin, they obstruct the free flow of qi. The qi tends to become stuck
behind or entangled with these yin accumulations, and these four yin depressions also tend to become hot stagnations: dampness tends to become damp heat, stagnant food tends to become complicated by heat, phlegm tends to transform into phlegm heat or fire, and static blood can become heat stasis.

Liver Qi stagnation
Liver pays a pivotal role in the body. When confronted by continuous and prolonged psychosocial or emotional stress, the liver’s function of spreading the qi is impaired; the liver cannot maintain its free and unobstructed flow and the qi stagnates. The term ‘liver depression qi stagnation’ usually refers to qi stagnation due to damage by the emotions, while qi stagnation alone may be due to other causes. When the qi becomes stagnant due to live depression, one or more of the following mechanisms are set in motion. Stagnant qi may:

  • Accumulate along the pathway of the liver channel and its paired channel the gall bladder
  • Transform into heat
  • Counterflow sideways or upwards
  • Result in blood stasis
  • Result in dampness and phlegm accumulation

Yin Fire
Yin fire is a complex theory developed by another great master of internal medicine, Li Song Yuan, who is known as founder of the school of thought known as Supplementing Earth and author of Pi Wei Lun. Yin fire refers to heat that stems from the spleen and that is associated with dampness; it is heat that arises from the yin or lower part of the body. It is a type of pahological heat versus the healthy heat.
There are five basic mechanisms associated with the production of yin fire: spleen deficiency, damp heat, liver stagnation, blood deficiency, stirring of ministerial fire. These five mechanisms are interdependent , and they mutually engender and promote one another.

The main basic patterns are:
1. Qi stagnation
A. Liver depression qi stagnation
B. Liver depression transforms heat
C. Qi stagnation affecting the heart and lung
D. Blood stasis and stagnation
2. Shen disturbance: vacuity
A. Heart blood vacuity
B. Heart qi vacuity
C. Heart fire flaming upward
3. Shen disturbance: repletion
A. Qi stagnation affecting the heart and lung
B. Depressive heat affecting the heart or lung
C. Exuberant heart fire
D. Phlegm confounding the heart orifices
E. Phlegm fire harassing the heart
4. Qi/Yang vacuity
A. spleen/Lung qi vacuity
B. Spleen yang vacuity
C. Kidney qi vacuity
D. Kidney yang vacuity
5. Dampness and phlegm
A. spleen vacuity, dampness accumulation
B. Phlegm confounding the heart orifices
C. Heart vacuity, gall bladder timidity
D. Phlegm dampness obstruction and stagnation
E. Phlegm fire harassing the heart
6.Blood/yin vacuity
A. heart blood vacuity
B. Liver blood vacuity
C. Liver yin vacuity
D. Kidney yin vacuity
E. Lung yin vacuity
7.Yang repletion and vacuity heat
A. Liver depression transforms heat
B. Hyperactivity of liver yang
C. Liver fire flaming upward
D. Yin vacuity, fire effulgence
E. Spleen vacuity giving rise to fire

Two: summarizes the acupuncture treatment from literature in the last 5 years

Treatments depend on individual syndrome. Also different treatment techniques are only suitable for certain therapeutic actions. To summarize the treatment as follow,

Guasha and cupping
Apply: on Du channel and first line of Foot Taiyang channel, focus on BL13, BL15, BL18 and BL23.
Actions: to regulate Qi and blood.

Balance of local and distal points
To course the liver, rectify the qi: LV14, UB18
LV3, P6
To stimulate the descending of lung qi: SP21, REN 17
LU7, P6
To stimulate the descending of heart qi: REN15, REN14
HT7, P6
To nourish the heart and calm the spirit: UB15, 44 REN14,15
HT7, P6
To fortify the spleen and boost the qi: UB20, REN6, 4
ST36, SP3,4
To harmonize the heart, clear heat, REN14,15, UB15,14
drain fire and settle spirit: HT5,8,GB15
To supplement the kidney: REN6, BU23,52
KD3,7,9
To supplement the kidney and enrich yin: KD22,27, UB23
KD3,6,10
To pacify the liver, subdue rebellious yang, clear heat: LV14,UB18,47
LV2,LI11,GB20

Balance of upper and lower points
To course the liver, rectify the qi, resolve depression, P6, LV3
Open the chest, settle the ethereal soul (hun): LI4, LV3
P7, LV3
To transform dampness, eliminate phlegm, and open
The orifices of the heart: P6, ST40
To supplement the kidney, settle the heart,
And calm the spirit: HT7, KD3
HT6, KD7
HT7, KD9

Points and point combinations useful in the treatment of depression
UB42 Strengthen and roots the corporeal soul( po). Frees up
breathing when worry, sadness, and grief constrict the po.
Calms spirit , settles the po. Makes person turn inward and be
Comfortable with one.
UB44 Nourishes the heart and calms spirit.
Left for longer than 15 minutes, clears heart fire
Stimulates intelligence and mental clarity.
UB47 Settles and roots the ethereal soul (hun).
Strengthens the hun’s capacity for panning, sense of aim in
Life, life’s dreams and projects.
Like a door, facilitates the coming and going of the hun.
Best combined with UB23 and 52, to prevent it from making
the hun too mobile and unsettled, and the patient shaky and
insecure( especially in people who are too open, unstable or
vulnerable.)
UB49 strengthen the intellect, clear spirit, and stimulates memory
and concentration. Relieves obsessive thinking, brooding,
rumination.
UB52 strengthen willpower, drive, determination, capacity to pursue
one’s goal with single mindedness, spirit of initiative,
steadfastness.
In combination with other UB outer line points, used as a solid
mental-emotion foundation for the other aspects of psyche; in
this case it is also paired up with UB23.
DU19 calms spirit and strengthens willpower.
Used in severe anxiety and mental restlessness due to kidney
vacuity with vacuity heat.
DU20 Clears spirit, lifts the mood, and stimulates memory and
concentration.
DU21 strengthens the spirit.
Treats slight anxiety, insomnia and depression.
DU24 Stimulates intelligence and clears the mind.
HT7 Calms and nourishes the spirit.
Specially indicated in heart blood and heart yin vacuity.
P6 Calms the spirit, lifts mood, relaxes the chest.
Rectifies the qi, specially indicated for emotional problems
associated with qi stagnation.

Ears points commonly used in depression
Inferior crus of the antihelix
Antihelix body
Antihelix tail
antytragus

Three: my own understanding about the mechanism and effect of acupuncture treatment of Depression

‘When Yin and Yang is balanced, the Shen could be restored.’ On one hand, any imbalance of the body can disturb Shen, causing the mental disorder to a certain level; on the other hand, by regulating the balance of the body can treat problem related with Shen.
Acupuncture can work directly on the qi in the channels of body, and virtually regulate yin and yang, by means of reinforce the vacuity, eliminate the excess.

Four: Conclusion

‘Diagnosis should target the cause, treatment should target the root.’ ‘If it is urgent, treat the Biao first, if it is not urgent, treat the Ben first.’ Although there are different understanding between western medicine and Chinese medicine about depression. I think the above principles can be applied for both western medicine and Chinese medicine. The western anti-depression drugs might have potential side effects, but they can treat the Biao quite effective. The acupuncture treatment might target the root of depression, but only on physical level. If the cause of depression is emotional factors, we can’t say the acupuncture treatment reach the Ben of the disease.

References
Acupuncture in the Treatment of Depression
–Rosa N Schnyer John J B Allen (2001)

Acupuncture and Guasha for Depression
–Su Sh Xia (2006)

McMan’s Depression and Bipolar Web (2006)

Web site for the American Psychological Society

Medboo TCM Training web(2006)

Depression and Liver Diseases (2004)
–Li Xiao Hong

Study of Emotional Disease in TCM (2003)
–Likai

Advances in the Management and Treatment of Depression(2003)
–John Potokar Micheal Thase

treatment of Emotional Disease by TCM(2006)
–Wang De

Ministry of Health. (2005) Suicide Facts – Provisional 2002 All-Ages Statistics. Wellington: Ministry of Health: pg 1.

Bushnell, J. The nature and prevalence of psychological problems in New Zealand primary healthcare: a report on Mental Health and General Practice Investigation (MaGPIe). New Zealand Medical Journal. 4 April 2003, Vol 116, No 1171, pg 9.

Depression and the Five Elements(2006)
–Stephanie Schneider-Guild, L.Ac.

Acupuncture and Chinese herbs for Arthritis


Arthritis is one of the most pervasive diseases all over the world and is the leading cause of disability. Fortunately, arthritis can often be managed Acupuncture and Traditional Chinese Medicine.

What is Arthritis?
Arthritis isn’t just one disease; it’s a complex disorder that comprises more than 100 distinct conditions and can affect people at any stage of life. Two of the most common forms are osteoarthritis and rheumatoid arthritis. While these two forms of arthritis have very different causes, risk factors, and effects on the body, they often share a common symptom—persistent joint pain.
Osteoarthritis (OA) is the most common form of arthritis in the United States, affecting an estimated 21 million adults. OA begins with the breakdown of joint cartilage, resulting in pain and stiffness.
OA commonly affects the joints of the fingers, knees, hips, and spine. Other joints affected less frequently include the wrists, elbows, shoulders, and ankles. When OA is found in a less frequently affected joint, there is usually a history of injury or unusual stress to that joint. Work-related repetitive injury and physical trauma may contribute to the development of OA. If you have a strenuous job that requires repetitive bending, kneeling, or squatting, for example, you may be at high risk for OA of the knee.
Rheumatoid arthritis (RA) can affect many different joints and, in some people, other parts of the body as well, including the blood, the lungs, and the heart. Inflammation of the joint lining, called the synovium, can cause pain, stiffness, swelling, warmth, and redness. The affected joint may also lose its shape, resulting in loss of normal movement. RA can last a long time and can be a disease of flares (active symptoms) and remissions (few to no symptoms).

Diagnosis and Treatment of Arthritis with Acupuncture and Traditional Chinese Medicine
According to Chinese medical theory, arthritis arises when the cyclical flow of Qi in the meridians becomes blocked. This blockage is called, “bi” type pain and is widely studies and successfully treated using a combination of acupuncture and/or Chinese herbs.
Acupuncture and Chinese Medicine have been found to be extremely effective at treating the pain and inflammation associated with all types of arthritis. The acupuncture points and herbs that are used depend on if the blockage of Qi (arthritis) is caused by the pathogen wind, cold, damp or damp-heat.
Traditional Chinese Medicine does not recognize arthritis as one particular syndrome. Instead, it aims to treat the specific symptoms that are unique to each individual using a variety of techniques such as acupuncture, Chinese herbs, bodywork, lifestyle/dietary recommendations and energetic exercises to restore imbalances found in the body. Therefore, if 10 patients are treated with Oriental medicine for joint pain, each of these 10 patients will receive a unique, customized treatment with different acupuncture points, different herbs and different lifestyle and diet recommendations.
Your acupuncturist will examine you, take a look at the onset of your condition and learn your signs and symptoms to determine your Chinese diagnosis and choose the appropriate acupuncture points and treatment plan.

The Acupuncture Treatment
Acupuncture points to treat Arthritis are located all over the body, not just directly over the affected area. During the acupuncture treatment, tiny needles could be placed along your legs, arms, shoulders, and perhaps even your little toe!
There seems to be little sensitivity to the insertion of acupuncture needles. They are so thin that several acupuncture needles can go into the middle of a hypodermic needle. Occasionally, there is a brief moment of discomfort as the needle penetrates the skin, but once the needles are in place, most people relax and even fall asleep for the duration of the treatment.
The length, number and frequency of treatments will vary. Typical treatments last from five to 30 minutes, with the patient being treated one or two times a week. Some symptoms are relieved after the first treatment, while more severe or chronic ailments often require multiple treatments.

Chinese Herbs for Arthritis
There are many Chinese Herbal formulas that are prescribed for arthritis. Your acupuncturist will examine you, take a look at the onset of your condition and learn your signs and symptoms to determine which herbs are best for you.
Here are some commonly prescribed Chinese herbal formulas for arthritis:
• Remove Painful Obstruction Decoction (juan bi tang)- For joint pain that increases with cold and is possibly accompanied by heaviness and numbness in the limbs.
• Cinnamon Twig, Peony, and Anamerrhena Decoction (gui zhi shoa you zhi mu tang)- For swollen and painful joints that are warm to the touch and worse at night.
• Angelica Pubescens and Sangjisheng Decoction (du huo ji sheng tang)- For heavy and painful sensations at fixed locations in the lower back and lower extremities accompanied by weakness and stiffness.

compiled by: Harry Chen

Defeting cold and flu with TCM


We are most vulnerable to colds and influenza during the long winter, Many people suffer not only from the respiratory symptoms of cold and flu, but can also fall victim to various complications of these diseases, some of which can be serious. Children, the elderly, and people with chronic illness or compromised immune systems are especially prone to complications. Parents worry about their children bringing home infections from school. Right now, the best way Western medicine has of dealing with these diseases is the widespread use of flu shots, which encourage the immune system to “gear up” for the most prevalent type of flu. However, while flu shots can avert the most serious consequences of infection, they cannot prevent or cure the common cold.
The common cold is an acute viral infection that generally causes inflammation of the upper respiratory tract. It is the most common infectious disease in humans, and accounts for more time lost from work or school than any other disease. Flu is an acute and contagious infection of the respiratory tract. Its symptoms include running nose, cough, chills, headache, fever, and severe aching in the muscles and joints. Although flu affects all age groups, schoolchildren have the highest incidence. Although colds and flu are generally of brief duration, they can lead to complications in the very young, the elderly, and those with chronic diseases or compromised immune systems.
Because both cold and flu are viral infections, conventional medicine has no cure for them. Bed rest and increased fluid intake are generally suggested to make the patient more comfortable. Aspirin, nasal decongestants, and other medications such as steam inhalation, acetaminophen, ibuprofen, naproxen, amantadline, or rimantadine are prescribed.
A friend of mine traveled to China last winter. She told me that when she visited a college there, she saw every student in the cafeteria drinking a kind of herbal tea for the prevention of cold and flu before their lunch. She thought that was very interesting and asked me what they were drinking. I told her that every school in China, from grade school through college, offers herbs to the students during the flu season to prevent cold and flu. There are quite a few teas and herbal formulas available for prevention purposes.
In China, these anti-cold and flu formulas will be found in every family’s medicine cabinet. It would be almost impossible to find a person in China who has never taken one. Most of these effective and time-tested herbal formulas come from two important schools in traditional Chinese medicine: the school of cold-induced febrile diseases, represented by Zhang Zhongjing (150-219 AD), and the school of seasonal febrile diseases, represented by Wu Jutong (1758-1836).
Using herbal formulas to prevent and treat colds and flu is one of the best-developed and most successful aspects of traditional Chinese medicine. Specific treatment practices and formulas have been handed down unbroken from the earliest schools to the modern universities of China. In this country, more and more people are becoming aware of the existence and efficacy of the ancient cold and flu formulas. At our clinic, TCM Health Center, we see increased demand for this type of treatment, especially among school teachers, who are constantly being exposed to colds. Our clients say that their doctors have been surprised by the effectiveness of Cold & Flu Formula (Yin Qiao San), which is a common and popular formula in China.
Top Antiviral Herbs in Chinese Medicine
Woad Root (Ban Lan Gen) is one of the leading anti-viral herbs. In a study of over 11,000 people who were exposed to mumps, the infectious manifestation was forestalled by using a decoction of woad root. Woad root tea is the most popular herbal tea to prevent and treat flu in China.
Woad Leaf (Da Qing Ye) shares similar properties with woad root. In a study of 100 people, only 10% of the treatment group that took a woad leaf decoction twice daily had upper respiratory infections during the study period, while 24% of the control group had infections.
Forsythia Fruit (Lian Qiao) is a pointed, oval-shaped capsule with a hard shell. Because of its anti-viral, anti-bacterial, anti-inflammatory and immunity-enhancing properties, forsythia fruit is widely used to treat common cold, influenza, swelling and pain in the throat, and skin inflammation.
Honeysuckle Flower (Jin Yin Hua) is named “gold-and-silver flower” in Chinese. Research indicates that this flower bud can deactivate the PR8 strain of influenza virus. The study also indicates that honeysuckle works wonderfully to treat other infectious diseases, including pneumonia and viral conjunctivitis.
Baical Skullcap Root (Huang Qin) is the dried root of scutellaria. It is an anti-viral agent, effective against influenza viruses. This herb and its active substance, baicalin, are used in the treatment of upper respiratory infections, either bacterial or viral.
Effective Herbal Formulas in Chinese Medicine
In traditional Chinese medicine, patterns are differentiated according to the imbalances of the body and the causes and stages of the disease. Herbal formulas (combinations of herbs) are always recommended by practitioners because they are stronger and more effective than single herbs. I will discuss three patterns of cold and flu symptoms, and the appropriate formulas for each type.

Wind-Cold Pattern: Symptoms of Wind-Cold pattern include: aversion to cold; mild fever; absence of sweat; chest congestion; sneezing; running nose with clear mucus; itching throat, or a cough with clear mucus; a thin, white tongue coating; and a tight pulse. Wind-Cold Formula (Jiu Wei Qiang Huo Tang) is commonly used for cold and flu of the Wind-Cold type. Among others, Cinnamon Decoction (Gui Zhi Tang), Minor Blue Dragon Decoction (Xiao Qing Long Tang), and Cnidium and Tea Formula (Chuan Qiong Cha Tiao San) are also widely used.

Deficiency Pattern: Most people with chronic illness fall into the Deficiency category. They are the targets of cold and flu during every seasonal change and in every flu season. Their energy is low, their immune systems are weak, and they have trouble recovering from prolonged illness. Women with a Deficiency condition often catch a cold before every menstrual cycle. When Deficiency-pattern people are hit by cold or flu, they should use either Cold & Flu Formula or Wind-Cold Formula, depending upon whether their illness falls into the Wind-Heat type or the Wind-Cold type. Once cold or flu symptoms are gone, other formulas can be taken to strengthen the immune system and prevent recurrence of disease. Immunenergy (Shi Quan Da Bu Wan) is a well-known tonic for the immune system. Chi Spleen Tonic (Bu Zhong Yi Qi Wan), Spleen Heart Tonic (Gui Pi Wan), Kidney Yin Tonic (Liu Wei Di Huang Wan) and Kidney Yang Tonic (Jin Gui Shen Qi Wan) are also popular formulas which tonify the immune system. Consult a Chinese medicine practitioner to determine the best formula for you.

Wind-Heat Pattern: Symptoms of the Wind-Heat pattern include: fever; headache; sweating; a running nose with yellowish-colored mucus; dry mouth; thirst; sore throat; productive coughing with thick yellowish phlegm; a thin, yellow tongue coating; and a floating and rapid pulse. Cold and Flu Formula (Yin Qiao San) is the most popular herbal formula to treat the Wind-Heat pattern. Wind-Heat Clearing (Sang Ju Yin) and Lung Heat Clearing (Ma Xing Shi Gan Tang) are also basic formulas for cold and flu of the Wind-Heat pattern.
Please note: all the herbs must be prescribed by TCM Doctors after diagnosis.

Infertility

Treating Infertility in Traditional Chinese Medicine                 Prof. Song Xuan Ke
Introduction
Despite the fact that conventional medicine can perform near miracles for some childless couples, infertility remains a very common problem in Britain and the Western world, affecting as many as one in four women, and about the same number of men. The causes of infertility in most cases are not clear, or are unexplained. The modern therapies such as IVF or IUI over all have a little success, as low as about 20% of success rate. In order to solve this problem, we have to ask why their success rate is so low. The answer is not that the modern therapies are not technologically sound, but that the philosophy underlying the treatment is lacking of proper thought and incorrect, in my opinion, or is simply too mechanical. Too much attention is put on producing the eggs and fertilizing them artificially. No work, or very little work, is done in preparing the patient’s body, or the quality of the eggs. This may result in the failure of the fertilized egg to survive, or the rejection of the embryo by the body. Just as you cannot scatter seeds on rocky ground and hope for a successful harvest, so one must also prepare the body by making the person healthier both physically and mentally. This, achieving the so called harmony of yin and yang, qi and blood, is one of the main aims of Chinese Medicine. So by examining the TCM (Traditional Chinese Medicine) treatment of infertility, it may be possible to tackle this world-wide problem. Over the centuries TCM has certainly played a very important role in maintaining a high population in China. For the past 20 years my personal experience in treating infertility in the West and the tangible results from many thousands of patients have been very encouraging. Therefore I will try to briefly discuss the details of how infertility is treated in TCM.
The basic theory of fertility in TCM
What makes us fertile?
According to TCM theory the reproductive systems of human beings are mainly controlled by kidneys. The quality and quantity of the eggs and sperms are dominated by the kidney essence which is called JING or JING QI. The better the Jing the better the eggs and sperms.
Apart from the Jing’s production of the eggs and sperms, equally important are the planting and carrying of the fertilized eggs. These are the responsibilities of the kidney qi, blood and uterus. The quality of them will determine the whole pregnancy will be successful or not… How can we judge the quality of the kidney, blood and uterus? We will discuss this in the TCM diagnosis section.
What causes infertility?
Anything affecting or weakening the kidney, blood and uterus will cause infertility. The following are the most common causes:
Genetic defects or weakness, such as inherited weak genes.
Over consuming of our qi, blood and jing. Such as working to hard and too long without enough rest; too heavy menstrual bleeding; or too much sexual intercourse.
Emotional stagnation. Such as long term worries or depression.
Improper diet. Such as not eating enough food or lacking a wide range of the food.
Wrong medicine. Many medicines can damage the kidneys.
Directly weakening the reproductive system. The contraceptive pill, if used for too long, will also cause fertility problems. Simply they shut down the ovary (like an engine) If this happens over a long period this will cause the ovaries to shrink because of lack of use.
Wrong (or unnecessary) treatment e.g. D&C performed for too many young girls for unnecessary purpose. It can sometimes damage the lining of the uterus.

