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Section Index
Medication During Pregnancy
<!-- translated-chunk:27/53 -->Answer: Of course, traditional Chinese medicine treatment for this condition generally has advantages over Western medicine. Early administration of TCM is recommended; if a gastric tube is available, nasal feeding can be used, and some patients may even be able to wake up and get out of bed on their own.
9. Kong Kong Er: Male, 28 years old, obese, with an irregular lifestyle, experiencing skin itching all over the body. Scratching leads to red, intensely itchy bumps that appear symmetrically on both sides of the limbs. The doctor diagnosed neurodermatitis. Over the past two years, he has visited many places and tried numerous medications, but the symptoms always recur after improvement.
Answer: Symmetrical rashes are more likely to be eczema rather than neurodermatitis. In Traditional Chinese Medicine, what Western medicine calls neurodermatitis corresponds to psoriasis in TCM, while Western neurodermatitis falls under the category of psoriasis in TCM. TCM herbal treatment is effective.
10. Mei Ling: My family member, female, 47 years old, has suffered from urticaria for over a year, with recurrent episodes triggered by cold or heat. (Symptoms: Red, raised patches appear on the front and back of the chest as well as the inner and outer thighs, accompanied by intense itching that is hard to bear. She has been taking Shiduqing capsules orally, but with very little effect.)
Answer: TCM herbal treatment is particularly effective for urticaria because the condition can change rapidly and varies from person to person, making treatment quite complex. A fixed formula or single medication may not necessarily work.
11. Wei Wo Neng Jie: My mother was diagnosed with cervical cancer in 2011 and underwent radiotherapy and chemotherapy. This June, she developed severe swelling in her left limb, which the doctor said was a side effect of radiotherapy. What can be done to alleviate this?
Answer: How many rounds of radiotherapy have you undergone? If you received 25 external treatments and 6 internal treatments, that should be sufficient. Patients who receive adequate doses of radiotherapy are unlikely to experience recurrence in the short term. However, lower limb edema as a side effect of radiotherapy is relatively uncommon. The main side effects of cervical cancer radiotherapy are radiation-induced cystitis and proctitis—cystitis causes hematuria, while proctitis causes hematochezia.
12. Wan Qiu: Four months ago, I suddenly felt something prick my throat while eating. The pain lasted for two days, then disappeared. But even now, whenever I catch a cold, I still feel that sensation; when I’m not sick, there’s no problem. It feels like some small growth has formed, but it doesn’t hurt. There shouldn’t have been anything sharp in the food at the time. What could be going on?
Answer: If it wasn’t a fishbone stuck in your throat (and you didn’t eat any fish), then it’s likely that a hematoma in the pharynx ruptured, causing the foreign-body sensation to disappear, though residual symptoms may still persist to varying degrees.
June 4, 2014
1. Qing Gao Zhi Yuan: A 2-year-old child was treated for acute suppurative tonsillitis with intravenous infusion for five days at the hospital. Now the child is taking Lanqin oral liquid, but experiences severe bloating, frequent crying, and abdominal pain. What could be the cause? What medication can relieve these symptoms?
Answer: Most proprietary Chinese medicines used to treat acute suppurative tonsillitis are designed to clear heat, detoxify, drain pus, and promote its discharge, which can easily damage the gastrointestinal tract. Therefore, it’s generally recommended to take Xiangsha Liujun Wan or Baohuo Wan before meals to reduce gastrointestinal side effects.
2. 0402: Male, around 40 years old, with gradually expanding areas of melanin on his forehead. What could be causing this? What precautions should he take in daily life?
Answer: First, check whether your areolae and lips are darkened. If they are, you should undergo a comprehensive endocrine examination to rule out adrenal cortical hormone deficiency. If not, it’s just ordinary pigmentation, which is not serious. In the future, avoid excessive sun exposure and take more Vitamins A, D, and C.
