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Section Index
2. dolt1x
Male, 29 years old. Several years ago, he had mumps and now frequently develops small lumps in his neck, diagnosed as submandibular lymphadenitis. The general surgery specialist at the First Hospital of Lanzhou University prescribed a topical ointment, but it has been ineffective. Two years later, he developed an acute epiglottic cyst, which was surgically drained at the same hospital, yet the condition did not fully resolve. To this day, even a slight chill causes swelling and discomfort deep in the right side of his throat, accompanied by severe snoring. This is truly distressing—what should he do?
Answer: Cysts in the epiglottis area are notoriously difficult to completely cure through surgery, and recurrent infections often lead to relapses. Your snoring and swollen cervical lymph nodes are both likely caused by this condition. I recommend seeking treatment based on syndrome differentiation in traditional Chinese medicine, which may yield better results.
- 崛起：My nasal bridge is always icy cold, and I also suffer from nasal congestion. What medication should I take?
Answer: This is chronic rhinitis with an allergic component. Western medicines such as chlorpheniramine maleate and cyproheptadine are effective. However, traditional Chinese medicine tailored to syndrome differentiation tends to work even better. You might consider consulting an experienced TCM physician.
- 李明：Can epilepsy be cured without craniotomy?
Answer: If there is an intracranial space-occupying lesion, surgery may be considered. Otherwise, craniotomy is unnecessary. Currently, the best approach is to use sedatives in Western medicine combined with syndrome-differentiated treatment in traditional Chinese medicine.
- 周：Female, 44 years old. All her physiological indicators are within normal ranges, but once the temperature exceeds 31°C, she feels completely drained and just wants to lie down. How should this be treated?
Answer: Which specific indicators are you referring to as being “normal”? As people enter middle age, the cardiovascular system is the first to gradually change, with arterial sclerosis quietly setting in. In addition, patients in their 40s often experience endocrine changes, such as a decline in estrogen levels. It’s like the relentless flow of time—spring has already passed. Therefore, it’s essential to check blood pressure, blood viscosity, blood lipids, blood glucose, and other relevant parameters. Furthermore, a comprehensive gynecological examination and a full endocrine panel should also be conducted.
- 蓝天：Female, 64 years old, suffering from hypertension. She needs to urinate two to three times every night after drinking even a small amount of water, and often ends up wetting her pants. What traditional Chinese patent medicine can help regulate this condition?
Answer: This is senile urethritis. As people age, changes in the endocrine system lead to dryness of the urethra and vaginal opening, resulting in chronic inflammatory changes. According to traditional Chinese medicine, this is due to damp-heat descending and qi failing to control dampness. Only syndrome-differentiated treatment with traditional Chinese medicine can produce effective results; single herbs alone will not suffice.
- 吴升标：Four or five years ago, my total bilirubin, direct bilirubin, and indirect bilirubin were all elevated. Now, when I get tested again, they’re still high: total bilirubin: 41.5, direct bilirubin: 7.4, indirect bilirubin: 34.1. Could this have any impact on my health, and what medication would be best?
Answer: Your indirect bilirubin is too high, and your total bilirubin is also elevated, indicating mild jaundice. If it’s due to liver disease, the ratio of indirect to direct bilirubin should be 3:1. This type of jaundice is hemolytic jaundice, which isn’t very severe, but it may suggest an autoimmune tendency. This is a significant issue that shouldn’t be taken lightly.
- 刘安平：My mother suffered a sudden hypertensive cerebral hemorrhage in April this year, resulting in right-sided hemiplegia. She can now walk with assistance, but her right arm remains immobile. What medication should she take?
Answer: Your mother has right-sided hemiplegia, which is often accompanied by varying degrees of language impairment. Since the language center is located near the internal capsule of the brain, such complex problems cannot be solved by a single remedy. It’s necessary to seek specialized outpatient care for systematic treatment.
- 李阳：My friend’s systolic blood pressure is 142 mmHg, and he’s eager to enlist in the military. How can he lower it?