How do we diagnose infertility ?
In TCM we pay a lot of attention to women’s menstruation patterns, including the regularity, duration, length of the bleeding, quality and quantity of the blood (i.e. the color, the thickness, the texture, the smell, presence of any clots, and how big these are, etc.), and any complications with menstruation. We also check the whole body, as well as reading the pulse and tongue. From this information we can then assess the quality of the kidney Jing qi, blood and uterus.
According to the patients’ clinical data, particularly the information about the menstrual cycle, we usually divide infertility into the following 5 categories:
Kidney deficiency: scanty menstrual bleeding, thin blood, weak back, tiredness. Feeling too cold or too hot, especially at night.
Liver qi stagnation: painful and irregular menstruation, lots of PMT.
Dampness and phlegm blockage: lacking of menstrual bleeding, but more discharges or mucus, often over weight, and feeling of heaviness of the body.
Blood deficiency: scanty menstrual bleeding with pale blood. Tiredness and sallow complexion.
Blood stagnation: very painful menstruation, with dark clots
How do we treat infertility?
We treat the above 5 categories as follows:
1.Kidney deficiency
Herbal prescription—SU LING ZHU(ren shen, bai zhu, fu ling, bai shao yao, gan cao, dang gui, shu di huang, tu si zi, du zhong, lu jiao, chuan jiao)
Acupuncture—BL23, CV4, SP6, ST36, KI2, KI13.

2. Liver qi stagnation
Herbal prescription—KAI YU ZHONG YU TANG (gang gui, bai zhu, bai shao yao, fu ling, dan pi, xiang fu, tian hua feng)
Acupuncture—CV3,KI14, LR3, KI13, GB34, SP6.
3. Dampness and phlegm stagnation.
Herbal prescription—QI GONG WAN (fa ben xia, cang zhu, xiang fu, sheng qu, fu ling, chen pi, chuang xiong)
Acupuncture—CV3, ST30, ST40,SP6, SP9.
4. Blood deficiency
Herbal prescription—-SI WU TANG (dang gui, chuan xiong, shao yao, shu di huang)
Acupuncture—ST36,CV6,SP6,SP9, BT20
5. Blood stagnation
Herbal prescription—XUE FU ZHU YU TANG (dang gui, sheng di huang, tao ren, hong hua, zhi ke, chi shao yao, chai hu, gang cao, jie geng, chuan xiong, niu xi)
Acupuncture—CV3,ST29, SP6, KI13.
Can TCM work together with modern therapies such as IVF, IUI?
The answer is yes. Nowadays many patients try to have an IVF or IUI treatment together with the TCM treatment. TCM focuses on the body, preparing the body. This includes improving the quality of the eggs and sperms, helping the lining of the uterus, while modern therapies focus on insemination. This kind of “one plus one work” may result in “equals three”. From my personal experience of treating thousands of patients, the following procedures should be followed:

Before the IVF we should tonify the kidney, nourish and move the blood. This will help the body produce better eggs and produce a better lining of the uterus.

During the IVF we should cool the heat and balance liver. This will synchronize the body and the uterus; the internal and external hormones.

After insemination we should nourish and warm the blood, tonify the spleen and kidney. This will assist the embedding and development of the embryo – preventing miscarriages
Furthermore, many clinical trials recently carried out in the West have showed a positive effect in acupuncture treatment with IVF. For example, Dutch and American researchers analysed results from seven clinical trials (selected as eligible from a total of 108), all published since 2002 and carried out in four Western countries. They included data on 1366 women and compared acupuncture given within one day of embryo transfer, with sham acupuncture, or no additional treatment. All except one used a similar acupuncture protocol (based on Paulus et al). The analysis showed that combining real acupuncture with embryo transfer was associated with significant and clinically relevant improvements in clinical pregnancy rate. Women who underwent acupuncture were 65% more likely to have a successful embryo transfer procedure and 91% more likely to have a live birth. (Effects of acupuncture on rates of pregnancy and live birth among women undergoing in vitro fertilisation: systematic review and meta-analysis. BMJ. 2008 Mar 8;336(7643):545-9.)

Summary
The TCM treatment of infertility FOCUSES ON THE ROOT: kidney and blood. The patients’ LIFE STYLE AND DIET changes are also very important. Healthy food and life style and healthy body are the basis of the healthy reproductive system.

Menstruation Disorders


All women experience irregular period sometimes during their child bearing years, before menopause. While Western medication has never viewed that irregular menstruation is a problem of women reproductive system, traditional Chinese medicine looks at this problem seriously, if untreated, it will disharmonize the women ecosystem, leading to nervous tension and other health problems, including infertility. Girls in South East Asia have learnt in their early women life from grand mother wisdom, that they do not engage in any activity, distorting their regular period.. Irregular period should be treated immediately, otherwise, it may cause wide range of women diseases, such as infertility, according to Traditional Chinese medicine.

I. Causes of irregular menstruation in general perspective include
1. Hot and spicy foods
Hot and spy may be needed to improve the immune system, increase blood flow to the reproductive organs and warm the uterus for natural conception, but over intake of them may distort the kidney function in nourishing and moistening the body tissue and increase the blood flow, causing over reproduction progesterone and testosterone, resulting in heat accumulated in the body and irregular blood flow.

2. Cool and cold foods
Over eaten some cool and cold foods such as cold drink, icy drink and raw foods over prolong period of time will decrease the yang qi in the body, leading to reducing the qi and energy flow to the reproductive organs. In some sever case, it blocks the flow of energy and increases the risk of accumulation of cold in the body, distorting the the yin phrase of menstrual cycle, causing painful irregular period and increasing the risk of infertility.

3. Occupation
People who work in cold or hot environment may cause the lost of their underlayer of yang or yin weather in the body, because our body need to divert our yang or yin weather to fight the constant cold and hot temperature accordingly. Over a long period of times, if diet can not support the lost of energy and flow in the body, it causes either yang or yin deficiency that distort the normal menstrual cycle, leading to irregular period. In some severe cases, it causes infertility.

4. Rigid exercise
Moderate exercise is alway good for our body, rigid exercise may cause blood moving upward to the organs other than the productive organs, leading to not enough to sustain a menstrual period, thus causing irregular period and infertility in some cases.

5. Raw food diet
Raw food diet is healthier, if compare with the typical American diet. According to traditional Chinese medicine, raw foods are considered yin pathogen, if over intake of them for a prolong period of times will cause yang deficiency, distorting the yang phrase of the normal menstrual cycle, resulting in irregular period and sometimes infertility.

6. Diet against internal weather
Eating slightly opposite to the internal constitution is always recommended. For example, if your internal constitution is yang, then you should eat a slightly more cool foods than people with neutral constitution.

7. Stress
Stress can impair the proper functions of the spleen in food digestion and transporting blood and qi to the reproductive organs, leading to abnormal menstrual period and increasing the risk of infertility.

8. Artificial sweetener and Processed foods
All these foods exhibit the yin and dampness in the body, according to TCM. While deficiency of yang causes the constriction that interferes with spleen function in food digestion and transport nutrients to our body, making our qi flow sluggish, leading to irregular period, weight gain and lack of energy.

9. Imbalance or blockage of the internal organs
Damage or unhealthy diet or emotional stress affect the effectiveness of zhangfu organs to carry theirs function in transformation and distribution of body’ fluid, essence, blood, qi, etc. due to excess or deficient pathogens.

10. Blockage of Internal channels
It is caused by the zhangfu organs’ inability to move qi along theirs channels.

By Kyle J. Norton Health article writer

http://www.worldwidehealth.com/health-article-Menstruation-Disorders-Causes-of-Irregular-Menstruation-In-TCM-Perspective.html

Diarrhea


Diarrhea means frequent defecation with loose or watery stools. TCM believes this symptom is mainly caused by an attack of exogenous evils, improper diet or yang deficiency in both the spleen and kidneys, which make water descend and cause dysfunction in the intestines. TCM divides the condition into the following six types:
• Damp cold type: Individuals present with diarrhea characterized by loose and watery stools. The stools are pale yellow and have a foul odor. Other accompanying symptoms are a bland taste in the mouth, fullness in the epigastric (the upper middle region of the abdomen), abdominal pain, intestinal rumblings and a poor appetite. There may be alternating chills and fever accompanied by headache, nasal congestion and general soreness.

On examination, the tongue is covered by thick white fur; the pulse is slow and hesitant.

• Damp heat type: Individuals usually start with abdominal pain followed by diarrhea, and pass formless and foul odor stools with great frequency. Other symptoms include intestinal rumblings, restlessness, thirst and a burning sensation in the anus.

On examination, the tongue is red and covered by yellow, thick and greasy fur; the pulse is rapid.

• Food retention type: Individuals have foul smelling diarrhea with sour and rotten vomit, fullness of the epigastric region, intestinal rumblings, abdominal pain that is diminished after fecal discharge, a poor appetite and fever.

On examination, the tongue fur is thick and greasy; the pulse is rolling. This is often due to eating unhygienic food or an improper diet.

• Spleen yang deficiency type: Individuals have diarrhea or
may just pass loose and soft stool. There is undigested food in the stool. Other symptoms include poor appetite, increased stooling frequency after eating greasy foods, abdominal distention, a dull pain above the navel, a sallow complexion, fatigue and general weakness.

On examination, the tongue is pale, enlarged and covered by white fur; the pulse is weak.

• Hyperactive liver qi attacking the spleen type : Individuals have abdominal pain and diarrhea following emotional disturbances. The abdominal discomfort will slightly diminish after defecation. Accompanying symptoms include fullness in the chest and rib sides, belching, loss of appetite, a bitter taste in the mouth, acid regurgitation, a sallow complexion and fatigue.

On examination, the tongue is pink with little fur; the pulse is taut.

• Kidney yang deficiency type: This is due to the kidney yang failing to warm the spleen. Individuals present with abdominal pain at dawn and then pass a loose stool. The abdominal pain is relieved after defecation. There is also coldness and soreness present in the lumbar area and knees. Distension in the abdominal region and aversion of coldness are typically present.

On examination, the tongue is pale and enlarged; the pulse is deep and fine.

Toothache

What are the effects of toothache?

Toothache may be ranged from mild sensitivity of the oral cavity to severe throbbing pain. It interferes with chewing and eating, and can keep one awake all night. Although toothache is rarely life threatening, the pain can be very troublesome and seriously disturbs quality of living.

What causes the onset of toothache?

There are numerous possibilities that can initiate toothache. Among them, tooth decay caused by cavities, dental injury, teething or abscessed tooth are the most common causes.

When should I become alert about toothache?

You should be concerned about your teeth when the pain is constant and persistent without any signs of improving. You should pay particular attention to the condition if pain is accompanied by swollen and/or bleeding gums. It is advised to consult a dentist immediately once the pain is initiated, regardless of severity to minimize dental damage and suffering. Watchful waiting is not appropriate for toothache.

What is the Traditional Chinese Medicine’s perspective on toothache?

TCM attributes toothache to the stagnation of circulation within the meridians that travel to the oral cavity. The meridians of Stomach and Intestines are usually the primary choice in treating toothache, because the first travels to the upper gum and the later to the lower gum. Besides the stagnation, heat toxins are usually present along the meridians that cause the inflammation of the teeth and gums.

How can acupuncture treat toothache?

Acupuncture therapy is very effective in pain management and therefore, very effective in alleviating toothache. Treatment is directed toward soothing the circulation and detoxifying the meridians near the affected area. However, while acupuncture can alleviate the pain, the source of the pain (such as tooth decay or teething) must

Constipation

Constipation occurs when bowel movements become difficult or less frequent. The normal length of time between bowel movements ranges widely from person to person. Some people have bowel movements three times a day; others, only one or two times a week. Going longer than three days without a bowel movement is too long. After three days, the stool or feces become harder and more difficult to pass.

You are considered constipated if you have two or more of the following for at least 3 months:

  • Straining during a bowel movement more than 25% of the time
  • Hard stools more than 25% of the time
  • Incomplete evacuation more than 25% of the time
  • Two or fewer bowel movements in a week

Traditional Chinese Medicine

Constipation Caused by Excess Patterns of Disharmony

A number of patterns of disharmony, both excess and deficiency, can cause constipation. The excess patterns are excess heat and qi stagnation. When exterior heat penetrates into the interior, it can affect the large intestine, with symptoms of high fever, thirst, and sweating. The pulse is full and rapid, and the tongue is red with a yellow coat. In this case, herbs are selected that have a cooling, purgative effect such as rhubarb root (da huang). A simple but effective formula for this condition is Xiao Cheng Qi Tang (“Less Drastic Purgative Decoction”). The patent formula, Peach Kernel Pills, is an effective remedy for less severe cases of constipation due to excess heat.

Constipation due to stagnant qi typically gets worse when the person is under stress. In this case, herbs are given that relax stuck qi and restore intestinal function. A good combination of patent medicines to take for this pattern is Xiao Yao Wan and Mu Xiang Shun Qi Wan.

Constipation Caused by Deficiency Patterns of Disharmony

A deficiency of qi, blood, yin, or yang can also cause constipation. When qi is deficient, the person does not have the energy to move the bowels and often feels exhausted after trying. A person with this condition has a pale face and tongue and may break into a sweat while defecating. A good patent remedy for this condition is Shen Qi Da Bu Wan, which contains qi tonics such as Astragalus (huang qi) and Codonopsis (dang shen). Cannabis seeds (huo ma ren) are a good addition, since they are a nourishing, lubricating laxative. They are now available in health food stores in the form of hemp seed oil.

If yang is also deficient, the person feels cold and may have low back pain. In this case, the formula should also contain Cistanches (rou cong rong); the patient should eat walnuts (hu tao ren), a lubricating yang tonic.

If yin deficiency is the underlying cause, the person has small, hard, dry stools, thirst, night sweats, and a red tongue with little or no coating. The patent medicine Rehmannia Teapills with the addition of some hemp seed oil is appropriate in this pattern.

 

Haemorrhoids

Western Medicine
Hemorrhoids are enlarged veins located in the lower part of the rectum and the anus. The veins become swollen due to increased pressure within them, usually from constipation or profuse diarrhea, and during pregnancy because of the pressure of the enlarged uterus.
Internal hemorrhoids are located in the inside lining of the rectum and cannot be felt. They are usually painless and make their presence known because blood is seen with a bowel movement. Internal hemorrhoids can prolapse or protrude through the anus.
External hemorrhoids are located underneath the skin that surrounds the anus. They can be felt when they swell and may cause itching, pain, or bleeding with a bowel movement. A thrombosed external hemorrhoid occurs when blood within the vein clots, and may cause significant pain.
Traditional Chinese Medicine

Etiology and Pathogenesis
Detailed discuss on was recorded in the traditional medical literature. In Su Wen. Sheng Qi Tong Tian Lun (Treatise on Communication of Vitality with Heaven, Plain Questions) it states: ” Too much food intake causes injury and flaccidity of vessels, leading to hemorrhoid.” This is the initial theory of varicosity. It was held that the disease cause was related to integrated internal factors and local external factors.
Integrated Internal Factors
They include disharmony of Yin and Yang, Deficiency in the Zang-organs and Fu-organs, consumption of qi and blood, extreme excitation of emotions and genetic factors.
Local External Factors
1. Interactions of pathogenic dampness, heat, wind and dryness.
2. Injury of pathogenic heat, hemorrhage due to blood-heat, and accumulation of pathogenic heat.
3. Food Influence: Over-intake of roast, fatty, raw, cold, pungent and hot food, or drinking of too much alcohol, or improper food intake.
4. Profession and Life Style: Long-time sitting and standing walking a long way with heavy load or indulgence in sexual activity.
5. Others: Persisted constipation or diarrhea, child delivery, etc.
The above causes were recognized as the etiology of hemorrhoids by the ancient practitioners. Hemorrhoids only occur in human beings because man is n animal of erect standing. Modern medicine usually thinks that hemorrhoids are caused by the increase of the venous internal pressure of the venous plexus and the decrease of the resistance of the venous walls. But through a profound study of hemorrhoids, different ideas have been put forward. Besides the theory of varicose vein, there is added the theory of vessel hyperplasia and that of mucosa slide.
Compiled by : Harry Chen

Hay Fever

Western Medicine

Most likely you or someone you know has allergies. The telltale itchy, puffy, watery eyes and red, stuffy nose signal changes in the seasons in homes and workplaces across the country. What these people suffer from is allergic rhinitis, or hay fever. The medical name for this condition refers to stuffy and itchy nose.

Hay fever is an allergic reaction. It is your immune system’s response to foreign material in the air you breathe. Hay fever usually refers to allergies to outdoor, airborne materials such as pollens and molds.

About 15-20% of the population of the United States has some degree of hay fever. It is found equally in both men and women. Usually hay fever is seasonal, but it can last all year long if the allergen stays throughout the year. Spring and fall are the main hay fever seasons.

Traditional Chinese Medicine

According to Chinese Medicine airborne pathogens are categorised as external wind evils. The Lungs are considered a delicate internal organ affected easily by externally invading evils particularly those entering via the nose – the sense organ associated with the Lungs. These evils disturb the lungs ability to disperse and descend the life force energy or Qi. If the Lung Qi does not descend it stagnates, accumulates and eventually counterflows upwards causing sneezing. Because the Lungs also have a role in dispersing and descending fluids in the body, dampness and phlegm can also congregate as a result and lead to nasal discharge and congestion. Wind evils in themselves cause itching and within Chinese Medicine we have the phrase “No wind, no itching”. However for these wind evils to invade in the first place the patient is believed to have an underlying weakness in the Wei Qi – or Defensive Qi. This ancient theory is remarkably similar to modern Western Medical theories if we understand Wei Qi as representing the function of the Immune System.

Therefore the treatment of Hayfever according to Chinese Medicine should address the presenting symptoms but also the underlying weakness, such that the patient’s Wei Qi is strengthened to withstand future attacks of these external pathogens.

In China, acupuncture and Chinese herbal remedies have been used to successfully combat allergic rhinitis symptoms for centuries. A study in the West outlined in Allergy magazine concluded that a combination of Chinese herbs and weekly acupuncture sessions is effective at relieving the symptoms of seasonal allergic rhinitis.

Sports Injury

Sports injuries are injuries that occur in athletic activities. They can result from acute trauma, or from overuse of a particular body part.
Traumatic injuries can include:
• Contusion or bruise – damage to small blood vessels which causes bleeding within the tissues.
• Strain – trauma to a muscle due to over streching and tearing of muscle fibers
• Sprain – an injury in a joint, caused by the ligament being stretched beyond its own capacity
• Wound – abrasion or puncture of the skin
• Bone fracture
• Head injury
• Spinal cord injury
In sports medicine, a catastrophic injury is defined as severe trauma to the human head, spine, or brain.
Concussions in sport became a major issue in the United States in the 2000s, as evidence connected repeated concussions with chronic traumatic encephalopathy and increased suicide risk.
Overuse and repetitive stress injury problems associated with sports include:
• Runner’s knee
• Tennis elbow
• Tendinosis
Some activities have particular risks,as:
• Bicycle
• Sailing ship
• Skateboarding
in NZ, all sports injuries are covered by ACC for acupuncture treatments, that means ACC pays your acupuncturists most of the cost, and you are only charged a minimum surcharge from your acupuncturists.

Compiled by : Harry Chen

Please find our successful clinicl cases:
Heel pain
Ankle sprain
Lumbar pain after soccer

Sheena

I have had a lower back problem since I was a child and it has been problematic over the years. When I was in university I went to see a chiropractor and I go treated for about 3 to 5 months and I paid a hefty price every visit, the pain did go away but it soon came back. My lower back pain became unbearable where it hurt just to lie on my back or to sleep. I was told that acupuncture is the way to go and soon found the balance health clinic. My visit was great very professional and very helpful. After a couple of visits, my back had no pain and Hao was very helpful in advising me about my holistic well being.
Would definitely recommend this clinic.
Sheena

Severe Back pain, can’t breath deep

K, Female, 89years old, came on 2nd Mar. 2013, with severe back pain and can’t breath properly
She rang me half an hour before she came to my clinic, she looks exhausted and pale, can’t breath properly. Most people will call ambulance in that case, but she come to me in the first time. The day before, she had pain on the right rib area and stiff neck, this morning she went to visit her friend and was served a small plate of fruits from refrig, after that she felt sudden sharp pain on the right upper back, and seems to be at the bottom of her lung. The pain was very bad, made she exhausted and even the breath aggravate the pain, can’t lie on treatment table.

TCM diagnosis and treatment  I know her very well as she came to me regularly for lumbar pain, tinnitus ( healed last week), stomachache, etc. Her stomach is weak, this time, the exterior coldness blocked her GB meridian already, manifested as the rib pain and stiff neck, this morning the cold fruit stuck in her body caused the stagnation of her body, liver, stomach and lung are all involved. I give her one herbal tea immediately to warm her stomach, she settled down a little bit, I use acupuncture to relieve the blockage of her GB meridian, strengthen her stomach and lung, she felt quite bit relief and can talk to us again in her Dutch humorous way. Before her leave, I prescribed herbs as : zisu, shengjiang, ganjiang, xixin, banxia, foshou, yujin, chaihu, zhigancao, huangqi,xinren,baishao. Two days later she visit me again, she felt 70% improvement, but still can’t lie down to sleep. I add qianghuo, gegen, beimu, chuanlianzi, reduce xixin, yujin. 3 days later she phone me and said “ You are amazing, I am perfect now.”