3. Wan Qiang: 24-year-old male, unmarried, prone to sweating, especially on the palms, soles, and back—sweating even with minimal physical activity. His complexion is dull, and he often feels soreness in his knees at night. His knees also feel that way when exposed to cold. He lacks energy during the day and now suffers from premature ejaculation. Perhaps he’s taken too much Jingui Shenqi Wan, as he frequently experiences sexual urges, has noticeably more body hair, yellowish hair, hair loss, and constant irritability.
Answer: This is due to spleen-kidney yang deficiency. Young people should avoid masturbation. Currently, there is insufficient attention paid to the mental and physical health of adolescents and inadequate educational measures. About 80% of middle school and university students engage in masturbation, leading to the symptoms described above. Treatment should be based on syndrome differentiation.
4. Hao Hao Ai Ni Men: I’m 28 years old, female, married, and my baby is already eight months old. However, I still haven’t had my period, and I often experience lower back pain. What could be the reason, and what tests should I undergo?
Answer: Eight months postpartum is a normal lactation period, and lower back discomfort is caused by strain on the lumbar muscles during childbirth.
5. Wang Guo Xia: Ten years ago, I underwent appendectomy but didn’t recover properly afterward. I’ve been experiencing dizziness ever since, which turned into headaches and shortness of breath half a year later. Later, my condition improved somewhat, but five months ago it worsened again. Now I suffer from severe shortness of breath, difficulty even speaking, pain in my left upper back, chest tightness, headaches, dizziness, blurred vision, fatigue, lower back pain, and hot palms and soles (symptoms I’ve had before). I also have cholecystitis. What medication should I take?
Answer: Appendectomy is a minor surgery; unless there was suppuration or perforation, it wouldn’t cause your current symptoms. You should consider whether there might be pancreatitis in addition to cholecystitis. If you’re over 40, with left upper back pain, chest tightness, headaches, dizziness, blurred vision, and fatigue, you should also consider hypertension, arteriosclerosis, and coronary heart disease. A comprehensive examination is necessary, and you should take it seriously.
6. Ru Ya: Female, 50 years old. Two years ago, she developed recurrent enlarged lymph nodes in her left armpit and underwent two surgeries. Western medicine diagnosed her with lymphadenitis, and the nodes have swollen again recently. They’re mobile, and a biopsy confirmed they’re benign. What good methods does Old Doctor Pei recommend?
Answer: This is reactive lymphadenitis. First, you should check for breast hyperplasia and other potential infection sites near the left axilla.
7. Man Tian Ling Dian Xing: My mother is 51 years old and has been diagnosed with advanced lung cancer, with pleural and lymphatic metastasis. She’s been taking Iressa for six days, but the effect isn’t obvious. She experiences severe pain in both ribs and the chest, takes morphine, and now has trouble eating—feels cold in the stomach, constantly burps but can’t bring up anything, and coughs a lot. What should we do?
Answer: Iressa, also known as gefitinib, is the first-line targeted therapy for lung cancer. Taking it for six days doesn’t necessarily mean it will work; only if it’s ineffective after two months should you consider switching medications. This drug does have certain side effects, and the stomach cold and frequent burping you mentioned are among them.
8. Qing Guo Qiu: I’m a girl with polyarteritis nodosa. Examinations show stenosis of the carotid and coronary arteries. I’m currently taking prednisone and the immunosuppressant mycophenolate mofetil, and have reduced the dose from 12 tablets to 3.5. My parents heard that human placenta can regulate immunity, so they want me to take it. But I’m worried—according to some information, placenta contains certain hormones, immune factors, and globulins. Could this conflict with the steroid medications I’m taking?
Answer: Polyarteritis nodosa, also known as Takayasu’s arteritis, is an autoimmune disease, and Western immunosuppressive treatments have limited efficacy. Traditional Chinese medicine, with its blood-activating, stasis-resolving, and hardness-softening effects, shows good results.
9. Tian Shi De Wing: Male, 34 years old. Admitted to the hospital due to abdominal pain, diagnosed with common bile duct cyst with infection, multiple gallstones, cholecystitis, and decompensated cirrhosis. He’s currently receiving inpatient treatment.
June 5, 2014
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