Answer: Rapidly lowering blood pressure is often deceptive. Once you join the military, intense training will cause your blood pressure to spike dramatically.
- 陈诚：I’m currently 34 weeks pregnant and have been diagnosed with a high fetal heart rate (the lowest recorded via color Doppler ultrasound is 160), suggesting intrauterine fetal hypoxia. After receiving oxygen therapy and intravenous fluids at the hospital for two days, there has been some improvement. Given my condition, will this significantly affect the baby? What daily precautions should I take, and how can I improve the situation?
Answer: First, it’s important to determine whether the mother has any underlying conditions, such as anemia, gestational hypertension, or autoimmune diseases, and then provide targeted treatment accordingly. By the eighth month of pregnancy, the fetus should already be fully developed. If all else fails, a timely cesarean section may be the best option to ensure the safety of both mother and child.
- 青荇：My mother has been coughing for many years. When the cough becomes severe, she experiences urinary incontinence. Despite multiple hospitalizations, the cause remains unclear—some say it’s due to allergens, others attribute it to heart problems—and the symptoms are worse at night than during the day. What effective remedy is available?
Answer: Your mother likely suffers from chronic pharyngitis, which often has an autoimmune component. It can lead to upper airway cough syndrome, postnasal drip syndrome, and cough variant asthma. Coughing increases abdominal pressure, and if there is chronic urethritis, the rise in abdominal pressure can trigger urinary incontinence.
- xppddtm：Female, 18 years old. Last weekend, she began experiencing headache, nausea, and chills, and vomited as soon as she ate. After taking Huoxiang Zhengqi Water for two days, her symptoms improved. However, yesterday morning, she woke up with the same symptoms again. She took medication for a whole day and even doubled the dosage—from one pill per dose to two pills per dose—but there’s still no sign of improvement. At night, she takes medication before bed, but wakes up vomiting again in the middle of the night. What should she do? Does she need any additional tests?
Answer: Your symptoms are likely caused by autonomic dysfunction triggered by an upper respiratory infection, commonly referred to as gastrointestinal-type cold. Huoxiang Zhengqi Water alone won’t solve the problem. Traditional Chinese medicine offers highly flexible methods for diagnosing and treating such conditions, often proving more effective than Western medicine.
- 刺心：My mother suffers from lumbar disc herniation, hypertension, hyperglycemia, and a previous cerebral hemorrhage. She continues to work just like a healthy person, but often experiences leg cramps at night, occasional leg weakness and numbness, and has been taking antihypertensive medication for years. I’m worried that she could suffer another cerebral hemorrhage at any moment. What precautions should we take?
Answer: Your mother has type 2 diabetes complicated by hypertensive arteriosclerosis, which significantly increases the risk of cerebral hemorrhage. Long-term treatment is essential. Lumbar disc herniation should be managed conservatively with internal medicine, and both Western painkillers and traditional Chinese syndrome-differentiated treatment can deliver good results.
July 9, 2014
- 燕语：A 44-year-old woman experiences coldness in her buttocks, limbs, and abdomen, along with severe dark circles under her eyes, a darkened chin, rough and dull skin with pigmentation, low white blood cell count and blood pressure, and uterine adenomyosis leading to anemia. What should be done?
Answer: This is a typical case of anemia. Uterine adenomyosis causes excessive bleeding, resulting in blood-loss anemia, which over time leads to the aforementioned symptoms. The first step is to treat the uterine adenomyosis; surgery is one option, but traditional Chinese medicine is also an ideal choice.
- Vivian-Yang Lin: Today I took my child to the pediatric hospital, where the doctor diagnosed rhinitis and prescribed nasal drops. Mr. Pei, what precautions should I take to prevent recurrent rhinitis in my child?
Answer: Most cases of rhinitis are allergic rhinitis, and simply using nasal drops won’t solve the problem. Traditional Chinese medicine excels at treating allergic rhinitis, but children require syndrome-differentiated treatment.