Key Points
• The sickness is usually the consequence of a series of factors combined together. For her, stomach weakness, exterior coldness and cold fruit retaining contribute to her sudden severe pain.
• This is an urgent and severe case, she has to phone me to see if I could treat it before coming.

Advices

• Always provent ourselves from cold weather attack and cold food.
• For aged people, any small factors could be very dangerous.

TCM Dr, Hao Chen
7th, Mar. 2012

Neck and Shoulder Pain

D, Male, 53 years old, came on 22nd Jan. 2013, with neck and shoulder pain for 2 weeks
D always come to me for his sickness in the first time , as is very positive for the quick recovery. He complaint about his neck pain and shoulder pain for 2 weeks, accompanied by weakness of shoulder as well. Other symptoms as dry mouth, thirsty, dreams a lot. His pulse quite slippery and thin.
TCM diagnosis and treatment
My diagnosis as Yin-Deficiency with inner heat disturbing lung. For the first session, I use zhongwan, qihai, baihui, taiyang, taichong points to regulate spleen to generate more blood and body fluid, give herbs formula of Liu Wei Di Huang to generate body fluid and clear inner heat. Two weeks later, he come for another session, neck pain gone, only left shoulder some pain, I use similar acupoints, he feels the pain relieved end of the session.

Key Points
• Although he has 2 complaints, but we look at it as 1 disease. So after treatment, the 2 complaints gone.
• The neck and shoulder pain are on the exterior of body, but I regulate the internal function of his lung and spleen, clear inner heat. Just as leaves problem, we treat the root. It works well.

Advices• Recently he has been very busy, burning out blood, body fluid, that generate some internal heat, and heat always attack lung in the first time, and heat also goes up, the the neck and shoulder affected.
• Balanced lifestyle is recommended.

TCM Dr. Hao Chen
22nd Jan. 2013

Heel Pain

T, Male, 35 years old, came on 19nd Feb. 2013, with left heel pain for one month
The pain happened initially after running one month ago, since then, every morning he feels the pain when he lands the floor with his left heel. Today he come to see me, as it getting worse, he even feels the pain at day time. Other symptoms as hot during sleep, shallow sleep.

TCM diagnosis and treatmentThe pain in his heel involved his weakness of the bone, since he feels the pain when he lands on his heel. In TCM, we can regulate the kidney’s function to help the bone. I used Fengfu, to strengthen his kidney, also strengthen spleen to assist the recovery of kidney. After the first session of acupuncture, he feels the pain go away , after the second session, almost feel no pain.

Key Points
• The heel joint consists of bone, tendons, muscles , vessels etc. if the pain happens white standing , it’s the disorder of bone, and walking, it’s the tendons, sitting, it’s the muscle.

• A holistic solution is important for a completely recovery.

Advices
• Frequent vigorous exercise in the evening and night is easily impair kidney, since kidney is like a reserve of our body, if the reserve is decreasing, the kidney will become deficient, and bone will be weak. Avoid too much exercise in the evening and night is recommended to protect our kidney.

TCM Dr. Hao Chen
26th Feb. 2013

Knee Pain

T, Male, 52 years old, came on 22nd Feb. 2013, with knee pain for one month
The pain is on the left knee, inside the joint, he feels the pain and weakness of the knee while standing and walking. Other symptoms as coughing with white and clear phlegm, frequent urine, hot during sleep, kidney area pain.

TCM diagnosis and treatment
His knee pain has been there for some time, combined with a lots of factors that contribute to the pain. First of all, the weakness of kidney, indicated by the kidney pain, frequent urine and standing pain and weakness. Secondly, his lung is deficient, indicated by coughing with phlegm. The healing process have to be step by step. In the first session, I strengthen his bone, using Fengfu point, the following 3 sessions, I help his lung’s function by clear phlegm and heat. He has been covered after 4 sessions.

Key Points

• The knee joint consists of bone, tendons, muscles , vessels etc. if the pain happens while standing , it’s the disorder of bone, and walking, it’s the tendons, sitting, it’s the muscle.
• In TCM, the lung is incharge of all the joints. Since lung’s Qi is important to push the Qi and Blood go through the joints to maintain the normal functions of the joints.
• A holistic solution is important for a completely recovery.

Advices
• The coldness is easily impair kidney and lung, he drinks a lots of cold water and soft drinks. After he stops all those, he is recovering much easier.

TCM Dr. Hao Chen

8th Feb. 2013

Master degree

Mastitis cases

Case 1 :
Female, 33y
Clinical manifestations: for 5 days, symptoms as hard and pain in right breast, in red colour and pervading swelling, aversion to cold , fever. Poor appetite, dysphoria, but normal urination and bowel movement.
Pattern : Ruyong/liver fire with spleen deficiency
Treatment principle: Soothe liver and regulate qi, stop pain and clear heat
Formula : Apply the meaning of Xiao yao san
Chaihu 6g, jixueteng gao 9g, chishao 6g, xiangfu 6g, yujin 6g, shengdihuang 6g, pugongying 15g, niubangzi 6g, gancaojie 3g
Second visit: after 2 days dosage, hardness of the breast became softer, pain reduced too, appetite improved, happy feeling on her face. Modification of formula as: – chaihu, yujin, +ruxiang, moyao, beimu, jiazhu, lianqiao.
Outcome:
After 2 more days, all the symptoms gone.

Case 2 :
Female, 27y
Clinical manifestations: one month after delivery, pain and break on left nipple initially, then the breast pain with swelling. Accompanied symptoms as cold and fever, headache, chest distension, nauseas, day month, thin-yellow coating, floating-rapid pulse.
Pattern : exterior toxin invade, disharmony of breast collaterals
Treatment principle: disperse toxin, regulate collaterals.
Formula :
Chaihu 6g, huangqin 10g, pugongying 30g, banbianlian 15g, niubangzi 10g, jinjie 5g, fangfeng 5g, bohe 5g, quangualou 12g, loulu 10g, qingpi 5g, chenpi 5g, dangguiwei 10g, shengcao 3g
For 2 packs
Exterior application: sesame oil on nipple, jinghuangsan 金黄散 on the pain area of breast.
Second visit: cold and heat gone, pain,swelling of left breast reduced, left nipple break improved. Modify the formula: -jinjie, bohe, +lulutong 10g , for 3 packs
Third visit: still chest distension, poor appetite. Apply clear liver heat, regulate stomach method.

from :  Case study in TCM history

Hernia and Purpura

 

Case one: Hernia
Wei, male, 17y.
Left Bursula Testium had been swollen for 8 days, pain upon pressing, could be retracted when lying down, dropped down worse when standing or moving. He has been diagnosed as abdominal hernia by Tongren hospital, and he did not want to have the operation, so he came to see Doctor of TCM. His tongue was normal, but deep and wiry pulse.
Diagnosis: Deficiency and Coldness
Treatment principle: Tonify spleen and ascending qi, warm up liver meridian
Formula: modified Buzhong Yiqi decoction
Chaihu 5g, Zhishengma 3g, Juhe 6g, Baishao 10g, Zhigancao 3g, Lihe 6g, Dangshen 6g, Zhihuangqi 12g, Baizhu 5g, Chenpi 6g, Jiudanggui 10g, Chuanlianzi 10g, yuanhu 10g, wuyao 6g, Qingpi 5g
Outcome: after 8 packs, dropping of left bursula testium and pain all gone. Apply pills of same formula to strengthen the effects.

Case two: Purpura ( 紫癜)
Qi, male, 38y.
For 8 years, he had been swollen and wandering pain all over the body, when the pain was serious, there were Purpura on the pain area. If the pain reduced, there was blood in urine occassionally, bad sleep, poor appetite. Unhappy and anger emotion aggravated the symptoms. Yellow-sticky coating, wiry-rapid pulse.
Diagnosis : Heat accumulation, capillary stagnation.
Treatment principle: clear heat, promote blood circulation and dredge meridians
Formula: modified Buzhong Yiqi decoction
Jiuchuanxiong 5g, fried Danpi 10g, Zhufushen朱茯神 10g, Jiudilong 10g, Chao Dansheng 10g, cundong 10g, Hanliancao 25g, Dangguiwei 10g, Honghua 5g, Dashengdi 15g, Sangzhi 20g, Chaihu 3g, shengdi 15g, Sangjisheng 20g, Guizhi 3g, Baishao 10g, Yousongjie油松节 30g, Zhicaoshao炙草梢 10g, Chaoshanzha 10.
Second visit: after 8 packs, pain happened less than 10 minutes every time, no blood urine, less purpura, but gum a little bleeding
Dashengdi 15g, Chaihu 3g, Baishao 10g, shengdi 15g, Guizhi 3g, chao Dansheng 10g, Fried Danpi 10g, Sangzhi 20g, xianghecao 30g, Hanliancao 25g, Jiudanggui 10g, Sangjisheng 20g, Zhicaojie炙草节10g, Heijieshui黑芥穗, xiaojitan 小蓟炭, ajiao 10g.
Outcome: After 12 packs, purpura gone, pain gone.

Reference:
Zhu,kanyu.(2005).Shijinmo Clinical Experiences[施今墨临床经验集].People’s Medical Publishing House.

The secret Mum cure her vetigo herself

I phoned my mum, who is living in China, and very happy to know that her vertigo went away completely, and she now feels very comfortable, she told me that her brain is as clear as sky.
The story is that, 3 weeks ago, she started to realize her vertigo became worse, the symptoms as , constant vertigo, especially when she got up every morning, and moving around, stillness would be better, but still annoying. It’s not easy for me to make a remote diagnosis only according to the symptoms, but anyway I prescribed a formula to tonify blood, remove exterior blockage and resolve phlegm. Mum is not good at herbs, after one week, she want to try self massage instead of herbs. I agreed.
The meridian she massaged is Pericardian Meridian as above photo. She found the whole line on the right arm very hard and painful, then she had massaged it for 4 days till all the hardness and pain had gone. Then she was very surprised to notice that the vertigo dissapeared completely.
This is the secret of how Mun cured her vertigo by herself.

Dr.Gan Zu Wang treating Chronic Pharyngitis

Case 1 : Male, 58y
Clinical manifestations: Sore throat with dryness and uncomfortable, phlegm in throat, always want to expectorate phlegm, lassitude and laziness to speak, celostomia after long talking, getting worse sometimes, lingering for years. Had been taken Chinese herbs of tonifying yin and clearing heat with not much improvement. Inspections indicates that slight congestion on throat, retropharyneal folliculosis(咽后壁淋巴滤泡增生), pale tongue body, white-thin coating, thready pulse.
Pattern : spleen Qi deficiency, clear yang not ascending, un-nourishment of throat
Treatment principle: strengthen spleen and benefit Qi
Formula : Dangshen, Fuling, Huangqi, Shanyao, Gegen 10g each, Baizhu, Chenpi, Baixia 6g each, Gancao 3g.
Outcome: After intake of above mentioned herbs for 20 packs, recovered.

Case 2: Male, 27y
Clinical manifestations: complaining for 2 years, being dry throat with pain, feeling of foreign object blocking, but food intake smoothly, no desire to talk long, otherwise the symptoms getting worse, there is phlegm in throat but not easy to be expectorated, bloated stomach , lots of gas. Inspection : congestion and swelling on pharyngeal mucosa, tonsil swelling, no pus, prints on edge of tongue, white-thin coating, soft pulse.
Pattern: Spleen Qi deficiency with phlegm and dampness
Treatment principle: Strengthen spleen, dissolve phlegm and dampness
Prescription : Taizishen, Fuling, Baizhu, Baibiandou, Shanyao, Shanzha, Shenqu 10g each, Jiegen 6g, Shengma and Gancao 3g each.
Outcome: after 3 packs of herbs, sore throat and bloated stomach improved, add Yiyiren 10g, for further 20 packs, recovered fully.

Case 3 : Male, 47y
Clinical manifestations: The patient has a history of Choronic Pharynitis, nasopharynx cancer has been detected recently, and was in the process of chemotherapy, and cancer been managed well. inspection as , no nasal blockage, no nasal bleeding, only dry throat and mouth, not quenched after drinks, sore throat sometimes especially while swollen saliva, tied limps, poor appetite, congestions , dryness and rough on pharyngeal mucosa, thin-greasy coating, thin-thready pulse.
Pattern : Deficiency of qi and yin, with inner hear rising
Treatment principle: Strengthen spleen and benefit qi, tonify yin and descending heat
Formula : Taizishen, Wuweizi, Shanyao, Maidong, Baibiandou, Wumei, Xuanshen, Shihu 10g each, Gancao 3g, in 5 packs
Outcome: dry mouth and throat improved, appetite improved significantly, apply 30 more packs till the end of chemotherapy.

End

Chronic Rhinitis

Case 1 :
Female, 24y
Clinical manifestations:
Blocked nose and running nose been 2 years, easily caught cold, and cold would aggravate symptoms. Once treated in a hospital and diagnosed as Chronic Rhinitis, been used Nasal Drops with temporary effectiveness. Now feel driness of nostril, running nose with nasal discharge in yellow or white, sticky and watery alternatively. Distension on forehead, slight thirsty, white thin coating, normal pulse.
Pattern : wind-cold in Lung meridian
Treatment principle: clear and disperse Lung
Formula : Cang er zi 10g, Xin Yi 5g, Bai zhi 5g, Bo he %g, Mai dong 10g, Sheng gan cao 3g, Jie gen 3g, Sang bai pi 10g, Pi pa ye 10g, Huang qin 6g . total in 5 packs for 5 days
Outcome: After intake of above mentioned herbs, blocked nose recovered, running nose stopped, distendion of forehead improved. Continue the same formula till 30 packs , all the symptoms gone, not recurred in the follow up visit after 2 years.

Case 2:
Femal, 20y
Clinical manifestations
: Running nose with nasal discharge of turbid yellowish for 4 years. Initially she got cold and blocked nose, then running nose of yellow and smelly discharge. Other symptoms as dizziness, blurry vision, lassitude, fatigue, thready pulse, red tongue tip, thin-white coating.
Pattern: Gall-bladder heat invading brain, middle qi deficiency and turbid qi reversing
Treatment principle: clear Gall-bladder heat, tonify middle qi
Prescription :
1.Huodanwan( 藿胆丸:广藿香叶、猪胆粉) 5g per day
2.Huang qi 10g, Dang shen 10g, Bai zhu 5g, Shengcao 1.5g, Chai hu 1.5g, Zhi sheng ma 1.5g, Chen pi 3g, Ju hua 6g, Dan shen 10g , in 5 packs
Outcome: after finishing the herbs, tubid nasal discharge gone, dizziness and blurry vision improved, energy better. After continuing the herbs for one month, all the symptoms gone, still using Huo dan wan afterwards to strengthen thebody.

From: Case Study from TCM History
end

2 Cases of Sudden Deafness


Case 1 :
Female, 39y
Clinical manifestations: First visit, left ear been deaf 20 days after great anger, hearing lost completely, accompanied by tinnitus and ear pain. Diagnosed as perforation of the tympanic memberance in on hospital. After intake of oxytetracycline and herbs, ear pain relieved, but tinnitus and deafness still remained. Taut pulse, red tongue tip.
Pattern : Liver-fire flaming upward, clear orifice blockage
Treatment principle: Clear Liver-fire, open orifice.
Formula : Longdan Xiegan Decoction, as Longdancao 3g, Shanzhizi 10g, Zexie 10g, Chaihu 2g, Cheqianzi 10g, Huangqin 6g, Shengcao 2g, Danggui 10g, Shengdi 12g, Mutong 3g, Juhua 6g . four packs in total.
Second visit and Outcome: Ear deafness improved significantly, can hear watch clicks, tinnitus also disappeared. Use Longdan Xiegan Pills 90g, 5g per day, 2 times per day, to consolidate the effects.
Case 2:
Male, 51y
Clinical manifestations: First visit on 12/04/1987, the patient reported that after he got up in the morning of 02/04/1987, felt headache and dizziness, and sudden deafness of left ear at 11am. Diagnosed as sudden deafness in one hospital, been treated one week without any improvement. Visual inspection found that non red facial complexion, dry mouth, pale tongue body with white coating, floating and taut pulse.
Pattern: Invasion of exterior wind, qi blockage on the ear.
Treatment principle: dispelling wind and dispersing lung, regulate qi to open orifice.
Prescription : Guixiang powder, as Mahuang 6g, guizhi 6g, chuanxiong 10g, baizhi 10g, danggui 10g, xixin 3g, changpu 10g, muxiang 10g, nanxing 10g, mutong 10g, gancao 6g, baijili 10g, zhike 10g, chenpi 6g.
Outcome: After 3 bags of above mentioned herbs, slight sweating of body, symptoms of headache and dizziness disappeared, body lighter, hearing of left ear improved. After further 4 packs, the hearing of left ear completely recovered.
end

from:
Clinical cases from TCM histoy

Enuresis — 2 Successful cases

 

Case 1 : Infantile enuresis    ( professor Wu Liwen’s experience on treating infantile enuresis)

Li, girl, 6y, first visit on 26.05.2006.  Enuresis for 3 years, after treatments from WMS and TCM no improvement.  For the latest 10 days, has been bed wetted quite frequently, deep in sleep, hard to be waked up, 3 to 4 times per night in a non-severe case, 5 to 6 times per night in a severe one. She is tired and weak, pale complexion, cold limbs, poor appetite, long clear urine, non-formed stool, pale tongue body, thin-whitish coating, thready-deep pulse. WMS examination nothing unusual.

Diagnosis as spleen and kidney deficiency, qi transforming disorder and water passage disorder.

Treatment : tonigy qi and strengthen spleen, tonify kidney qi, astringent urine

Formula as: wu zi yan zong pill combined with suo quan pill

Dangshen 9g, zhihuangqi 12g, baizhu 9g, shanyao 10g, qianshi 9g, wuyao 9g,  sangpiaoxiao 9g,  yizhiren 6g, wuyao 6g, fupenzi 6g, tusizi 8g, heye 3g.  in 7 packs, 1 pack and 2 intake per day. Lifestyle recommendations on parenting, diet and routines.

Second visit on 02.06.2006, her mother said she had more energy, 1 wet bed only, stool formed, tongue and coating same as before. Continue last formula for 7 packs.  Recovered fully.

Case 2: infantile enuresis ( yuqiu Hou, Yajun Wang)

Zheng, girl, 6y, first visit on 11.04.2001.  Enuresis since a baby, even a few times per night, noticed after waking up, accompanied by restlessness, night sweating, pale tongue, whitish coating, deep-thready pulse.

Diagnosis as heart and kidney both deficiency, urinary bladder fail to control urine.

Treatment: calm spirit, tonify heart, warm kidney to consolidate urine.

Formula : modified ganmai dazao decoction

Zhigancao, sangpiaoxiao, yizhiren, tusizi, changpu and yuanzhi 10g , fuxiaomai 20g, wuweizi 5g, duanmuli 15g, dazao 5 . one pack every day, recommend no fluid before sleep, urinate before sleep, wake up by parent at night to urinate. One week after, all synptoms improved, bed wet only 2 nights. Continue the same formula for 15 days more, no recurrence during one year.

Hypophrenia– 3 Seccessful Cases

Case 1 :

One boy, white eyeball big, can’t walk at 3, low voice, either hot or cold on feet, loose stools. Morning formula as Buzhong yiqi decoction plus wuweizi, shanyao, to tonify spleen and lung, evening formula as liuwei dihuang pills plus wuweizi, niuxi, lurong to tonify liver and kidney. Less than 3 months, healed.

Case 2:

One boy can’t talk at 5 years old, every body believed he is handicapped. But inspection indicated his lung and kidney deficient, then apply Liuwei dihuang pills plus wuweizi, lurong, and buzhong yiqi decoction plus wuweizi. Over 2 months, qi and body developed stronger, can talk one or two words over half an year, can talk properly over one year.

Case 3:

Gao, girl, 6 y. first visit on 07.03.1974.  she had high fever 4 days after birth, accompanied by jaundice. After high fever and jaundice relieved, she had nodding head, shaking head symptoms. Convulsion at half year old and disappear at one, but then had nodding head, shaking head, dripping saliva,  hand twisted inward and shaking, uneven walking etc. at age of three became aphasia, at age of six, hypophrenia, no response to things. Red tongue and thread-wiry pulse.

Diagnosis as liver wind, marrow insufficiency.

Treatment principle: calm liver, benefit intelligence

Formula:

Shengzibeichi 62.5g,  shengzishiyin 62.5g, (生紫贝齿,生紫英石) shengshijueming 62.5g, zhenzhumu 31g, hanliancao 31g, hehuanhua 15.6g, baijili 25g, nuzhenzi 25g, yizhiren 25g, woniuke 12.5g, tianzhuhuang 12.5g, dannanxing 12.5g, tianma 18.8g, shexiang 1g, ground and make to honey powder, 6g per powder, in take twice per day, long term use.

After half a year, intelligence improved significantly, can speak simple words, some response to things, can raise questions. Nodding, shaking head, shaking hands symptoms mainly controlled, other symptoms improved as well.

