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Section Index
December 3, 2013
1. Tengfei: A 29-year-old pregnant woman at five months gestation was found to have a mid-ureteral stone, with dilation of the upper segment and hydronephrosis. Kidney function and gynecological exams are normal. The pain during attacks is quite severe. She has been treated symptomatically with progesterone capsules and 654-2. Since this is her first pregnancy, she is keen on preserving the fetus. Could you advise on how to resolve this issue?
Answer: If the pain caused by the stone is extremely severe, extracorporeal lithotripsy can be considered. However, to ensure fetal safety, it is crucial to repeatedly inform the lithotripsy physician to guarantee that the fetus remains safe. Any medication that can facilitate stone expulsion is detrimental to the fetus and should therefore be avoided.
2. Ling: At the hospital, they drilled out the cavity in the middle of my child’s decayed tooth. I’m worried that the filling will decay again soon. Will this affect the development of new teeth later on?
Answer: Tooth eruption follows a specific timeline. Children aged 7–9 are in the midst of their primary-to-permanent tooth transition. Once the permanent teeth erupt, they remain for life. Therefore, any decayed or necrotic teeth, including the roots, should be extracted. Nowadays, dental restoration techniques are increasingly advanced, making tooth replacement possible.
3. Yuanlong: My mother has coronary heart disease. After undergoing coronary angiography, one artery was found to be 90% blocked, and a stent was implanted. Now she is experiencing symptoms typical of an attack, especially around 5 a.m., when she feels pain in the precordial region. Does TCM offer any effective treatments for this condition?
Answer: TCM has excellent methods for treating coronary heart disease, particularly through promoting blood circulation and removing blood stasis—this is one of TCM’s strengths. For patients who are not suitable for interventional therapy, choosing TCM becomes even more essential.
4. Muzi: My daughter is under three years old. A few days ago, seven or eight small pimples symmetrically appeared on both sides of her face. Recently, one side of her mouth has become ulcerated, and small rashes keep popping up on her body from time to time. The hospital prescribed some ointments, but they didn’t help much. Whenever she feels itchy, she scratches with her hands. What could be causing this, and what should we do?
Answer: It’s possible that the child’s skin has developed an allergic reaction. Try applying a little Piyanping ointment or Fluticasone ointment.
5. Kouzidui: My mother-in-law’s blood pressure is 150/80 mmHg. What medications can lower her blood pressure, and what dietary precautions should she take?
Answer: There are many antihypertensive drugs available, including beta-blockers like Propranolol, calcium channel blockers like Nifedipine, angiotensin-converting enzyme inhibitors like Captopril and Enalapril, angiotensin II receptor antagonists like Valsartan and Losartan, as well as older vasodilators like Reserpine and Jiajia Ling, plus diuretics like Hydrochlorothiazide. TCM also offers numerous prescriptions for lowering blood pressure, but treatment must be tailored to individual symptoms. As for diet, hypertensive patients should follow a low-salt, low-fat, and light eating regimen.
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