- 敏儿：My father is 54 years old and often suffers from insomnia and vivid dreams at night. What good methods are available?
Answer: For a 54-year-old man experiencing insomnia, the first thing to consider is whether there is arterial sclerosis. Blood pressure, blood viscosity, blood lipids, and blood uric acid should all be checked. In addition, prostate inflammation should also be ruled out; a B-ultrasound can help with this. Next, a chest X-ray should be taken to see if there is mild emphysema. Middle-aged and elderly men who smoke should pay particular attention to this point. If none of the above three conditions are present, the problem is relatively easy to solve—just a few prescriptions can bring relief. However, if any of these conditions are found, syndrome-differentiated treatment is required, with gradual improvements over time.
- 陈小敏：Female, 24 years old. Ten years ago, she developed depression due to exam stress and has been taking medication ever since. Currently, she takes two tablets each of lithium carbonate, chlorpromazine, clozapine, and inosine. The doctor says she suffers from both depression and mania. Is there any way to achieve a complete cure?
Answer: Traditional Chinese medicine offers excellent solutions, with a holistic approach that addresses both root causes and symptoms, unlike Western medicine, which mainly focuses on sedation. Traditional Chinese medicine can promote blood circulation, clear heat and detoxify, calm the liver and subdue yang, and soothe the mind—methods that vary depending on the individual. By combining these approaches and adjusting dosages as needed, most cases show significant improvement.
- 普洱茶：My father is 65 years old and has long suffered from iron-deficiency anemia, requiring continuous medication to maintain his condition. Recently, his condition worsened, leading to hospitalization. Preliminary diagnosis indicates myelodysplastic syndrome. What good treatments does traditional Chinese medicine offer?
Answer: MDS is a chronic, proliferative, malignant blood disorder with a malignancy level comparable to chronic leukemia. It is largely resistant to chemotherapy, and currently, Western medicine has no ideal treatment for this condition. Based on my many years of experience, traditional Chinese medicine’s syndrome-differentiated treatment is effective against MDS.
- 沐霏妈妈：My mother is 50 years old and feels coldness in her left arm, even in this hot weather, despite wearing thick sleeves. What treatment is available?
Answer: Your mother most likely suffers from peripheral neuropathy in her left upper limb or peripheral vascular arteriosclerosis. Traditional Chinese medicine believes that “when wind causes illness, it often results in hemiplegia or unilateral arm paralysis—this is called bi, characterized by weak and scattered pulses, caused by stroke.” Western medicine typically treats such conditions with vitamin B, B12, and methylcobalamin tablets. Traditional Chinese medicine, however, employs syndrome-differentiated treatment.
- 四叶草：In recent days, my mother has suddenly lost strength in both legs twice, nearly falling down. What could be the cause, and what medication can be taken?
Answer: For middle-aged and elderly women experiencing such symptoms, the first consideration should be transient ischemic attack (TIA), followed by degenerative changes in both knee joints. If it’s the former, it falls under the category of cerebral arteriosclerosis; if it’s the latter, it’s chronic joint wear and tear.
- 陈浩：My two-year-old child had a swollen right testicle in August, which improved after two days of injections. Now it’s swollen again, and after several days of injections, it swells once more. The child is in considerable pain and cries easily. A color Doppler ultrasound revealed epididymitis. Are there any good remedies?
Answer: Epididymitis in two-year-olds is mostly caused by retrograde infection. Poor hygiene during diaper changes and infrequent washing are the main reasons for this condition. Simply using antibiotics isn’t enough; traditional Chinese medicine offers methods such as clearing heat and detoxifying, promoting pus drainage, and softening hard masses—these are more effective than Western medicine’s mere anti-inflammatory approach. You might consider consulting a TCM physician.
- 满医生：My uncle is 50 years old. Last year, he was diagnosed with atrophy of the right kidney and a cyst in the left kidney. Now, the right kidney area feels sore and uncomfortable at night, but normal during the day, while the left kidney shows no discomfort. What good treatment measures are available?