 《中医历代医案精选》 TCM Clinical Cases Collection

Diarrhea — 2 Successful Cases

Case 1: Infantile Diarrhea  ( 《中医历代医案精选》 TCM Clinical Cases Collection , P819)

Zhang, 8 months

First visit: weak constitution, diarrhea for 10days, 10 times per day, emaciation, poor appetite, bloated abdomen and long urine, can’t close eyes tight when sleep, cold limbs, pale tongue and white coating. Syndrome as spleen and stomach yang def, severe case, yang def, even depletiong.

Formula : Korean renshen 4.5, fupian 6g, paojiang 2.4g, qinggancao 3g, chaomaiya 9g, weimuxiang 3g, weirouguo 6g, 3 packs.

Second visit: stool formed, warmer limbs, long clear urine still, non-red complexion, pale tongue and white coating still.  Although diarrhea gone, still need to apply warm tonify herbs continually.

Case 2:  Diarrhea ( 《中医历代医案精选》 TCM Clinical Cases Collection , P823)

Wang, boy, 10y. first visit on 23.06.1981: repeatedly diarrhea and abdominal pain for 6 years. Nowadays abdominal pain on and off, worse at left side, 3 to 4 times bowl movements, pasty with jelly stuff,red complexion, red lips, clean tongue less coating, wiry and thread pulse. WMS diagnosed as nonspecific colitis. Syndrome as Jueyin disease, should  apply Formula wumeiwan, as

Wumei 6g, chuanjiaomu 3g, dangshen 6g, danfupian 2g, ganjiang 1.5g, rougui 1.5g, chuanlian 1.5g, huangbai 4.5g, danggui 6g, xixin 2g,  for 10 packs

Second visit on 07.07. abdominal pain greatly reduced, 1 to 2 times bowl movement per day, sometimes formed, occasionally jelly stuff, white and greasy coating, appetite normal. Formula as: off xixin, chuanlian, add cangzhu 9g, xianglianwan 3g, for 7 days

Third visit on 14.07: formed stool, once a day, no jelly stuff, no abdominal pain, thin and moisture coating, soft and thread pulse. Spleen and stomach still weak, should regulate and warm middle. Formula as: wumei 6g,  chuanjiaomu 3g, dangshen 9g, danggui 9g, ganjiang 2g, rougui 1.5g, shanyao 9g, jiaobaizhu 9g, fuling 9g, qingcao 3g, for 7 packs.     

After continually regulating, cured.

 

Pneumonia– 2 Successful Cases

 

Case 1 : Pneumonia combining with Myocarditis    ( 《中医历代医案精选》 TCM Clinical Cases Collection , P780)

Liu, boy, 2 years old. 14.06.1971  in hospital, diagnosed as Pneumonia combining with Myocarditis. On 21.06’s consultation, high fever, cold and heat alternatively, slight cough, short of breath, constipation.

Inspection : body temperature 39.1˚C, pale complexion, eyelid and lower limbs swelling, cold limbs, heart rate 165 per minute, rale, soft abdomen, light tongue body, slight white coating, wiry-thready-weak-rapid pulse.

Syndrome differenciation and treatment: wind-heat invasion of lung, evil stay at shaoyang, vital qi deficiency. Apply xiaochaihu decoction to harmonize pivot, support vital qi and eliminate evil qi.

Formula: chaihu 4.7 g, banxia 4.7g, taizishen 4.7g, gancao 3g, huangqin 9g, qinghao 4.7g

23.06. second visit: fever  went down the day before, bowel movement goes, energy and appetite normal, pale complexion better, cough down, pharynx slight red. Formula as before, off chaihu, add maidong 6g,  for 3 more days

26.06 third visit: temperature normal, symptoms disappear, lung normal.

Case 2: Congenital Heart Disease, complicated by pneumonia ( 《蒲辅周医案》Pufuzhou Clinical cases, P140)

Xiao, girl, 1y.  starting from high fever, she has been asthmatic breathing for 5 days, went to one hospital on 26/04/1960. After hospitalized, she has been checked blood, lung, etc. and diagnosed as Congenital Heart Disease, complicated by pneumonia.

Course of disease and treatment: treating for 3 days, no improvement, invite Mr. Pu for consultation. She has high fever without sweating, asthmatic breathing and dysphoria, coughing without sound, short of breath, fullness under heart, dull complexion, light tongue, greasy and slight grey coating, deep, weak and rapid pulse. This is due to congenital weakness plus new evil attacking lung, new and old disease combined together. Treatment should to strengthen heart as Ben, to treat lung as Biao.

Formula as: guizhi 0.5g, zhigancao 0.5g, yuanzhi 3g, fried suzi 3g, xinren 3g, juhong 3g, shengjiang 2 pieces, dazao 1, 2 packs.

On 1/05 for the second visit: only cough reduced, others as usual. Take off suzi, xinren, add shashen 6g, tiandong 6g, wuweizi 10 granule, 2 packs. Combined with 2 times plasma transfusion, high fever going down, cough improved further, not asthmatic breathing. Finally, regulate lung and stomach, strengthen heart and tonify qi for a better ending.

Asthma — 4 Successful Cases

Case one: Asthma    ( 《中医历代医案精选》 TCM Clinical Cases Collection , P767)

Ding , girl, 3 months. She has been high fever for 3 months, combined with heavy sweating, asthmatic breathing with nasal wings flapping, paroxysmal coughing, phlegm retention, restless in bed at night, frightened sometimes, short urine. Body temperature at 40.1˚C, slight red cheek, lung rale, chest X-Ray indicate pneumonia change, white blood cells 18400/mmᶾ.  white thin coating, floating and rapid pulse, red and purple finger print.

Diagnosis as:  bronchitis pneumonia, wind-cold exterior, interior heat blocking lung

Formula: zhimahuang 3g,  xinren 3g, shengshigao 24g, gancao 5g, yinhua 18g, sangbaipi 10g, niubangzi 10g, chuanbei 6g,  huoxiang 10g, suye 6g, qinghao 10g, pipa 10g.

After 16 hours of intake of it, body temperature drop to 36.3˚C, quiet in sleep, smooth in breath, slight cough, less phlegm, thin yellowish coating and slight rapid pulse the next morning. Diagnosis as exterior relieved, interior heat not gone. Applying same formula, take off suye, one more pack, then change to maxin combined formula, 6 days later, discharged from hospital.

Maxin combined formula , to relieve exterior, clear interior heat, stop cough and resolve phlegm,as:

Mahuang 30g, fried xinren 60g, shengshigao 210g, gancao 45g, beimu 90g, suye 90g, chenpi 90g, maidong 90g, fried shenqu 90g, baimaogen 90g, boil 2 times, concentrated to 4000ml, add white sugar 120g, honey 120g, concentrated to 1000ml.  intake 5ml for infantile less than 6 months, 5 to 10ml for infantile less than 2 years old, 10 to 15ml for infantile less than 5 years old, 20ml for older than 5, 3 to 4 times a day.

Case two: Deficient Asthma ( 《蒲辅周医案》Pufuzhou Clinical cases, P140)

Xiao, girl, 1y.  starting from high fever, she has been asthmatic breathing for 5 days, went to one hospital on 26/04/1960. After hospitalized, she has been checked blood, lung, etc. and diagnosed as Congenital Heart Disease, complicated by pneumonia.

Course of disease and treatment: treating for 3 days, no improvement, invite Mr. Pu for consultation. She has high fever without sweating, asthmatic breathing and dysphoria, coughing without sound, short of breath, fullness under heart, dull complexion, light tongue, greasy and alight grey coating, deep, weak and rapid pulse. This is due to congenital weakness plus new evil attacking lung, new and old disease combined together. Treatment should to strengthen heart as Ben, to treat lung as Biao.

Formula as: guizhi 0.5g, zhigancao 0.5g, yuanzhi 3g, fried suzi 3g, xinren 3g, juhong 3g, shengjiang 2 pieces, dazao 1, 2 packs.

On 1/05 for the second visit: only cough reduced, others as usual. Take off suzi, xinren, add shashen 6g, tiandong 6g, wuweizi 10 granule, 2 packs. Combined with 2 times plasma transfusion, high fever going down, cough improved further, not asthmatic breathing. Finally, regulate lung and stomach, strengthen heart and tonify qi for a better ending.

Case three: Asthma ( 《临症针灸医案》Acupuncture Clinical Cases , P12)

Li , boy, 10y. chief complaint: cough and Asthmatic breathing for 7 days. present illness: 7 days ago, he caught cold, then cough and asthmatic breath, clear phlegm, aversion to cold and fever, nausea. After treatment, aversion to cold, fever, nausea better, but still cough and asthmatic  breath, aggravated in cold weather.

Treatment: drain lung , expel coldness, calm asthma. Points as: fengmen( moxa), dazhui, feishu,tiantu.  Methods: as fengmen—moxa, dazhui—tonify, feishu—even.

After 5 sessions, cough and asthma gone, continue one course to consolidate it.

Case four: Wang, boy, 8y. when he was 3, had whooping cough with asthma, repeatedly onset despite long term TCM and WMS treatment. Symptoms as: chest distension, breathing tight,  cough and brings out yellowish phlegm, red and swelling throat, red tongue, thin yellow coating, dry lips, prefer cold water, hard stool, yellowish urine, thread and rapid pulse.

Diagnosis as heat asthma, apply clearing heat, dissolve phlegm and calm asthma. Moxa on feishu, dingchuan, fengmen, make local area red and blister, once every 2 days. after 3 sessions, asthma improved significantly, after 10 sessions, asthma gone. Ask his parents to apply moxa in the same points once sore throat and coughing with yellow phlegm, and apply Sanfujiu in summer. Follow up interview  for one year, asthma not happen.

Case 4: Asthma ( 《临症针灸医案》Acupuncture Clinical Cases , P134)

Sun, boy, 11y.  Asthma history of 8 years, mother with eczema history. Before onset, he had itching nose, sneezing, clear nose discharge. During onset, there is high pitch wheezing sound, breath tight, chest distension, heart palpitation, bring out sticky and white phlegm. Aggravate in spring, in the early times of the asthma history, fairly slight, recently getting more frequent onset. Tried many time of TCM and WMS treatment, not cured completely. The allergen test indicates that it is related with  pollen, dust, demodicid mite. Since the boy scare about needles, only apply Banmao Baijiezi application on dingchuan, tanzhong, feishu, gaohuang etc. to make is blister, once every week, one course every month, it runs two courses together, still not controlled. Eventually, use acupuncture , on dingchuan, make the needling sensation runs toward the hypochondriac area, once every day, not retain needles. Very good result after 2 treatment, 10 treatment asthma controlled, follow up turn out to be non onset for years. ( the doctor define the dingchuan lateral to C7-T5, and deep insertion.)

Chronic Pharyngitis

Modified Bai Hu Tang for Chronic Pharyngitis

Male, 37y

Clinical manifestations: first visit on 14/12/1979.  Throat had been pain for 5 months, with burning sensation, foreign matter sensation, dry pharynx on and off, but all the symptoms reduced while diarrhea, accompanied by hiccup and dry stool. Inspections indicated that, red colour on pharynx wall, palatal arch swelling, thin-yellowish coating, thready and forceful pulse.

Syndrome : Diagnosed as heat retention in Yangming, deficient heat due to lung and stomach yin deficiency.

Treatment: Formula as Modified Bai Hu Tang, shengshigao 30g, zhimu, maidong , yinhua, shandougen, jinsuoshi, niubangzi, zhuye 10g separately, chishao 6g, dengxincao 3 bundle, 5 packs in total.

Second visit the same.

Third visit on 29/12/1979. burning sensation, foreign matter sensation of pharynx reduced, hiccup occasionally, bowel movement normal, but lesions on edges of eyes and mouth. It indicated that stomach fire reduced but not gone. Modified as : huangbai 3g, shengshigao 20g, yuzhu, zhimu, yinhua, xuanshen, shihu, baimaogen 10g separately, gegen6g, dengxincao 2 bundle. 5 packs in total.

Fourth visit on 04/01/1980. Dry throat and pain almost gone, hiccup stopped, lesion gone. Apply formula to tonify yin, for the benefit of root.

TCM Dr. Gan Zu Wang

Blockage of Ear

Modified San Ao Tang for Blockage of Ear

Female, 38y   

Clinical manifestations: first visit on 06/10/1979.  Two weeks ago, when the patient was waiting for the bus, suddenly the right ear was blocked. Other symptoms as tinnitus, dizziness, hearing loss. No common cold, blocking nose found recently. Pale-red tongue body, thin-white coating, pulse even. The acute onset of the disease indicated it was not deficient syndrome, initially could dispers lung and benefit orifices

Treatment: Apply San Ao Tang with modification, as mahuang, gancao, chaitui, changpu, mutong 3g separately, xinren, lulutong, kudingcha 10g separately, yujin 5g, 5 packs in total.

Outcome: Eventually, after 10 packs, the patient recovered completely.

TCM Dr. Gan Zu Wang

Children’s Asthma Cases


Case one: Asthma
Ding , girl, 3 months. She has been high fever for 3 months, combined with heavy sweating, asthmatic breathing with nasal wings flapping, paroxysmal coughing, phlegm retention, restless in bed at night, frightened sometimes, short urine. Body temperature at 40.1˚C, slight red cheek, lung rale, chest X-Ray indicate pneumonia change, white blood cells 18400/mmᶾ. white thin coating, floating and rapid pulse, red and purple finger print.
Diagnosis as: bronchitis pneumonia, wind-cold exterior, interior heat blocking lung
Formula: zhimahuang 3g, xinren 3g, shengshigao 24g, gancao 5g, yinhua 18g, sangbaipi 10g, niubangzi 10g, chuanbei 6g, huoxiang 10g, suye 6g, qinghao 10g, pipa 10g.
After 16 hours of intake of it, body temperature drop to 36.3˚C, quiet in sleep, smooth in breath, slight cough, less phlegm, thin yellowish coating and slight rapid pulse the next morning. Diagnosis as exterior relieved, interior heat not gone. Applying same formula, take off suye, one more pack, then change to maxin combined formula, 6 days later, discharged from hospital.
Maxin combined formula , to relieve exterior, clear interior heat, stop cough and resolve phlegm,as:
Mahuang 30g, fried xinren 60g, shengshigao 210g, gancao 45g, beimu 90g, suye 90g, chenpi 90g, maidong 90g, fried shenqu 90g, baimaogen 90g, boil 2 times, concentrated to 4000ml, add white sugar 120g, honey 120g, concentrated to 1000ml. intake 5ml for infantile less than 6 months, 5 to 10ml for infantile less than 2 years old, 10 to 15ml for infantile less than 5 years old, 20ml for older than 5, 3 to 4 times a day.

Case two: Deficient Asthma
Xiao, girl, 1y. starting from high fever, she has been asthmatic breathing for 5 days, went to one hospital on 26/04/1960. After hospitalized, she has been checked blood, lung, etc. and diagnosed as Congenital Heart Disease, complicated by pneumonia.
Course of disease and treatment: treating for 3 days, no improvement, invite Mr. Pu for consultation. She has high fever without sweating, asthmatic breathing and dysphoria, coughing without sound, short of breath, fullness under heart, dull complexion, light tongue, greasy and alight grey coating, deep, weak and rapid pulse. This is due to congenital weakness plus new evil attacking lung, new and old disease combined together. Treatment should to strengthen heart as Ben, to treat lung as Biao.
Formula as: guizhi 0.5g, zhigancao 0.5g, yuanzhi 3g, fried suzi 3g, xinren 3g, juhong 3g, shengjiang 2 pieces, dazao 1, 2 packs.
On 1/05 for the second visit: only cough reduced, others as usual. Take off suzi, xinren, add shashen 6g, tiandong 6g, wuweizi 10 granule, 2 packs. Combined with 2 times plasma transfusion, high fever going down, cough improved further, not asthmatic breathing. Finally, regulate lung and stomach, strengthen heart and tonify qi for a better ending.

Case three: Asthma
Li , boy, 10y. chief complaint: cough and Asthmatic breathing for 7 days. present illness: 7 days ago, he caught cold, then cough and asthmatic breath, clear phlegm, aversion to cold and fever, nausea. After treatment, aversion to cold, fever, nausea better, but still cough and asthmatic breath, aggravated in cold weather.
Treatment: drain lung , expel coldness, calm asthma. Points as: fengmen( moxa), dazhui, feishu,tiantu. Methods: as fengmen—moxa, dazhui—tonify, feishu—even.
After 5 sessions, cough and asthma gone, continue one course to consolidate it.
Case four: Wang, boy, 8y. when he was 3, had whooping cough with asthma, repeatedly onset despite long term TCM and WMS treatment. Symptoms as: chest distension, breathing tight, cough and brings out yellowish phlegm, red and swelling throat, red tongue, thin yellow coating, dry lips, prefer cold water, hard stool, yellowish urine, thread and rapid pulse.
Diagnosis as heat asthma, apply clearing heat, dissolve phlegm and calm asthma. Moxa on feishu, dingchuan, fengmen, make local area red and blister, once every 2 days. after 3 sessions, asthma improved significantly, after 10 sessions, asthma gone. Ask his parents to apply moxa in the same points once sore throat and coughing with yellow phlegm, and apply Sanfujiu in summer. Follow up interview for one year, asthma not happen.

Case 4: Asthma
Sun, boy, 11y. Asthma history of 8 years, mother with eczema history. Before onset, he had itching nose, sneezing, clear nose discharge. During onset, there is high pitch wheezing sound, breath tight, chest distension, heart palpitation, bring out sticky and white phlegm. Aggravate in spring, in the early times of the asthma history, fairly slight, recently getting more frequent onset. Tried many time of TCM and WMS treatment, not cured completely. The allergen test indicates that it is related with pollen, dust, demodicid mite. Since the boy scare about needles, only apply Banmao Baijiezi application on dingchuan, tanzhong, feishu, gaohuang etc. to make is blister, once every week, one course every month, it runs two courses together, still not controlled. Eventually, use acupuncture , on dingchuan, make the needling sensation runs toward the hypochondriac area, once every day, not retain needles. Very good result after 2 treatment, 10 treatment asthma controlled, follow up turn out to be non onset for years. ( the doctor define the dingchuan lateral to C7-T5, and deep insertion.)

From:
Collection of Clinical cases of TCM

Acne cases

Case 1 :
Male, 20y
Clinical manifestations: The patient had been healthy throughout his childhood and adolescence. At the age of 18, red papules and open comedones ( blackheads ) started to appear on the face. In the following year, successive crops of increasingly severe red papules and pustules appeared. Lesions of different sizes were distributed over the forehead and chin and around the nose. Comedones were noted in the center of some of the papules, which were most densely concentrated around the nose. The patient’s face was very greasy. He was keen on sports, had a good appetite and tended to eat llarge amounts. Accompanying symptoms and signs included dry mouth and dry and smelly stools, with boewl movements only once every few days. the tongue body was red with a thin yellow coating, the pulse was wiry and slippery.
Pattern : Heat accumulating in the lung and stomach with external contraction of pathogenic toxins
Treatment principle: Clear heat from the lung and stomach and relieve toxicity
Formula : jin yin hua 15g, lian qiao 15g, pu gong ying 30g, zihua di ding 15g, sang bai pi 15g, huang qin 10g, zhi zi 10g, chi shao 10g, mu dan pi 10g, sheng di huang 30g, gua lou 15g, shu da huang 10g, ye ju hua 15g, dig u pi 15g .
one bag a day was used to prepare a decoction, taken twice a day.
Second visit: After 14 bags of the prescription, stool was passed once a day and the dry mouth was relieved. No new red papules had appeared. The pustules had disappeared but the oily secretion was still pronounced. Numerous open and closed comedones also remained. The patient was told to continue with the prescription for another 28days. in addition, Liu Lei xi ji and lu liu ding were applied externally once a day.
Third visit: The red papules had disappeared completely, leaving pale pigmented spots. The dkin was still greasy and slightly red on both sides of the nose. The prescription was modified by moving gua liu and shu da huang and adding mei gui hua10g, ji guan hua 10g, and ling xiao hua 10g. the patient followed the revised prescription for one month to consolidate the improvement. The external wash prescription was changed to washing the face with alkaline soap three times a day. The patient was also advied not to eat deep-fried food and sweet food.
Outcome:
At the end of the course, the condition had resolved.

Case 2:
Female, 21y
Clinical manifestations: Papules started to appear on the patient’s face at the age of 16 with intermittent exacerbation and alleviation. The papules gradually increased in number and turned redder, some of them becoming confluent. When the papules burst, a white secretion came out. The patient was diagnosed with cystic acne with secondary inflammation. Examination revealed closed comedones, papules and pustules of different size concentrated on the forehead and both cheeks. A number of hard nodules 10mm in diameter were noted on various parts of the face. Some of the nodules were mobile and discharged a white plug when squeezed. The patient’s face was very greasy. Accompanying symptoms and signs included dry mouth and a liking for cold drinks. Stool and urine were normal. The tongue body was red with a white and greasy coating, the pulse was wiry and slippery.
Pattern: Damp-heat in the lungs and stomach, external contraction of pathogenic toxins, blood-heat accumulating and binding.
Treatment principle: Clear damp-heat in the lung and stomach, cool the blood and relieve toxicity, soften hardness and dissipate lumps.
Prescription : sang bai pi 15g, dig u pi 15g, huang qin 15g, zhi zi 10g, huang lian 10g, ye ju hua 15g, ji guan hua 10g, jin yin hua 15g, lian qiao 15g, pu gong ying 15g, zi hua di ding 10g, chi shao 10g, mu dan pi 10g, xia ku cao 15g, che qian zi 15g, yi yi ren 30g
one bag a day was used to prepare a decoction, taken twice a day.
External treatment: liu lei xi ji, hei bu yao gao and hua du san gao.
Second visit: after three days, the skin lesions had improved, and some of the papules and pustules had begun to subside. The patient was told t continue the prescription and external application for another 7 days. the hard nodules and cystic area began to shrink and flatten. He was told to continue for another four days.
Third visit: after 14 bags overall, most of the lesions were flat and no new papules had appeared. The oily secretion was disappearing and the cysts were smaller. The tongue body was dark red with a white coating, the pulse was wiry and slippery. The prescription was modified by removing ji guan hua and huang qin and adding dan shen 15g, and hong hua 15g. the external application continued as before.
Outcome: After 14 bags of amended prescription, the skin lesions had disappeared completely, leaving pale pigmented spots and shallow scarring.

Xu.Y, 2004.Dermatoloty in Traditional Chinese Medicine. Donica Publishing

Acne

Acne is a disorder of the hair follicle sebaceous glands, consisting of non-inflammatory lesions ( open and closed comedones ) and inflammatory lesions ( papules, pustules and nodules ). Acne is common among adolescents and young adults, usually starting between the ages of 12 and 14 and peaking between the ages of 16 and 19. Females are normally affected earlier than males. Although acne generally disappears once puberty and growth are over, it may persist into adulthood. It may reappear in adult life after hormone treatment for other disorders, in some women, acne may be exacerbated in the premenstrual phase. Lesions generally appear on the face, the chest, the back and the interscapular area.

TCM: Fenci , Feifeng

TCM Aetiology and pathology:
1.underlying heat in the blood is the main internal factor responsible for the onset of the disease, whereas improper diet and invasion by external pathogenic factors are the main external causes. Blood stasis and binding of phlegm result in complications and aggravation of the condition.
2.A tendency toward exuberance of constitutional Yang-heat during adolescence gradually warms up the ying and xue levels. Blood-heat moves out to the exterior and congests the vessels, resulting in stagnation of qi and blood.
3.Spicy food has a hot, yang nature and transforms into heat if too much is eaten over a long period. Over-indulgence in fishy and fatty foods impairs the transformation and transportation function of the middle burner and generates fir and heat from prolonged accumulation. Fire and heat tend to steam upward to affect the face, giving rise to small red eruptions.
4. General poor health resulting in repeated contraction of pathogenic wind-heat or washing in cold water resulting in binding of blood-heat gradually leads to clusters of inflamed lesions or blackheads.
5.Stagnation of qi and blood in the channels and network vessels due to persistent illness or emotional disturbance, or blood stasis and binding of phlegm due to prolonged accumulation of heat in the lungs and stomach, which transforms into damp and generates phlegm, will result in widespread eruptions or the formation of nodules and cysts.

TCM patterns:

1.Accumulation of heat in the lung
Main symptoms and signs:
This pattern arises when heat in the lung channel is complicated by external contraction of pathogenic wind, which causes the retention of lung-heat in the skin and flesh. Lesions are distributed over the cheeks and forehead and around the nose, manifesting as discrete pinpoint to 2mm red or pale red papules. In severe cases, lesions may involve the chest and back. Blackheads may be seen on some lesions. Pressure may produce excretion of a plug of greasy matter or thick, yellow purulent discharge. The skin looks oily and shiny. Accompanying symptoms include a dry mouth and nose, a red tongue body with a thin yellow coating, and a floating pulse.
Treatment principle
Clear heat from the lung
Formula:
Modified pi pa qing fei yin
Pi pa ye 10g, jiao zhi zi 10g, lian qiao 10g, chi shao 10g, san bai pi 10g, huang qin 6g, chao mu dan pi 6g, hong hua 6g, ling xiao hua 6g, sheng di huang 12g, jin yin hua 12g, dong gua pi 12g, dong guar en 12g

2.Accumulation of heat in the stomach
Stomach-heat arises from accumulated heat in the spleen and stomach caused by over indulgence in spicy, fatty and fried foods, with heat then being retained in the skin and flesh. Lesions are similar to those in the lung heat pattern, except that they are mainly distributed around the mouth. Accompanying symptoms and signs include bad breath, aversion to heat, thirst with a desire for cold drinks, constipation, and dark yellow urine. The tongue body is red with a thin yellow or thick and greasy coating, the pulse is slippery and rapid.
Treatment principle
Ckear geat from the yangming channel
Formula:
Tiao wei cheng qi tang
Jiu zhi da huang 12g, zhi gan cao 6g, mang xiao 12g

3.Blood-heat
Main symptoms and signs:
Internal damage due to emotional disturbances leads to qi depression , eventually transforming into heat. Latent heat in the ying and xue levels finally results in acne. Lesions manifest as 1-2 mm red papules on the face, concentrated around the nose and mouth and between the eyebrows, accompanied by telangiectasia, tidal reddening of the face and a sensation of scorching heat. For women, papules normally increase before and after menstruation. Accompanying symptoms include dry stools and yellow or reddish urine. The tongue tip is red with a thin yellow coating, pulse is thread, slippery and rapid.
Treatment principle
Cool the blood and clear heat, transform stasis and reduce erythema
Formula:
Modified tao hong si wu tang and liang xue wu hua tang
tao ren 6g, hong hua 6g, ling xiao hua 6g, chuan xiong 6g, chao mu dan pi 10g, sheng di huang 10g, chi shao 10g, jin yin hua 10g, chao huai hua 10g, ji guan hua 10g, shi gao 12g, huang qin 6g

4. Blood stasis and binding of phlegm
Main symptoms and signs:
This pattern manifests as repeated and persistent eruptions on the cheeks and lower jaw, gradually enlarging into 3-5 mm or larger, unevenly protruding, purplish-red lumps that feel soft on palpation, with excretion of pus and blood or stichy yellow matter on pressure. Scars from after rupture. The tongue body is pale red with a slippery and greasy coating, the pulse is soggy and slippery
Treatment principle
Invigorate the blood and transform blood stasis, disperse phlegm and soften hardness
Formula:
Modified hai zao yu hu tang
hai zao 10g, zhe bei mu 10g, chen pi 10g, kun bu 10g, fa ban xia 10g, lian qiao 12g, xia ku cao 12g, long gu 12g, mu li 12g, dang gui 6g, chuan xiong 6g, qing pi 6g, ju he 10g
Acupuncture and other treatment

Clear damp-heat: hegu, quchi, shenmen, fengshi, xuehai, yinlingquan.
Clear heat and cooling blood: shaofu, laogong, quchi, jueg

Compiled by Hao Chen from:
Dermatology in Traditional Chinese Medicine, Donica Publishing

Hao Chen: According to my experience, the common pattern of Acne is damp-heat due to spleen and blood deficiency, combined with exterior wind-cold blocking on skin. Red papules can be caused by inner heat, pustules and nodules can be caused by inner dampness, since heat flares upward, so the heat can ascend the damp reaching skin. In the meantime, wind-cold blocking the skin, so the damp and heat can’t really be released from skin but stucked underneath skin. Knowing this pathogenesis, treatment can be clear damp-heat by regulating spleen and stomach and tonifying blood, remove the wind-cold blockage of exterior.

2 Eczema cases


Case 1 :
Femal, 52y
Clinical manifestations: ten days before the first consultation, the patient had been caught in the rain. The following day, her legs felt heavy and the medial aspects were itchy. Red papules and vesicles 2-3 mm in diameter appeared locally after scratching, and the itching became worse. Exudation occurred in the areas where the skin had been broken by scratching. Gradually, the whole body was involved. The patient, who was overweight, could not sleep because of the itching. Accompanying symptoms and signs included a bitter taste in the mouth, irritability, short voiding of reddish urine, and difficult bowel movements. Examination revealed erythema with surface exudates and crusting present in two locations on the medial aspect of the legs, the largest patched being 3-5 cm in diameter. Discrete 2-3 mm papules vesicles were also found on the legs, scalp, face, and trunk. The exudate was yellowish-white in color. The tongue body was red with a yellow and greasy coating, the pulse was slippery and rapid.
Diagnosis: Acute eczema ( feng shi chuang ) Pattern: exuberant damp-heat
Treatment principle: dredge wind, clear heat and benefit the movement of dampness
Acupuncture : quchi and xuehai ( 1 to 1.5 cun ), yinlingquan ( 0.5-1.2 cun ), with manifu;ation by the lifting and thrusting reducing method for one minute after insertion. The needles were retained for 30 minutes. Treatment took place daily.
Outcome: after 2 days of treatment, itching was reduced, after three further treatments, some of the papules and vesicles had been dispersed, after another four treatments, crusts fell off, and after nine more treatments, the itching had stopped, the papules and vesicles had disappeared, and the skin had recovered its normal appearance.

Case 2:
male, 34y
Clinical manifestations: two weeks previously after drinking aclcohol, itchy papules and vesicles with watery exudates appeared all over the patient’s body, causing him considerable discomfort day and night. Accompanying symptoms and signs included a bitter taste in the mouth, nausea, abdominal distension, loss of appetite, lassitude, dizziness, and loose stools. As the condition persisted, erosion and exudation worsened, with the patient using one roll of toilet paper a day to try to dry up the lesions. Examination revealed papules and vesicles distributed over large patches of edematous erythema on the trunk and limbs with significant erosion and exudation. Crusting and scaling could be seen in a few areas. The tongue body was pale with a white and greasy coating, the pulse was wiry and slippery.
Diagnosis: subacute eczema ( jin yin chuang ) Pattern: damp-heat accumulating internally with dampness predominating over heat
Treatment principle: clear the spleen, eliminate dampness and clear heat
Prescription : baizhu 10g, zhike 10g, yi yi ren 30g, chifu ling 15g, dang gui pi 15g, dong gua pi 15g, bai xian pi 15g, kushen 15g, che qian zi 15g, zexie 15g, yin chen hao 30g, huangqin 10g, zhi zi 10g, liu yi san 30g( wrapped) one bag a day was used to prepate a decoction, taken twice a day.
External treatment: a decoction was prepared with ma chi xian 30g, and huang bai 30g, and applied warm t the affected areas as a damp compress.
Outcome: after 3 bags of the decoction, eduma had been reduced and there was less exudation. Since itching had improved, the patient was able to sleep for a few hours. After another 4 bags, itching disappeared, erosion gradually diminished and exudation stopped. The patient was told to drink another 7 bags, after which the symptoms had disappeared, leaving a small amont of scaling over the lesions.

end

From:
Xu.Y, 2004.Dermatoloty in Traditional Chinese Medicine. Donica Publishing

Eczema

Definition:
A non-infective skin disease characterized by an inflammatory skin reaction to various internal and external stimuli with such typical manifestations as erythema and vesiculation, which may lead to exudation and crusting. Lesions tend to be circumscribed in the chronic phase with infiltration, lichenification and severe itching, recurrence is frequent.

Aetiology:
External pathogenic factors
1. wind: manifests as multiple lesions and pronounced itching.
2. Dampness: manifests as lingering non-healing lesions mainly located in lower part of body.
3. Heat : manifests as red and swollen skin, possibly leading to infection by toxins
Internal factors:
1. Heart-fire due to emotional disturbances: lesions are red , inflamed and extremely itching.
2. Dampness due to spleen dysfunction: maceration and erosion .
3. Liver-wind
Dietary irregularities:
Over intake of spicy, greasy or rich food can lead to depletion of yin and damp-heat.

Pathogenesis:
Acute phase
In the acute phase, wind, heat and dampness are the main causative factors.
In chronic phase, damp-heat has accumulated internally over a long period. Heat damages yin and blood, lead to dryness, manifesting as gradual lichenification, dry skin, desquamation, or fissuring.

Patterns and Treatments:

1.Wind predominating over dampness( Acute phase )
Main symptoms and signs:
Worse on the upper body, manifesting as red papules and a small number of vesicles, mild exudation, and incessant itching. The tongue body is red with a thin white coating, pulse is wiry and slippery.
Treatment principle
Dispel wind and eliminate dampness
Formula:
Modified Xiaofeng san
Jing jie 6g, kushen 6g, chan tui 6g, zhimu 6g, gancao 6g, fangfeng 10g, dang gui 10g, cangzhu 10g, chao jiu bang zi 10g, sheng di huang 12g, shigao 12g, bai xian pi 12g, tong cao 3g.

2.Heat predominating over dampness ( Acute phase )
Main symptoms and signs:
Characterized by acute onset, inflammation, numerous red 1-2 mm papules and a few vesicles, with a sensation of scorching, heat. Accompanying symptoms and signs include irritability, thirst, itching, short voiding of reddish urine, and constipation. The tongue body is red with a thin yellow coating, pulse is slippery and rapid.
Treatment principle
Clear heat and eliminate dampness
Formula:
Modified Liang xue chu shi tang
Sheng di huang 15g, ren dong teng 15g, bai xian pi 15g, liu yi san 15g, mu dan pi 10g, chi xhao 10g, hai tong pi 10g, di fu zi 10g, xi xian cao 12g, chi xiao dou 12g, lian zi xin 6g.

3.Damp-heat ( Acute Phase )
main symptoms and signs:
acute onset and short duration. Various types of lesion- erythema, papules, vesicles, erosion and exudation – may appear simultaneously or in succession at any body site; borders are indistinct. Accompanying symptoms and signs include severe itching, dry throat with no desire for drinks or irritability with thirst, constipation, and yellow urine. Tongue body is red with a thin yellow coating, slightly greasy at root; the pulse is slippery and rapid, or wiry and slippery.
treatment principle
clear heat and benefit movement of dampness, dissipate wind and alleviate itching.
formula:
modified Long dan xie gan tang
chao longdan cao 6g, huang qin 6g, chai hu 6g, jing jie 6g, chan tui 6g, sheng di huang 15g, ze xie 15g, bai xian pi 15g, che qian zi 10g, jiao zhi zi 10g, chi shao 10g, fang feng 10g.

4. Damp obstruction due to spleen deficiency ( Chronic Phase )
main symptoms and signs:
manifests in lower body with a dull, pale skin and numerous vesicles with exudation on rupture after scratching. Accompanying symptoms and signs include itching, poor appetite, thin and loose stools, and lassitude. The tongue body is pale with a thin white coating; pulse is thread and moderate.
treatment principle
tonify spleen and regulate dampness
formula:
modified Chu shi wei ling tang
cang zhu 10g, chenpi 10g, hou po 10g, chao zhike 10g, sheng di huang 12g, fu ling pi 12g, che qian zi 12g, zhu ling 12g, chi xiao dou 15g, yi yi ren 15g, ze xie 15g, sha ren 8g

5.Dampness predominating over heat ( Chronic Phase )
main symptoms and signs:
the disease is of long duration, with lesions presenting as discrete pale red or dull red macules or papules, with a few vesicles or papulovesicles and occasional exudation of fluid. Scaling and crusting occur as the lesions dry. Accompanying symptoms and signs include intense itching, epigastric discomfort, poor appetite, a sallow facial complexion, loose stools, and scant urine. The tongue body is pale red with a greasy white or greasy yellow coating; the pulse is deep, sorry, wiry, and slippery.
treatment principle
tonify spleen and regulate heat
formula:
modified Jian pi chu shi tang
fuling pi 15g, sheng di huang 15g, baizhu 12g, huang qin 12g, jiao zhi zi 12g, chao zhi ke 12g, bai xian pi 12g, chi xiao dou 30g, yi yi ren 10g, chao mai ya 10g, chao guy a 10g.

6.Blood-dryness due to damage to yin with accumulation of dampness ( Chronic Phase )
main symptoms and signs:
this condition is lingering and recurrent. Lesions are dull red or dirty gray, and the skin is rough, infiltrated or lichenified with scratch marks, crusting or scaling, or small amounts of exudation. Accompanying symptoms and signs include difficulty in falling asleep vecause of the intense itching, mental exhaustion, dry throat, and thirst. The tongue body is dry and red with a thin coating or no coating; the pulse is thread and slippery, or wiry and thready.
treatment principle
enrich yin and nourish blood, eliminate dampness and alleviate itching
formula:
modified Zi yin chu shi tang
shengdi huang 30g, xuan shen 10g, dang gui 10g, dan shen 10g, she chuang zi 10g, fu ling 12g, ze xie 12g, bai xian pi 12g, chao bai bian dou 15g, shan yao 15g, yi yi ren 15g, yi mu cao 9g, xu chang qing 9g.

Acupuncture and other treatment
Damp-heat: zhongji, xuehai, sanyinjiao, ligou and dadun
Damp obstruction: zusanli, sanyinjiao, zhongwan, diji
Blood-dryness: ximen, zusanli, sanyinjiao, dadun
External treatment:
Sanhuang xi ji or qingdai san: for erythema, papules and vesicles with a little exudation
Pu gong ying or ye ju hua: lesions with erosion and large

From:
Xu.Y.(2004).Dermatology in Traditional Chinese Medicine. Donica Publishing

2 cases of Psoriasis

Case 1 :
Male, 17y
Clinical manifestations: He had been study very hard and sleep late since went to high school. 3 years previously, plaques had appeared on the patient’s trunk and limbs, the plaques were itchy and became covered by silver-white scales. Despite treatment in other clinics, the plaques gradually increased in number. The patient felt discomfort in the throat and caught colds easily. Appetite, urine and stool were normal. Examination revealed pale red, coin-shaped infiltrative plaques distributed over the trunk and limbs and covered by silvery-white scales. Plaques were densely distributed on the back, buttocks and thighs. The tongue body was pale with a thin white coating, the pulse was deep.
Diagnosis: Plaque psoriasis    TCM Pattern: Blood-dryness
Treatment principle: Nourish and invigorate blood, clear heat and relieve toxicity
Formula : sheng di huang 15g, shu di huang 15g, chishao 15g, bai shao 15g, dang gui 15g, chuan xiong 10g, hong hua 10g, ban lan gen 30g, da qing ye 30g, zi cao 15g, qian cao gen 15g, shan dou gen 10g, xuan shen 15g, tian hua fen 15g, tu fu ling 30g, yi yi ren 30g, ye jiao teng 30g
One bag a day was used to prepare a decoction, taken twice a day
Outcome:
After 14 bags of the decoction, the patient no longer felt discomfort in the throat, and some of the lesions were beginning to disappear from the entre. After another 42 bags of the decoction and external application of Pu Lian Gao for the same period, the plaques had disappeared completely, leaving pigmented patches.

Case 2:
Female, 40y
Clinical manifestations: one month previously, after exercise ourdoors, a rash had appeared on the patient’s trunk and limbs. The rash was itchy and covered by silvery-white scales. The condition gradually worsened. The patient was given a steroid cream for external use in a hospital clinic, but no obvious effect was achieved. Red plaques of varying size covered by silvery-white scales had now spread over the trunk and lumbs. The patient felt itchy and suffered from discomfort in the throat. Appetite, urine and stool were normal. The tongue body was red with a white coating, the pulse was rapid.
Diagnosis: Plaque psoriasis  TCM Pattern: Blood-heat
Treatment principle: cool and invigorate the blood, clear heat and relieve toxicity
Prescription : zi cao 15g, qian cao gen 15g, ban lan gen 30g, da qing ye 30g, tu fu ling 30g, huai hua 30g, shan dou gen 10g, xuan shen 15g, gua jin deng 10g, tian hua fen 15g, bai xian pi 30g, gan di huang 15g, chi shao 15g, jin yin hua 15g, yi yi ren 30g, ling yang jiao fen 0.6g
one bag a day was used to prepare a decoction, taken twice a day.
Outcome: After 21 bags, the skin lesions had completely disappeared, leaving pigmented spots, the throat discomfort had also been relieved. The patient was told to continue with the prescription for another 14 bags to consolidate the improvement.

Xu.Y, 2004.Dermatoloty in Traditional Chinese Medicine. Donica Publishing

Psoriasis

Psoriasis is a chronic, recurrent inflammatory skin disease characterized by well-defined erythematous plaques topped by large, adherent silvery scales. It has a prevalence worldwide of 1 to 3 percent, although it is commoner in Europe and North America than in Africa and Asia.
In China, TCM doctors have been dealing with Psoriasis for thousands of years, there are lots of successful cases recorded in the history and a comprehensive understanding about it.

TCM Aetiology:
1.External pathogenic factors ( principally wind-heat or wind-cold ), which settle in the skin and flesh, disturb the normal diffusion of qi by the lungs and spleen. These pathogenic factors then obstruct the channels and network vessels and stagnate in the skin and interstices ( cou li ), depriving the skin and flesh of nourishment.
2.Dietary irregularities or internal damage due to the emotions can lead to blood-heat accumulation internally. Where this occurs over a period of time, blood-heat becomes exuberant, leading to generation of wind. Prevalence of wind gives rise to dryness, preventing adequate nourishment of the skin and flesh.
3.Qi stagnation and blood stasis caused by wind, damp and heat pathogenic factors being retained over a long period or by internal damage due to the emotions deprive the dkin and flesh of nourishment.
4. An improper diet can impair the normal functions of spleen and stomach and generate internal damp-heat. If the body is attacked by external wind, then damp, heat and wind will combine to obstruct skin and flesh and stagnate in the cannels and network vessels to deprive the skin and flish of nourishment.
5.Exuberant heart-fire complicated by an invasion of wind-heat leads to transformation into Toxins. Heat toxins gradually enter the ying and xue levels to consume body fluids, thus impeding correct nourishment of the skin and flesh. Insufficiency of lung yin and impairment of the transformation of qi also results in body fluids not being disseminated correctly to nourish the skin and flesh.
6. In deficiency of the liver and kidney leads to insufficiency of the essence and blood with the skin being deprived of moisture and nourishment and consequently becoming dry with desquamation.

Pathogenesis:
1. Blood heat.
2. Blockage in channels, Qi and Blood deficiency that fails to nourish skin

TCM patterns and their treaments
1.Wind-heat
Main symptoms and signs:
This pattern occurs in the early stages of an initial attack or subsequent episode of plaque psoriasis. Red or dark red maculopapules, papules or small erythematous patches develop quickly on the trunk and limbs, sometimes also spreading to the scalp or scalp margin. The surface of the lesions is covered by silvery-white scales that can be peeled off easily to reveal small bleeding points. Accompanying symptoms and signs include itching, fever, thirst, and a sore and dry throat. The tongue body is red with a thin yellow coating, the pulse is floating and rapid.
Treatment principle
Dredge wind and release the exterior, clear heat and cool the blood
Formula:
Modified Xiaofeng san
Kushen 6g, zhimu 6g, Jing jie 6g, chan tui 6g, mudanpi 10g, fangfeng 10g, sheng di huang 12g, huangqin 10g, hong hua 4.5g, ling xiao hua 4.5g, chao niu bang zi 10g

2.Wind-cold
This pattern occurs in an initial episode of plaque or guttate psoriasis. Lesions appear as dots or coin-shaped discs or coalesce into red patches covered by scales that are easy to peel off. The pattern may occur in any season but is relatively severe in winter, usually moderating or subsiding in summer. The tongue body is pale red with a thin white coating, the pulse is floating and tight.
Treatment principle
Dredge wind and dissipate cold, invigor.ate blood and regulate the ying lever
Formula:
Modified si wu mahuang tang
Ma huang 6g, guizhi 6g, xing ren 6g, chuan xiong 6g, dang gui 12g, bai shao 12g, sheng di huang 12g, bei sha shen 12g, sheng jiang 10g, da zao 15g.

3.Blood-heat
main symptoms and signs:
This pattern occurs in the early stages of an initial attack or subsequent episode of guttate or plaque psoriasis. Lesions manifests as bright red or dark red papules, maculopapules or macular patched of varying sizes scattered throughout the body or distributed mostly on the trunk and lumbs. Sometimes lesions start on the scalp before spreading gradually to other parts of the body.new lesions appear continuously, covered by silvery-white scales that shed easily when dry and elicit the characteristic Auspitz’s sign on removal of the underlying moist layer. Accompanying symtoms and signs include itching, irritability, thirst, constipation, and short voiding of yellow urine. The tongue body is red with a thin yellow coating, the pulse is wiry and rapid, or slippery and rapid.
Treatment principle
cool blood and relieve toxicity, invigorate the blood and reduce erythema
formula:
modified yin hua hu zhang tang
jinyin hua 15g, hu zhang 15g, dan shen 15g, ji xue teng 15 sheng di huang 15g, dang gui wei 12g, chi shao 12g, huai hua 12g, da qing ye 10g, mu dan pi 10g, zi cao 10g, bei dou gen 10g, nan sha shen 10g

4. Blood stasis
main symptoms and signs:
in this plaque psoriasis pattern, the disease is of relatively long duration. Lesions are dull red, hard and thick, mostly forming coin-shaped plaques, but with some resembling oyster shells. They are covered by thick, dry, relatively adherent silvery-white scales. Old lesions tend to remain fixed in size and position and new lesions seldom appear. Accompanying symptoms and signs include itching of varying intensity or absence of itching, and a dry mouth with no desire for drinks. The tongue body is dull purple or dark red with stasis marks and a thin white or thin yellow coating, the pulse is wiry and chppy, or deep and choppy
treatment principle
invigorate the blood and transform blood stasis, free the netword vessels and dissipate lumps
formula:
modified huang qi dan shen tang
dan shen 15g, ze lan 15g, huo xue teng 15g, huang qi 10g, xiang fu 10g, qing pi 10g, chen pi 10g, chi shao 6g, san leng 6g, e zhu 6g, ling xiao hua 6g, si gua luo 6g, jiang can 6g

5.Wind-dryness due to blood deficiency
main symptoms and signs
This pattern occurs in the chronic phase of all types of psoriasis and in patients with a weak constitution. It is characterized by thin, pale red or dark red lesions distributed in numerous patches throughout the body. Lesions are covered by large quantities of dry silvery-white scales that peel off in layers. Old lesions tend to dom appear. Accompanying symptoms and signs include itching of varying intensity , a lustreless facial complexion and lassitude, or dizziness, insomnia and poor appetite. The tongue body is pale with a scant coating or no coating, pulse is wiry and thread, or deep and thread.
treatment principle
nourish blood and harmonize the ying level, augment qi and dispel wind
formula:
modified yang xue qu feng tang
huang qi 10g, dang shen 10g, huo ma ren 10g, xuan shen 12g, bai shao 12g, shu di huang 12g, ji xue teng 12g, mai men dong 12g, bai xian pi 15g, bai zhi 6g, bai ji lz 6g

6.Blood-dryness due to damage to yin
main symptoms and signs:
this pattern, the disease tends t linger with persistent lesions distributed over the trunk and limbs. The lesions are dark red, brownish-red or pale red and appear in various shapes, but mostly present as patches thick or thin layer of dry silvery-white scale that is difficult to peel off. Itching may be slight or severe. Accompanying symptoms and signs include dry throat and lips, a feverish sensation in the chest, palms and soles or in the palms alone, a dry mouth, thirst without a desire for drinks, and constipation. The tongue body is dry and red with a thin, dry, yellow coating, the pulse is wiry and thread, or thread and rapid.
treatment principlep
enrich yin and moisten dryness, clear heat and expel wind
formula:
yang xue run fu tang
dang fui 10g, dan shen 10g, mu dan pi 10g, chi shao 10g, he shou wu 12g, sheng di huang 12g, shu di huang 12g, bei dou gen 12g, tian men dong 12g, mai men dong 12g, chong lou 15g, bai xian pi 15g, bai ji li 15g

Acupuncture and other treatments
Blood-Heat: ganshu, shenshu, fengmen
Wind-Dryness due to blood deficiency: feishu, danshu and pishu
Pricking to bleed treatment
Lesions on back: dazhui
Lesions on head: baihui , sishengcong

From:
Xu.Y, 2004.Dermatoloty in Traditional Chinese Medicine. Donica Publishing

How do you catch a cold ?

Today, D, a 14 years old girl came to my clinic, complaining a cold and sore throat. the following is our conversations

D : I got a cold from Saturday.
Harry: How do you feel now ?
D : I have sore throat now, and headache on top and temple of my head.
Harry: Do you know what cause your cold ?
D : No.
Harry: You had some activities outdoors ?
D : No, I stayed all day inside on Saturday. But coughing and sweating without any reason.
Harry: You had activities on Friday ?
D : Oh, yes.
Harry: It’s windy outside on Friday.
D : yes.
Harry: Do you have a temprature ?
D : No.
Harry: So Friday was not cold, only windy.
D : Yes.
Harry: Do you still sweat ?
D : No.
Harry: So you are thirsty these days.
D : Yes.
……

After examine her pulse, I realized that his Qi is deficient, So choose Hegu point to insert needle and did 5 minutes head massage, then her sore throat gone. Furthermore I used Qihai, Zhongwan, Tianshu to regulate her stomach to build up body fluid and blood, and strengthen her ability to recover.

How do we catch a cold, there must be some reasons. In fact, Wind and cold are the main factors for cold, if we know this, we can prevent cold and all the symptoms much easier.

Written by : Hao Chen ( Harry )
Date: 01-09-2012

How many cups of water we need every day ?

How many cups of water we need every day? Most people I meet will answer that everyone needs at least 8 cups of water every day. But my answer will be quite different. To answer this question, first of all, we have to know how the drinking water is used by our body.

Based on Chinese Medicine, there are quite valuable ideas about water and how it is used by our body.

Let us first come to know about water in nature, water at room temperature is a colourless , transparent liquid , being obviously present in the rivers and lakes , but in addition, there are magnificent forms of water in nature, as you can see the rain, snow, fog , frost , cloud, ice , etc. how is water created in so many different forms?  Actually , the water itself only goes downward by gravity , since water owns the characteristics of  descending, penetration, cold, converging.

What is behind the magnificent changes of water in nature is sun light or heat from the sun. The sun’s heat evaporates the water from the ocean , ground , rivers, forest, plains , evaporated water rises to the mountains and high in the sky and become ice and cloud. The ice on the mountain become the source of rivers and cloud can be changed to rain coming back to the ground. This is the real picture of water circulation in the nature. Our body is the same as the nature in terms of water circulation.

Water circulation and metabolic processes in the body are exactly the same as in nature. The drinking water fall down the mouth, esophagus  to the stomach, then our spleen and kidney energy evaporates the water and  raises it to the lungs , then the lungs spread them to nourish every cell of our body. Some of the water joins the digestive tract, moistens the food and benefits absorption. Some unused water falls into the bladder through the waterways and is temporarily stored up , this water can also be re-used , but have to rely on the function of the kidneys gasification. If the water level stored in the urinary bladder is too high, the water will be urinated out of body. The spleen and kidney energy is the sun in our body to process the water.

Lets come back to the question in the first paragraph, how many cups of water we need every day?

My answer is that it really depends, if you are not thirsty you just follow your gut feeling, you don’t have to drink a lot. Some people may need more than 8 cups of water, such as people doing outdoor jobs in hot a summer time, people with physically challenging jobs, etc. on the contrary, people need much less water if they have an office job, or a less physically challenging job, etc.

Normally, water is easily processed in the morning and mid-day, since our body energy is rising following the sun, so if you feel thirsty, you can drink most of the water for the day before on on mid-day, just like you water your plants before on on mid-day, the water will be used by the plants most effectively.

Over drinking of water or more than you can process can sometimes cause water retention in the body, the retention places could be the limbs, joints, hypochondrium  area, even stomach, lung, intestine, heart under pressure.

Disorders like swelling, body pain, joint pain, cough, dizziness, loss of weight, heart palpitation etc.

Once we have a correct diagnosis, the treatment can be quite successful from acupuncture or Chinese herbal medicine, the traditional acu-points as Taixi, Fuliu, Zhongwan, Qihai, Zusanli, Sanyinjiao, the herbal formula as Ling Gui Zhu Gan Tang, Wu Ling San, Ze Xie Tang, etc.

Written by : Harry Chen

Lifestyle Advice During Recovery

Lifestyle Advice During Recovery from Illness, Trauma and Other Health Issues
1.Mind Set and Self Dependence
It is our individual commitment, determination and belief to achieve our goal of wellness that is fundamental to successfully recovery. Nobody can help you unless you are willing to help yourself.
2.Awareness and Understanding
Once our mind stay together with our body , that’s the beginning of Awareness and Understanding , and the beginning of self care. We are all able to use common sense to evaluate our normal performance, the physical and mental well being.
In TCM philosophy there is an holistic approach based on the knowledge that imbalances disturb the body’s functions. A range, or combination of factors, contribute to body-mind imbalances responsible for health issues. These factors may include abnormal climate, incorrect diet, emotional traumas, over exertion, under exertion, lifestyle choices that conflict with achieving balance and harmony and can have an accumulative effect on our health and daily enjoyment of life.
Once we understand what’s causing the symptoms that alarm us, our body’s reactions and the recovering process, we are in a better position to deal with our health issues confidently and positively.
TCM practitioners work with patients to help them activate their own individual healing mechanisms, leading to a full recovery of health, by balancing the body’s functions, lifestyle coaching, etc.
3.Slow Down
When we are unwell our health is fragile and unstable. In order to properly recover it is important to slow down, make time to rest more, work at reducing stress and generally lessen activities. This is crucial to provide the opportunity for both mind and body to re-balance and restore ourselves to a healthy state.
4.Exercises
Vigorous exercise during the recovery has a negative impact and can delay improvement. In some cases, at different stages during the recovery period, gentle exercise is beneficial. Such exercise should be undertaken before midday and never late afternoon, or at night. A short walk is recommended after meals. Sex activities are also inappropriate before achieving a full recovery.
5.Diet and Drinks
Our main food should be mixed grains and beans, supplemented by meat, fish, vegetables and fruit. A reasonable breakfast and lunch, followed by a lighter dinner is better for our digestion and sleep. Drink only what you need to and generally avoid cold and iced drinks, avoid drink too much in one time with empty stomach.
6.Sleep
Sleep is very important for conserving energy and essential to achieving a complete recovery. It is important to get to sleep before 11pm and to be sure the room is not too cold or too hot, and that there are no draughts.
7.Keep Warm
NZ weather is quite cold, windy and changeable, even in summer; it is better to dress warmly, cover body properly, to avoid the attack from wind, coldness, and loosing of body heat. It’s not worthy to waste our energy in fighting the wind and coldness, since our body’s energy can do its right job to maintaining balance and functioning effectively.
8.Reactions to TCM Treatment
During the treatment period, including the recovery period, patients are very likely to experience some reactions: sweating, vomiting, diarrhea, more sense of pain(pain from the deep comes to the surface, or the hidden pain turns up) etc, but any of these reactions are not in themselves, negative, they are part of the healing process and signal your body’s response to treatment. If you are in any way concerned about reactions, you should always discuss your concerns with your TCM practitioner.

Written by: Hao Chen ( Harry )

Annette Reilly

I went to Balance Health Clinic for my plantar fasciitis, which I had been struggling with for several months, and had seen five health professionals. From my first visit Harry made me feel at ease to an unknown treatment that was scary. Harry explained each step in detail, and answered all my questions along the journey. Six weeks later, and my condition is nearly completely healed, and I highly recommend this clinic and the treatment I received. Harry was always very professional, thorough and always gave the best service at each treatment. Thank you Harry

Take off the label, Anxiety can be healed

Anxiety is a psychological and physiological state characterized by somatic, emotional, cognitive, and behavioral components. It is the displeasing feeling of fear and concern. Anxiety can create feelings of fear, worry, uneasiness, and dread.
Anxiety is a very negative term, because there is no effective treatment from conventional medical system. Once we are labeled as Anxiety, it means a disaster, failure, hopeless, deteriorating, etc. Although the label is put by Doctors, but endorsed by ourselves, what to complain ?
Every disease is from cognitive perception, we are the ones to let us free from any disease.
In TCM, Anxiety belongs to the spleen disorder, if it involves feeling of fear, then kidney disorder is also possible. Acupuncture, Chinese Herbal Medicine, Tui Na are all very good methods to treat Anxiety, but holistic solution tailored to each individual is definitely important as well.

Written by: Hao Chen ( Harry )

Gaie

My treatment at Balance Health TCM Clinic reflects a journey of self discovery and learning, almost as much as the physical healing.
When I came to the clinic I presented with many symptoms including stomach pain, influenza, severe headaches. I was emotional and western medicine defined me as severely depressed. I had suffered major and on-going loss of loved ones as well as my lifestyle.
Regular treatment using all the traditional Chinese medicine techniques revealed layers of burnout and fatigue which in turn resulted in an array of aches, pains and symptoms.
As well as the combination of tradition Chinese medicine disciplines treating these symptoms I was taught to recognise the causes and effects of my lifestyle choices, my thinking and my personal beliefs and the effects these had on my day to day life. I came to understand how paying attention to small changes in my body had major beneficial affects on my well being.
Simple release techniques of breathing, meditating and observation, combined with acupuncture, herbal medicines, and massage skilfully and consistently applied, have brought me to a place where I can manage my day to day health and apply what I have learnt to many aspects of my life. I have learnt to be content to focus on the moment, today, and concern myself less with what might be tomorrow, or what might have been. Better than any anti-depressant or sedative induced sleep, I can now approach life’s challenges with strength and purpose and know that I am in control of my health and destiny.
Balance for Health as opened a doorway to new choices and a different way of looking at life, its beauty and the joy to be experienced at a time when I had come to accept the doors were closing and my life held little purpose.
I am grateful to have learnt to listen to my body and to use the power of the mind and growth of spirit in a truly holistic manner, in order to continue to grow and experience health and happiness on earth.

Stress

Stress is easy to be dealt with, once we have a more thorough understanding about it. In my perception, Stress is an emotional crisis combined with physical tensions. If we feel stressful ony for a comparatively short period of time while we are coping with something challenging, it’s not a problem. But when we cope with ordinary taskes, or something that was not a problem for us before, we still feel stressfull and there is less hope to get better, this is the real stress we are dealing with.
The emotions behind stress consists of uncertainties, worries, guilties, or fears, etc. The physical tentions actually make sense when we dealing with crisis, but the problem is that it’s very depleting and combined with upset stomach or other discomfort, or trigger some exising chronic health issues quite often.
I talked to the stressed accountant, if you have no fixed asset, or a reasonable balance in your saving account, and tax bill is pending, are you stressful ? The answer is yes. The same reason, if our body is consuming enery more than it gains, or running out of reserves, we are easily to be streeful.
When we have a good understanding about stress, we have no extra stress because of the stress, so dealing with the current stress becomes more feasible. I won’t be surprised if Apple is not stressful about Eropean economic crisis if there is any, because Apple have enogh resoures, even huge cash flows. Balancing the body, maintain the normal functions of our body, then our body’s reserves can be topped up , that is the right way to go, and that is the best offer from TCM.

Written by : Hao Chen ( Harry )

Klaske Abell

I met Harry about 6 years ago, which was my luck.
The name of his clinic is just perfect, because he really balances me.
I am very bad with medication, the aftereffects usually do damage. So naturally his total treatment sometimes with his herbal medication suits me just fine. I am always surprised at his quiet cleverness.

What is ACC Scheme ?

What is ACC Scheme ?
The ACC scheme provides a comprehensive, 24 hour, no-fault cover and entitlements for all New Zealand citizens, residents and temporary visitors who suffer personal injury in New Zealand.
What does ACC cover ?
ACC generally covers the treatment of personal injury – that is, a physical or mental injury caused by a physical injury, or a mental injury caused by sexual assault or abuse.
How to Make a Claim ?
If you have been injured, the first step is to get treatment as soon as possible, don’t wait until it feels better as this can often make your injury worse and recovery longer.
Getting ACC cover is simple, visit your G.P, they will assess your injury and fill out a claim form at the time of consultation, the claim is then lodged with ACC. You will be given a referral for treatment which you then take to a registered ACC provider.
How much will ACC Acupuncture Treatment Cost ?
ACC will cover the bulk of the treatment cost; however all you will need to pay is an additional $10 each session at Balance Health TCM Clinic.
**ACC patients accept that if for any reason that ACC does not cover the treatment cost that the patient will pay full treatment free.**

Posted in FQA

Infantile Salivation

Fang , boy, 1.5y.

28.05.1983. first visit: blue and yellow complexion, red lips, slim and small body. His mother says , salivation over one month, aggravated after common cold recently, prefer cold drinks. Salivation runs like sticky threads, yellowish, reddish and short urine, smelly stools, restless while going to sleep. Inspect his tongue, find red tongue body, thin yellowish coating, purple finger print. Diagnosis as heat retention in spleen and stomach. Applying “ clear heat, reducing spleen powder”, plus jinyinhua 15g, lianqiaoxin 12g, to strengthen the formula. After 2 packs, salivation reduced, but appetite still poor, bloated after food, plus shanzha 12g, shenqu 12g, chaoguya 15g, chaomaiya 15g, to digest food and dredge the blockage, plus zhuru to descend reverse, sugen to harmonize stomach and release exterior symptom, cheqiancao to promote dieresis and resolve damp-heat, continue 2 packs, all the symptoms reduced. Later almost recovered, apply  tonics and digest assistance herbs for good ending.

( TCM Clinical Cases Collection , P807 )

Infantile common cold

Shi , girl, 6y.

20.05.1981 first visit: easy to cough, got cold attack recently, aversion to coldness without sweating, low fever, cough with rapid breath, clear sputum, white and sticky tongue coating, floating and tight pulse. Diagnosis as wind –cold attacking exterior, with interior phlegm. Herbal formula as Mahuang ( modified), mainly disperse coldness and exterior, details as follow,

Mahuang 2.4g      xinren 6g    guizhi 3g    qinggancao 2.4g   houpu 4.5g   chenpi 4.5g   banxia  6g

Shengjiang 3 pc   suzi 6g     in 4 packs

27.05.1981 second visit: coldness start fading, fever disappear, cough not gone, sticky phlegm, but eating ok. White and greasy tongue root, slippery and tight pulse. Diagnosis as interior phlegm not gone, going to apply warm herbs to dissolve it.  Formula modify as follow,

- houpu, suzi, shengjiang     +xixin 1.5g ,   wuweizi  1.5g,   ganjiang 1.5g,   fulin 9g.   in 4 packs

After that, only slight cough, thin and greasy coating, apply “ er chen tang “, then symptoms all gone.

( TCM Clinical Cases Collection , P761)

What is Yin and yang ?

In Chinese philosophy, the concept of yin – yang (simplified Chinese: 阴阳; traditional Chinese: 陰陽; pinyin: yīnyáng), which is often referred to in the West as “yin and yang”, literally meaning “dark and light”, is used to describe how polar opposites or seemingly contrary forces are interconnected and interdependent in the natural world, and how they give rise to each other in turn in relation to each other. The concept lies at the origins of many branches of classical Chinese science and philosophy, as well as being a primary guideline of traditional Chinese medicine, and a central principle of different forms of Chinese martial arts and exercise, such as baguazhang, taijiquan (t’ai chi), and qigong (Chi Kung) and of I Ching divination. Many natural dualities—e.g. dark and light, female and male, low and high, cold and hot, water and fire, earth and air—are thought of as manifestations of yin and yang (respectively).

Yin and yang are not opposing forces (dualities), but complementary opposites, unseen (hidden, feminine) and seen (manifest, masculine), that interact within a greater whole, as part of a dynamic system. Everything has both yin and yang aspects as light cannot exist without darkness and vice-versa, but either of these aspects may manifest more strongly in particular objects, and may ebb or flow over time. The concept of yin and yang is often symbolized by various forms of the Taijitu symbol, for which it is probably best known in western cultures

Compiled by : Hao Chen ( Harry )

WHO Recommendations

the following list is based on some of the World Health Organisation recommendations.
Acid Reflux
Enlarged Prostate
Morning Sickness
Addiction
Haemorrhoids
Osteoarthritis
Allergy
Hair loss
Osteoporosis
Arthritis
Hay fever
Pain
Asthma
Headaches
Period pain
Anxiety
High blood pressure P.M.S
Breech babies
Infertility
Polycystic Ovaries
Carpal Tunnel
Injuries
Post-natal depression
Chronic Fatigue
Insomnia
Psoriasis
Concussion
Impotence
Sciatica
Constipation
Irritable bowel
Sinusitis
Contusion
Joint Pain
Sperm disorders
Depression
Labour preparation
Stop smoking
Diabetes
Low back pain
Stress
Dizziness
Low libido
Tiredness
Drug side effects
Menopause
Tennis Elbow
Eczema
Miscarriage
Weight loss

Insomnia

The night is endless, nothing is worse than not sleeping well. That is what I hear every day from people who suffer from insomnia. When we can’t sleep well, nothing is right. We are tired, moody, irritable, our muscles are stiff, our head hurts, we can hardly think or function. Furthermore, lack of adequate sleep can cause serious health problems. Most doctors now believe that chronic insomnia brings on the symptoms of fibromyalgia and contributes to cardiovascular stress, not to mention the countless car accidents caused by people falling asleep at the wheel.
Western medicine and traditional Chinese medicine (TCM) have different approaches to insomnia. To Western doctors, insomnia is the inability to sleep soundly. If there is no obvious physical reason, such as pain, for the sleeplessness, it will usually be seen as an emotional problem such as stress, anxiety, or depression. A patient with a mild case of insomnia is told to “relax more, cut back on caffeine, try a hot bath or warm milk before bedtime.” For chronic insomnia, the usual response is sleeping pills or anti-depressants.
In TCM, a primary concept is the idea of “root and branch.” Symptoms like insomnia are considered to be the branches of a disease. The root of a disease is a dysfunction or imbalance of the fundamental substances (Chi, blood, Yin, Yang, Jing, Shen), or of the major organ systems (Lungs, Heart, Spleen, Liver, Kidneys). When a person suffers from insomnia, the two organs most often out of balance are the Heart and the Liver. Each of these two organs houses a specific aspect of the spirit. If these organs are out of balance, they will not be able to house the spirit properly, and the spirit will wander. (TCM, although a very complex medical system, had its origins in Taoism, and before that in shamanism. Therefore, there is a spiritual consciousness built into TCM theory.) A wandering spirit, or Shen disturbance, can manifest in a number of ways, including mood disorders and heart palpitations, but insomnia is one of the commonest symptoms.
There is a lot of space devoted to insomnia in classical Chinese medicine textbooks. Several different types of insomnia are noted, and the differences point to different origins of the problem. The commonest types of insomnia are as follows:
Dream-disturbed sleep: Nightmares normally indicate a disorder of the Gall Bladder meridian. Dreams in which we go over and over the same ground, walking in a maze, reliving aspects of our jobs or our relationships generally are due to a Spleen/Heart imbalance. People with this problem say, “I can’t shut my mind off.”
Difficulty falling asleep:
This is usually related to an excess condition of the Liver or Liver and Gall Bladder. People will lie awake, tossing and turning for hours.
Waking up easily:
Many people can fall asleep easily, but then they wake up later and find it difficult to go back to sleep again. They may be awake for an hour or so, or may not go back to sleep at all. These people have a deficiency pattern, often a Heart/Spleen deficiency.
Waking up at a specific time every night:
For example, some people regularly wake up at three o’clock in the morning. In Chinese medicine theory, the body’s energy (Chi) circulates through the twelve principal meridians over a 24-hour period. Each meridian relates to an internal organ. If a person wakes or has some unusual symptoms at the same time every day, it is probable that there is an imbalance in the organ system that is “highlighted” at that time of day. Energy peaks in the Liver meridian at 3:00 a.m., which is why people often wake up then. Liver problems can result from unexpressed anger, stress triggering Liver Chi stagnation, and Liver Fire.
Other symptoms: When a Chinese medicine practitioner is analyzing a patient’s sleeping problems, he narrows down the possibilities by looking for other symptoms that are characteristic of a particular disorder. For example, people with the Liver Fire pattern get angry easily, and have Heat signs such as a red face, dark yellow urine, and dry bowel movements. People with Spleen/Heart deficiency tend to be forgetful, have poor concentration, feel very fatigued, and are always worrying about something. People with a Kidney/Heart disharmony can have tinitus, palpitations, weakness in the low back, feel light-headed, and get flushed easily. Chinese medicine practitioners also examine their patients’ tongues and feel the pulse for further indications of which particular pattern is predominant.
Everyone wants to sleep well and have sweet dreams every night. Nobody wants insomnia, but some people have been suffering with it for a long time. In my practice, patients come in with these complaints every day: “I’ve only slept a couple of hours a night for seven years.” “I have not slept well for 15 years since my divorce.” “I have been taking sleeping pills for years. It all started when our company went down.” “I was diagnosed with fibromyalgia, and my doctor said my aches and pains are related to my sleeping disorder. Can you do anything?
In the first part of this section, I mentioned that Chinese medicine sees insomnia as a symptom of an imbalance in either the fundamental substances of the body (Chi, Blood, Yin, Yang, Shen), or of the major organ systems (Lungs, Heart, Spleen, Liver, Kidneys). Insomnia most often results from imbalances of the Heart or Liver. I also outlined the principal types of insomnia, as described in Chinese medicine textbooks: dream-disturbed sleep; difficulty falling asleep; waking early; and waking at a specific time every night. This article will discuss the Chinese medicine approach to treating insomnia.
In this country, people say “acupuncture” as a shorthand term for traditional Chinese medicine (TCM). Most TCM practitioners also include Chinese herbal formulas and dietary modifications in their treatments. When treating insomnia, acupuncture and Chinese herbal formulas are combined for the quickest and most effective results. Not every insomnia patient will be treated with the same herbs or acupuncture points, however. A particular combination of signs and symptoms is called a pattern, and different patterns are treated differently. For example, students who are burned out on studying and can’t shut their minds off usually fall into a Spleen/Heart imbalance pattern; whereas elderly people who have trouble sleeping are generally manifesting a Heart/Kidney imbalance.
One of the most popular herbs in China for treating insomnia is Suan Zao Ren. This is the kernel of a small red date that grows wild in the mountainous areas of northern China. The branches of this shrubby plant are so thorny that farmers use it as fencing to keep their animals contained. I remember the scratches I got as a little girl when I visited the mountains and picked the dates for their sweet/sour flavor. Suan Zao Ren has the effect of nourishing Heart Shen and Liver Blood, as well as regulating Liver Chi. This makes it very effective at “calming the spirit” and dealing with stress. I often prescribe a formula which has Suan Zao Ren as a principal component when my patients have insomnia due to a Liver/Heart imbalance. For people with a Spleen/Heart disorder, such as the overworked students mentioned above, Gui Pi Wan is a useful herbal formula.
The Kidney/Heart disharmony pattern is also very common in this country, especially in peri-menopausal women and the elderly. Tian Wang Bu Xin Dan is an old and well-studied Chinese herbal formula that is often used for Kidney/Heart imbalances. Several studies have proven that it can help people to sleep deeply and stay asleep longer. People who take this formula tend to feel more refreshed and energetic in the morning. It can also be used to treat the nervous exhaustion that comes with depression.
Acupuncture is also effective treatment for insomnia. Many of my patients who come for other problems such as migraine, back pain, or depression notice that their sleeping has improved, too, even though they may not have considered insomnia to be a problem. Patients will comment that they’ve been sleeping really well since they started acupuncture.
One of my patients had multiple health problems including chronic insomnia. She had only slept one or two hours a night for many years, and suffered from fibromyalgia, which is generally considered to be related to chronic insomnia. After acupuncture treatments twice a week for three or four weeks, plus herbs, her sleep improved dramatically. She could sleep five or six hours a night without waking up, and the intensity of her other symptoms began to diminish. She also began to cut down on the number of prescription medications she had been taking. Because her case was so severe, I am still seeing her once every week or two, but she is practically a new woman. Now she has a normal sleeping pattern, and her aches and pains have pretty much disappeared. She said, “You don’t know how wonderful you feel when you can sleep well. The world is very different. My mood is good; I have energy; I’m not in pain; and I don’t need to take all those pills.
Maggie is a patient who comes in specifically for insomnia. She is a young woman with a stressful job and a small child to raise. She said, “I don’t know what happened with my nervous system I just can’t sleep. Either I can’t fall asleep, or I sleep one or two hours, then I’m wide awake for several hours. Since my son was born, everything is worse.” After treatment with herbs and acupuncture, she is doing well. One day she told me that she had just called her parents and told them about her wonderful experience. She was encouraging them to try acupuncture because they were in their mid-70s and had been taking sleeping pills for years.
Acupuncture has many positive benefits. It is safe (sterile disposable needles are always used), it is effective for a wide variety of health problems, and it is virtually free of side effects. It has been scientifically demonstrated that acupuncture can have an effect on the body’s central nervous system, and can increase levels of several neurotransmitters, including serotonin. Acupuncture promotes natural sleeping patterns, and doesn’t have the hangover effect that most sleeping pills do. If you have been having problems with your sleep, it may be worthwhile to give acupuncture a try before taking heavy-duty medications. If you are currently taking sleeping pills and are bothered by the side effects, consider talking to your doctor or a Chinese medicine practitioner about alternatives.

Compiled by: Hao Chen ( Harry )

Migraines

Traditional Chinese Medicine has lots of clinical record at treating this condition, with good results expected in the most stubborn cases. The key to successful treatment is proper diagnosis according to TCM theory, as the underlying causes may vary according to the patient.
BLOOD DEFICIENCY TYPE
This is rather common in women, and is often brought about by poor eating habits. In such cases, the diet is sporadic, low in protein and the patient is often running on empty. It is not uncommon for the first meal of the day to be consumed many hours after waking up. Over time, this lifestyle makes the Blood weak, undernourished, and lacking the strength to “travel up to the head.”
To make matters worse, monthly menstruation further depletes the Blood, leading to a chronic and entrenched pattern. Still, as long as the patient is willing to eat, herbal therapy gives very quick results with this type of headache, the easiest of all the types to treat. Herbs with a Blood boosting action such as Angelica (dang gui), White Peony (bai shao), and Ligusticum (chuan xiong), are the backbone of the treatment.
PHLEGM TYPE
This pattern of migraine is accompanied by poor concentration, a persistent heaviness and fogginess of the head, and tired, heavy limbs. These are all signs of dampness, as all of us might observe on humid, muggy summer days. However, such patients have this dampness inside, and over time it tends to thicken and congeal to become Phlegm.
Phlegm lodges in the meridians and blood vessels, obstructing the Qi and Blood from nourishing the tissues, in this case of the head and brain.
For this pattern of migraine, the herbs used will obviously be very different than the previous type, and in fact were we to use Blood tonics here they would make the condition much worse.
Phlegm-transforming herbs like dried citrus peel (chen pi) and pinellia tuber (ban xia) are needed.
LIVER TYPE
In this pattern, chronic stress and tension over a period of years congest and constrict the Liver energy. Over time, this stagnation heats up and flares upward to the head. There are clear emotional symptoms such as anger, impatience, irritability. Women may suffer from PMS, and migraines may flare just before the period.
The appropriate treatment applies Liver coursing medicinals such as Bupleurum root (chai hu), white peony (bai shao) and uncaria vine (gou teng) to “undo the knots” that make the person so wound up. As well as curing the headaches, one can expect to also be rid of the emotional symptoms.
BLOOD STASIS TYPE
This is the pattern most often found in severe, stubborn, long-term cases. Over many years, any of the above patterns, if enduring and untreated, will begin to obstruct the free flow of Blood in the head. These migraines tend to be sharp, stabbing or boring in character and have a fairly specific, fixed location. Blood Stasis may also show in purplish hue to mouth or face or purplish blood vessels around forehead or temples.
Treatment involves the use of strong Blood moving herbs such as Ligusticum (chuan xion) and peach pit (tao ren).
OUTCOME
Improvement in all types of migraine is expected after 3-6 weeks of treatment, while total treatment time may be two to three times longer.
Presently, modern research is beginning to validate some of TCM’s success with this condition. Herbs such as Ligusticum and Angelica are shown to have a strong inhibitory effect against 5HT, neurotransmitters which are linked to migraine headaches.

Compiled by : Hao Chen ( Harry )

Low Back Pain

People with chronic low back pain find that acupuncture treatment will help not only break the pain cycle, but allow them to reduce pain medications and participate more vigorously in physical daily activities. Lower Back pain in Chinese medicine includes any pain, aching, discomfort or weakness in one or both sides of the lower thoracic, lumbar, sacral or buttock areas. Lower back ache effects up to 80% of the population at one or more times of their lives. The Chinese noticed that many disorders affecting the kidneys can easily give rise to low back pain thus calling the lower back the “palace of the kidney”.

History of Chinese Medicine Treatment Of Low Back Pain – Lower Back Pain

Traditional Chinese Medicine has been used to successfully treat low back pain for thousands and thousands of years with the use of acupuncture and herbal medicine. When looking at the entire time line of Chinese medicine acupuncture has only been exposed to other areas of medicine for a very short period of time.

Sir William Osler, often considered the father of modern medicine said: “For lumbago (lower back pain) acupuncture is, in acute cases, the most efficient treatment.” (Lumbago is an old-fashioned term for low back pain.) This is what Sir William Osler counseled a century ago in his classic medical text.

Acupuncture for Lower Back Pain
Low Back Pain
How Acupuncture works for low back pain:
Ancient Chinese believe that there is an inner energy or vital force that is more than synapsing neurotransmittors and vibrating molecules. This vital force or inner energy, in Traditional Chinese Medicine, is called “QI” (pronounced chee). Low Back Pain, or any physical dysfunction, is considered in Traditional Chinese Medicine to be due to stagnant Qi in that area. Back Pain can also be related to Kidney, Liver or Spleen Dysfunction and stagnation. When using acupuncture, the inserted needles will break up this stagnation allowing Qi to move freely within the channels alleviating low back pain.

Acupuncture is very effective for low back pain and generally is the treatment of choice in acute cases.

Acute Cases Of Low Back Pain – the principle of treatment is to invigorate Qi and blood to remove stagnation and unblock the channels to stop pain. The main focus in acute cases is to use distal points with strong stimulation
Chronic Cases Of Low Back Pain – the principle of treatment is to expel any pathogens invading the body, invigorate the circulation of Qi and Blood and tonify any underlying deficiencies. Generally in Chronic cases points local to the area of pain and distal points would be used in conjunction with each other.

Herbs / Formulas for Lower back Pain
Low Back Pain
The most successful herbs for treating low back pain are those which increase qi and blood movement in that area. The herbs will have to act not only on the lower back pain are but also on the organ which may be involved in chronic cases.

PATTERNS AND TREATMENT
Of Low Back Pain

Cold Damp – Low Back Pain
Low back pain starts after exposure to cold and damp environmental factors. Low back feels cold when touched, achy and heavy feeling, pain feels deep and unremitting. This pattern of pain generally gets worse and is aggravated by cloudy, wet or cold days and does not improve with rest or laying down.
Treatment Principle
expel cold and damp, warm and open the channels and support the kidneys
Formulas
Gan Jiang Ling Zhu Tang With Du Huo Ji Sheng Tang
Acupuncture:
Use Moxa and warm needle technique

Damp Heat – Low Back Pain
Low back pain starts with the invasion of damp heat through the tai yang channel or chronic cold damp which stagnation and turns into heat. The lower back pain will feel sore and hot when touched. The effected are will be red and swollen and the pain is aggravated during hot, humid or rainy weather. General symptoms of the patient may also include feverishness, irritability and thirst
Treatment Principle
Clear heat and dry dampness, ease the tendons and stop lower back pain
Formulas – Jia Wei Er Miao San
Acupuncture:
Add points kidney 7 and GB 34 to mentioned points.

Wind Damp – Low Back Pain
Acute lower back pain with heaviness, achiness, stiffness and pain is unrelieved by changing position or stretching. The general symptoms of the patient will be heaviness, headaches, mild fever, chills, possible superficial oedema and a floating pulse.
Treatment Principle
Expel wind and dry dampness to stop lower back pain
Formulas – Qiang Huo Sheng Shi Tang
Acupuncture
Add Points – Lu 6, Li 4, Sp 9, Ren 12, St 36

Wind Cold – Low Back Pain
Acute low back pain not relieved by changing position or stretching with general patient symptoms of a high fever, chills, shivering, myalgia, stiff neck, occipital headache, no sweating, slight cough, nasal obstruction or runny nose, sneezing with a floating and soggy pulse.
Treatment Principle
Disperse wind cold and alleviate low back pain
Formulas – Jing Fang Bai Du San
Acupuncture
Add points – Li 4, Lu 7, GB 20, BL 12 ,BL 13, use copping on ah shi points on lower back.

Wind Heat – Low Back Pain
Acute lower back ache accompanied by lower back heat sensations unrelieved by changing positions or stretching. General patient symptoms include fever, mild sweat, dry mouth, thirsty, sore throat, red tongue tip and a floating rapid pulse.
Treatment Principle
Expel wind heat and alleviate low back pain
Formulas – Xiao Chai Hu Tang
Acupuncture
Du 14, BL 12, LI 11, LI 4, SJ 5, copping on ah shi points on lower back

Blood Stagnation – Low Back Pain
Common type of low back pain post traumatic injury such as lifting a heavy object or twisting and bending improperly. The pain is usually sharp in quality and quite severe which is aggravated by pressure or palpation.
Treatment Principle
Invigorate blood circulation and regulate qi to stop lower back pain
Formulas – Huo Luo Xiao Ling Dan
Acupuncture
Add points – BL 17, LI 4, SP 10, SP 6

Liver Qi Stagnation – Low Back Pain
This pattern usually has hypertonicity of the muscles (tense, spasm) and usually occours in individuals under high stress or emotional patients. The lower back pain tends to be aggravated by stress and emotional upsets and often radiates from the lower back to the lower abdomen or hypochondriac regions. The pain may have a distending quality which may move from place to place or come and go. General symptoms include irritability, headaches, digestive upset, chest fullness and possible menstrual disorders. The pulse will generally be wiry and thready while the tongue will be darkish in color with red edges and a thin coat.
Treatment Principle
Regulate liver qi and stop lower back pain
Formulas – Tian Tai Wu Yao San
Acupuncture
Add points Liv 3, LI 4, GB 34, PC 6

Spleen Deficiency with Dampness – Low Back Pain
This pattern usually has hypotonicity of the muscles (weak, emaciated) with a loss of mechanical support and hypermobility of the lumbar spine. This pattern generally gives rise to aching and heaviness of the lower back region which may be flabby while the patients will be commonly overweight. They may also have some degree of digestive weakness or fluid retention with a pale, swollen tongue and a slippery soft pulse.
Treatment Principle
Strengthen spleen and eliminate dampness to alleviate lower back pain
Formulas
Bu Zhong Yi Qi Tang
Ping Wei San – excessive dampness
Fang Ji Huang Qi Tang – easily sweating, mild dampness, knee swelling and painful
Shi Pi Yin – spleen yang deficiency with pitting edema
Acupuncture
Add points – SP 3, ST 40, ST 36, BL 20

Kidney Deficiency – Kidney Qi – Kidney Yin – Kidney Yang
The kidneys have a powerful influence over the tissues of the lower back therefore if the kidneys are weak and qi and blood are sluggish then the lower back is easily effected. Kidney Deficiency will give rise to a chronic lower back ache or low back pain with soreness and weakness which is improved by massage and general rest. The pain will be recurring and is aggravated after exertion, prolonged standing or sexual activity. The knees and legs are commonly sore or weak as well in kidney patterns.
Acupuncture
Add points – BL 23, BL 25, Du 4, BL 52, REN 4, REN 6, KD 3, BL 60, Hua Tuo Jia Ji
Use moxa for kidney yang deficiency.

Kidney Qi Deficiency – Low Back Pain
Kidney Deficiency with – clear copious urination, nocturia, pale lustreless complexion, edema of lower extremities, sore knees, pale or pink tongue with a deep thready pulse
Treatment Principle
Tonify kidney qi and strengthen lower back
Formulas – You Gui Wan

Kidney Yang Deficiency – Low Back Pain
Kidney deficiency with – clear copious urination, nocturia, pale lustreless complexion, edema of lower extremities, sore knees, generally cold, dislike of cold, wet swollen tongue and a slow pulse.
Treatment Principle
Support and strengthen the lower back and tonify the kidneys and support the kidney yang.
Formula – You Gui Wan

Kidney Yin Deficiency – Low Back Pain
Kidney deficiency with – intolerance of heat, occasional urinary irritation, tinnitus, dizziness, facial flushing, nightsweats, sensation of heat in the palms and soles and chest, red tongue with no coat and a thready rapid pulse.
Treatment Principle
Tonify kidneys and nourish kidney yin to strengthen and support lower back
Formulas – Zuo Gui Wan

Compiled by: Hao Chen ( Harry )

Cough


According to traditional Chinese medicine (TCM), there are many possible causes of a cough, which is why it is one of the most difficult conditions to treat. An energy imbalance in each of the five major organ networks can lead to a cough—not only a problem with the Lung. From the TCM point of view, the best doctor does not try to stop or suppress a cough, but rather tries to find its root cause and how to release it from your body. Actually, a cough has two faces: on one hand it causes discomfort, and on the other, it has a positive aspect because it is the body’s attempt to release something, such as toxins or an energy stagnation. Many Western treatments view a cough in a negative way and try to stop it immediately instead of helping it to be released from the body. Yet be aware of this important point: if a cough is suppressed or pushed deeper into the body, the illness or imbalance that caused it will also be pushed deeper into the body to remain hidden, and the body will then carry this illness or imbalance. Down the road, sooner or later, it will come out as a different condition, for example, as a skin condition such as eczema or a rash—any kind of skin condition. According to TCM understanding, many conditions can have their origin in an untreated cough: asthma, diabetes, and even cancer. So it is important to find the real cause and not take cough medicine to stop the discomfort of a cough right away.
Because TCM sees a cough as being potentially related to different organs, TCM doctors looks at the particular symptoms accompanying a cough in order to understand and diagnose it accurately. For example, the exact location of pain or a body action accompanying the symptom or an emotion experienced provide clues to which organ is vulnerable. In the case of a cough, sometimes a person feels nauseous when coughing. Sometimes a cough can cause rib pain or send you running to the bathroom to urinate. If your cough causes nausea, then it may be related to a Stomach problem; if your ribs are painful when coughing, then this can indicate a Liver imbalance; if you have to urinate when you cough, your Bladder most likely is out of balance.
If you seem to catch a cold every fall, the Lung is probably the vulnerable organ for you. In TCM theory the fall is related to the Lung organ network. If you are particularly vulnerable at this time you should take care to avoid stress and conditions that can lead to a cold. According to TCM the Lung and the Kidney, the organ related to the winter season, have a close relationship: the Kidney is the “child” of the Lung, meaning that the Lung nourishes and supports the energy (called “Qi” in Chinese) of the Kidney. If the Kidney has an energy deficiency, it can continuously pull energy from the Lung, its “mother,” and this can prevent your body from healing a cough, and so it becomes a persistent condition, one that can even be carried over into the spring from the preceding fall.
TCM Tips for Healing
To treat a cough, once its root cause has been found, TCM doctors have used the following treatment modalities successfully over the millennia.
• Acupuncture on specific meridians (energy pathways) related to the distressed organ (or organs) restores the flow of Qi and rebalances the affected organ or organs.
• Herbs in the form of herbal formulas are also used to address the root cause. Bai He Gu Jin Wan is a classical formula frequently used for this condition.

Compiled by : Hao Chen ( Harry )

The Seven Emotions and Health

The seven basic emotions related to organ function are anger, joy, worry, pensiveness, sadness, fear, and shock (fright). Although the mind/body connection has been acknowledged only relatively recently in Western medicine, the interaction of emotions with the physical body is an essential aspect of traditional Chinese medicine.
Each organ has a corresponding emotion; imbalance of this emotion can affect the organ’s function. For example, prolonged anger can lead to an imbalance in the liver. At the same time, liver imbalances can produce symptoms of anger, often leading to a self-perpetuating cycle.

In discussing the emotional aspect of the disease process, it is important to remember that it is normal to experience the full range of emotions. It is only when a particular emotion is experienced over a prolonged period or with particular intensity that it becomes a source of imbalance. It is obviously important for a person with severe emotional problems to get professional help from a trained psychotherapist. But even in these cases, the therapy is more effective when the corresponding organ imbalance is rectified. Acupuncture is especially effective in treating disorders of the emotions. Even when it is not completely effective in treating a physical ailment, it almost always brings about a state of emotional peacefulness.

Anger

Anger is associated with the liver. By its nature, anger causes qi to rise, leading to a red face and red eyes, headaches, and dizziness. This matches the pattern of liver fire rising. Anger can also cause liver qi to “attack the spleen,” producing lack of appetite, indigestion, and diarrhea (often experienced by those people who argue at the dinner table or eat while driving).

In a more long-term view, suppressed anger or frustration often causes liver qi to become stagnant; this might result in depression or menstrual disorders. It is interesting to note that people who take herbs to release stagnant liver qi often experience bouts of anger as the stagnation is relieved. The anger passes as the condition clears. Similarly, anger and irritability are often the determining factor in diagnosing liver qi stagnation. Many people are relieved to know their rage has a physiologic basis. It is essential to avoid drinking coffee when treating anger-related liver disorders, as coffee heats the liver and greatly intensifies the condition.

Joy

The emotion of joy is connected with the heart. A disorder related to joy may sound perplexing, since most people want as much joy in their life as possible. The disorders from this emotion are not caused by happiness; rather, the imbalance comes from too much excitement or stimulation, or sudden good news that comes as a shock to the system.

When evaluating stress levels, psychologists look at all sources of stress, both positive and negative. Clearly the death of a spouse or a job loss is a significant source of stress. However, a marriage or job promotion, while a happy occasion, is also a source of stress. A person who is constantly on the go, partying, and living a life of excess can eventually develop heart imbalances with palpitations, anxiety, and insomnia. A person with heart imbalances may also exhibit emotional symptoms, since the heart is the seat of the spirit (shen). A person with extreme disturbances of heart shen might be seen chattering happily to himself with outbursts of laughter.

Such behavior results from the heart organ’s inability to provide a stable resting place for the spirit. This type of imbalance is treated with acupuncture along the heart meridian. Herbal treatments consist of formulas that nourish heart blood or yin. If heart fire disturbs the spirit, herbs that clear heat from the heart are used.

Worry

A very common emotion in our stress-filled society, worry can deplete the energy of the spleen. This can cause digestive disturbances and eventually lead to chronic fatigue: A weakened spleen cannot efficiently turn food into qi, and the lungs are unable to extract qi from air efficiently. A person who worries too much “carries the weight of the world on her shoulders,” a good description of how a person feels when her weak spleen qi leads to dampness. Treatment would include moxa and herbs that strengthen the spleen, allowing a person the energy to deal with life’s problems instead of dwelling on them.

Pensiveness

Too much thinking or obsessing about a topic can also deplete the spleen, causing a stagnation of its qi. A person with this condition may exhibit such symptoms as poor appetite, forgetting to eat, and bloating after eating. In time, the person may develop a pale complexion from a deficiency of spleen qi. This can eventually affect the heart, causing the person to dream about the same subjects at night. Students are often affected by this imbalance; the standard treatment is use of herbs that tonify heart blood and spleen qi.
Sadness

Sadness or grief affects the lungs, producing fatigue, shortness of breath, crying, or depression. Treatment for this condition involves acupuncture to points along the lung and kidney meridians. Often, herbal formulas are used that tonify the qi or yin of the lungs.

Fear

The emotion of fear is related to the kidneys. This relationship can readily be seen when extreme fear causes a person to urinate uncontrollably. In children, this can also manifest as bed-wetting, which psychologists have linked to insecurity and anxiety. Long-term anxiety due to worrying about the future can deplete the kidneys of yin, yang, and qi, eventually leading to chronic weakness. Treatment involves tonifying the kidneys with yin or yang tonics, depending on the particular symptoms.

Shock

Shock is especially debilitating to the kidneys and heart. The “fight or flight” reaction causes an excessive release of adrenaline from the adrenal glands that sit on top of the kidneys. This causes the heart to respond with palpitations, anxiety, and insomnia. Chronic stress from shock can be very debilitating to the entire system, causing a wide range of problems. Severe shock can have a long-term effect on the heart shen, as is evident in victims of post-traumatic stress syndrome. Treatment involves psychotherapy, herbs that calm the spirit and nourish the heart and kidneys, and regular acupuncture treatments.

Compiled by : Hao Chen ( Harry )

Asthma


Asthma is a serious lung disease in which the walls of the airways, the bronchial tubes, become inflamed. The swelling of the bronchial tubes and/or the excessive mucus secreted from the walls cause the tubes to narrow, which partially blocks the airway. Allergies, chronic bronchiole infection and hyperirritability of the airway tubes are the most common causes of asthma.
Traditional Chinese Medicine (TCM) has been treating asthma for thousands of years. In 1979, the World Health Organization listed forty diseases that can benefit from acupuncture. Respiratory tract diseases, including asthma and bronchitis, were included on that list. There are many studies relating to the success of acupuncture and Chinese herbs for the treatment of asthma in last twenty years. For example, in 1993, the Department of Anesthesia and Intensive Care at the University Hospital of Vienna, Austria, reported a study that concluded that after ten weeks of acupuncture treatment, over 70% of long-standing asthma patients achieved significant improvement.
Acupuncture and Chinese herbs may help:
• improve and balance the immune system
• reduce allergic reaction
• reduce bronchial inflammation
• adjust the sympathetic and parasympathetic nervous system in order to expand the walls of the airways
• reduce and withdraw mucus and phlegm
• increase the capacity of the lungs
In most of the cases, acupuncture and Chinese herbs are very effective. After a series of treatments, asthmatic symptoms such as wheezing, coughing, chest tightness and shortness of breath are reduced. The frequency of an asthmatic episode can also be minimized. In fact, many people can usually resume an active lifestyle.

Compiled by: Hao Chen ( Harry )

Pain

“Pain is an alarm of the body, for treating the pain, we should target the burglar of the house rather than break the alarm into pieces.”( Hao Chen)
Acupuncture is best known for its ability to successfully treat pain. Pain itself is not a diagnosis, but rather an indication or warning that there is a problem somewhere in the body. Many times the exact location of pain points to where the problem is, as in the case of elbow pain above an inflamed tendon. But in other situations the site of pain may be related to problems far away, as in leg pain resulting from a herniated disk pushing on a nerve in the back.
The intensity of the pain usually indicates or warns how severe the problem is. Each person has a different pain threshold, but pain levels that increase or do not lessen over time point to something that needs attention.
And the circumstances surrounding the onset of the pain are just as important. Was there an accident or incident? Or did the pain gradually develop over a course of time or during a certain period of life?
The characteristics of pain give important information about what is causing the body to send this signal. Once noticed, it is important to address the underlying problem that forced the body to send a pain message, not just turn down the discomfort. Otherwise the body will send out other warning signals until the core problem is corrected.
How does acupuncture stop pain?
There are many therapies that attempt to stop pain. Most of them mask the pain while hoping the body is able to heal itself or push the body to heal faster while offering limited pain relief. Acupuncture is an extremely powerful and effective approach to treat pain because it treat the cause of the pain rather than block our nerve system. Main treatment principles are:
• Release the stagnation of Qi and blood
• Decrease inflammation and swelling
• Relax muscles and stop spasms
• Remove dampness, coldness, heat or phlegm retention
• Balance the body

How many treatments will I need?
This varies considerably based on the specific condition being treated. Each person receives an individualized treatment plan based on age, past medical history, lifestyle, treatment goals and current pain status. Generally speaking however, acute pain (less than 3 months duration) is often resolved in a short series of treatments spaced close together and chronic pain requires consistent regular treatment to achieve long-term pain relief.

How else will acupuncture help me deal with my pain?
Almost every person finds acupuncture treatments to be very relaxing. Many do not expect this effect, especially dealing with painful conditions, but acupuncture balances various parts of the body together. This results in a person feeling calm, peaceful and very relaxed. Pain is stressful and can wear someone down causing irritability, tension and insomnia. By relaxing the whole person, acupuncture also helps eliminate these other negative aspects of pain. And it does so in a natural way, with no negative side effects.
Acupuncture also looks at the entire person, not just the one part that hurts. This means an acupuncturist will offer suggestions for individual lifestyle improvements regarding exercise, supplements and diet, sleeping and stress management techniques to help a person improve health and decrease pain.

Compiled by: Hao Chen ( Harry )

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Tennis Elbow

Many people have experienced a painful elbow from time to time after a golf game, mowing the lawn, or a long session on the computer. Usually it clears up after a few days’ rest. But for a lot of people, the pain doesn’t go away, and they eventually have to go in for treatment. Elbow pain which is due to inflammation of the tendons that attach the lower arm bones to the upper arm is usually called “tennis elbow.” It can also be called tendonitis of the elbow, or sometimes “golf elbow.”
In most countries, doctors recommend an approach that starts with basic care like resting the elbow, avoiding overuse, and wearing a brace. Next, physical therapy, anti-inflammatory drugs, or pain killers are tried. Finally, steroid injections (cortisone shots) may be used in an effort to reduce the inflammation.
In China, acupuncture is the first choice of doctors and their patients in the treatment of tennis elbow. More radical approaches like surgery or steroid injections are a last resort. In my practice, I often see people who have already tried everything that Western medicine has to offer, including steroid injections, and who still suffer with debilitating pain.
The effectiveness of acupuncture in treating tennis elbow was the subject of a study done in Sweden by Dr. Gunilla Brattberg. She found that patients treated with acupuncture became much better, or even completely free of pain. None of them got worse or had any side effects from acupuncture treatment. Dr. Brattberg noted that acupuncture is a more time-consuming treatment modality than steroid injection, but while there may be dramatic improvement using steroids, there can also be a worsening of symptoms with steroids. Most acupuncture practitioners find that patients who have had steroid injections are slower to respond to acupuncture treatments than patients who have not been injected.
What kind of treatment can you expect at an acupuncture clinic? Exact treatment will vary somewhat from person to person, but most people begin with two acupuncture treatments a week for a few weeks, decreasing the frequency of treatment as the condition improves. The practitioner may also use electrical stimulation, heat lamp, and herbal patches to speed up the healing. Because tennis elbow is the inflammation of a tendon, it usually takes longer to heal than an inflamed muscle would, but you should notice at least some improvement after four or five treatments.

Compiled by: Hao Chen ( Harry )

Depression

As we know, clinical depression (also called severe depression disorder, major depression disorder) is a state of sadness, melancholia or despair that has advanced to the point of being disruptive to an individual’s social functioning and/or activities of daily living. Although a low mood or state of dejection that does not affect functioning is often referred to as depression, clinical depression is a medical diagnosis and is different from the everyday meaning of “being depressed”.

Diagnosis and Symptoms
According to the DSM-IV-TR criteria for diagnosing a major depressive disorder (cautionary statement) one of the following two elements must be present for a period of at least two weeks:
–Depressed mood, or
–Anhedonia

It is sufficient to have either of these symptoms in conjunction with five of a list of other symptoms over a two-week period. These include:

–Feelings of overwhelming sadness or fear or the seeming inability to feel emotion (emptiness).
–A decrease in the amount of interest or pleasure in all, or almost all, activities of the day, nearly every day.
–Changing appetite and marked weight gain or loss.
–Disturbed sleep patterns, such as insomnia, loss of REM sleep, or excessive sleep (Hypersomnia).
–Psychomotor agitation or retardation nearly every day.
–Fatigue, mental or physical, also loss of energy.
–Intense feelings of guilt, helplessness, hopelessness, worthlessness, isolation/loneliness, anxiety, and/or fear.
–Trouble concentrating or making decisions or a generalized slowing and obtunding (to dull or blunt, especially sensation or pain) of cognition, including memory.
–Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.
–Feeling of being abandoned by those close to you.

An additional indicator could be the excessive use of drugs or alcohol. Depressed adolescents are at particular risk of further destructive behaviors, such as eating disorders and self-harm.
Treatment from western medicine
Treatment of depression varies broadly and is different for each individual. Various types and combinations of treatments may have to be tried. There are two primary modes of treatment, typically used in conjunction: medication and psychotherapy. A third treatment, electroconvulsive therapy (ECT), may be used when chemical treatment fails.

Other alternative treatments used for depression include exercise and the use of vitamins, herbs, or other nutritional supplements.

Depression and Chinese medicine

Depression is similar to TCM’s Yu syndrome, Baihe disease, Zangzao, Diankuang etc. Modern medicine typically treats depression with a form of psychotherapy and/or anti-depressant drugs regardless of the specific symptoms presented by the depressed patient. In contrast, Chinese traditional medicine classify depression as different types according to different etiologies and manifestations, and treat the specific symptoms that are unique to the individual using a variety of techniques such as acupuncture, Chinese herbs, tui-na massage.

Main treatment principles are,
–Promote circulation of Qi and blood in meridians
–Remove stagnation of Qi and blood
–Harmonize the inner organs
–Regulate the balance of body

Since the early nineties, studies around the world have suggested that treating depression with acupuncture has a positive and holistic effect on depressed patients, particularly when used in combination with psychotherapy and herbal treatments. The United Nations World Health Organization regards acupuncture as a useful treatment method for depression.

Compiled by : Hao Chen ( Harry )

How Many Treatments will I Need?

This varies widely, depending on the duration, severity and nature of your health concern. An acute condition may resolve within a few treatments, and many chronic problems can be treated in ten treatments or so. It is best to schedule these twice or three times a week to start with to gauge the speed of your individual response. Some conditions need continued treatment on a weekly, bi-weekly or monthly basis. The benefits of treatment are cumulative and holistic, and once patients feel better they come less frequently to maintain the results. Eventully the patients just need to follow lifestyle recomendations and come to a consultation once they encounter some concerns they are not sure how to cope with.

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Does Acupuncture Hurt?

Most people are pleasantly surprised to find that the insertion of the needles goes unnoticed. For others it feels like a small pinch followed by a variety of sensations. Often the first sensation is immediate relief from the pain they came in. Others experience tingling, warmth or a sensation of heaviness or a sensation of Qi or energy moving up and down the channels. I take great care to ensure that my patients are comfortable during treatment. Most people find acupuncture extremely relaxing and many of my patients fall asleep during treatment. Following treatment patients usually feel a profound sense of well – being , calmness or euphoria.

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What is Tui Na ?

Tui na is a form of Chinese therapeutic massage often used in conjunction with acupuncture, moxibustion, fire cupping, Chinese herbalism, etc. It is a hands-on body treatment that uses Chinese Medicine principles in an attempt to bring into balance to the body. The practitioner may brush, knead, roll/press and rub different acu-points or areas of body to get the energy moving in the meridians as well as the muscles. Tui Na does not simply work on the muscles, bones, and joints, it works with the energy of the body at a deeper level. It’s not just for physical health, but also for mental and emotional balance and well-being . so, it’s not only effective for pain syndromes, such as arthritis, sciatica, muscle spasms, pain in the back, neck, and shoulders, it also helps chronic conditions such as insomnia, chronic fatigue, digestive dysfunction, circulatory problems, hormonal imbalance, constipation, migraines, stress, anxieties, and depressions as well.

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What is Chinese Herbal Medicine ?

Chinese herbal Medicine refers to one of the three main aspects of Traditional Chinese Medicine, the others are Acupuncture and Tuina. Chinese herbs have been used for thousands of years. The first traditionally recognized herbalist is Shénnóng , who is said to have lived around 2800 BC. He allegedly tasted hundreds of herbs and imparted his knowledge of medicinal and poisonous plants to farmers. His Shénnóng Běn Cǎo Jīng (Shennong’s Materia Medica) is considered as the oldest book on Chinese herbal medicine. It classifies 365 species of roots, grass, woods, furs, animals and stones into three categories of herbal medicine.
Every Chinese herb has its unique nature and flavour, and can be used individually or in a formula to regulate the balance of human body. There are four natures and five flavours. The Four Natures are: hot, warm, cool, or cold . Hot and warm herbs are used to treat cold diseases, while cool and cold herbs are used to treat heat diseases. The Five Flavors, sometimes also translated as Five Tastes, are: acrid/pungent, sweet, bitter, sour, and salty. Each of the Five Flavors corresponds to one of the zàng organs, so they can regulate the functions of body. Also each flavor implies certain properties and therapeutic actions of a substance. Saltiness “drains downward and softens hard masses”; sweetness is “supplementing, harmonizing, and moistening”; pungent substances are thought to induce sweat and act on qi and blood; bitterness “drains heat, purges the bowels, and eliminates dampness.
There are roughly 13,000 herbs used in China and over 100,000 medicinal formulas recorded in the ancient literature. Plant elements and extracts are by far the most common elements used. The forms of formula include decoction, pills, powders, etc. Chinese herbs also can be applied externally .

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What is Acupuncture?

Acupuncture is one of the principal components of a medical system commonly referred to as TCM – Traditional Chinese Medicine, that originated in China over 5,000 years ago. It is based on the belief that living beings have a vital energy, called Qi , that circulates through twelve invisible energy lines known as Meridians in the body. Each meridian is associated with a particular organ system, such as liver, heart, spleen, lung , kidney, gall-bladder, large intestine and so on. In a healthy human body, the Qi flows freely throughout the meridians and is distributed in a balanced way, health is maintained. An imbalance in the flow of qi throughout a meridian is how disease begins. Acupuncture works to “re-program” and restore normal functions of the body by manipulating thin, solid needles that have been inserted into meridian points in the skin. There is general agreement that acupuncture is safe when administered by well-trained practitioners using sterile needles and carries a very low risk of serious adverse effects.
Although sometimes described merely as a means of pain relief, Acupuncture is actually used to treat people with a wide range of illnesses. Its focus is on improving the overall balance and wellbeing of the patient, rather than subduing superficial symptoms. The flow of qi can be disturbed by many factors, physical, environment and mental ,the skill of an Acupuncturist lies in their ability to track the cause of the disease , detect the imbalance of the body, and make a correct TCM diagnosis. After diagnosis, the Acupuncturist will design a personalised treatment plan.

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