Answer: For patients like this, prevention should be prioritized over treatment. Since atrophy of the right kidney is mostly congenital, medication can no longer reverse it. Similarly, cysts in the left kidney are also congenital in nature and may continue to grow. However, if one maintains a light diet throughout life—essentially a vegetarian diet—one can prevent the growth of kidney cysts.
- 胖龙：Male, 29 years old. Currently, I experience knee pain, especially after exposure to cold. C-reactive protein and erythrocyte sedimentation rate are both normal, and a routine blood test (emergency room) shows an average hemoglobin concentration of 317. An X-ray also reveals some bone proliferation. What should I do?
Answer: For young people experiencing joint pain, rheumatoid arthritis should be the first consideration. This type of arthritis primarily affects large joints, and the knee is one of the largest joints in the human body. Although your blood test, C-reactive protein, and erythrocyte sedimentation rate are all normal, this only indicates that there is no active rheumatoid inflammation. Nevertheless, you should still treat it as rheumatoid arthritis and try taking some herbal decoctions.
- 尘缘：I’ve had pharyngitis for over ten years, and in recent years, it’s become increasingly severe, accompanied by tonsillitis. Last month, I had my tonsils removed, but the pharyngitis still hasn’t improved. Are there any good remedies?
Answer: I don’t recommend removing the tonsils, because they are important immune organs in the human body, acting like border guards at the junction of the digestive and respiratory systems. Removing them won’t make things better—it will only exacerbate the condition. Moreover, it reduces overall immunity, potentially leading to other systemic illnesses.
- 柳儿：I feel cold, lack energy, tire easily, tend to get overheated, and often have bruising on my body. Even when I get a blood test, I have to squeeze hard to draw blood. Two years ago, I took Guipi Wan and Buzhong Yiqi Wan, and my complexion improved somewhat, but after taking them continuously for a week, I became overheated, so I couldn’t keep taking them regularly. How should someone in my situation nourish themselves?
Answer: Feeling cold is a major symptom of yang deficiency in traditional Chinese medicine, indicating insufficient bodily functions. Taking Guipi Wan and Buzhong Yiqi Wan is correct, but it shouldn’t be overdone. Supplementing yang deficiency with medicine alone isn’t enough; Wang Taipu said that those who are good at tonifying yang must seek yin within yang, and those who are good at tonifying yin must seek yang within yin. You might try taking Guifu Bawei Wan.
- 在水一方：Can ichthyosis be cured? My mother is a carrier, and my son has developed the condition. It’s an X-linked genetic disorder. Can I take Kushen Pian?
Answer: If it’s truly ichthyosis, it’s related to genetic factors, unlike pellagra, which is caused by vitamin PP deficiency. Traditional Chinese medicine does have some methods for dealing with this condition. However, if it’s really ichthyosis, there’s no effective cure.
- 公子乐：After giving birth, my sister has experienced heel pain since the one-month mark. Standing or walking for a short while makes her heels ache, and this has continued for eight months now. She plans to try medicinal baths or acupuncture—what method would be better? She’s still breastfeeding.
Answer: This is kidney deficiency. Traditional Chinese medicine believes that heel pain is often due to kidney deficiency, though a small portion may be caused by calcaneal spurs. Kidney-deficiency-related heel pain can be treated with many methods, such as Zuogui Wan and Huanqian Wan, which are both effective remedies. You might give them a try. If there are calcaneal spurs, that’s a different matter altogether.
- 必要的矜持：My mother has had a cracked tongue with bubbles since 2003, and now she feels pain. What could be the cause?
Answer: This is glossitis. Traditional Chinese medicine attributes it to excessive stomach fire. Huanglian Jiedu Tang and Banxia Xiexin Tang are both worth trying. Thymosin injection also shows remarkable efficacy.
- 寓言：My three-year-old child has recently lost appetite and suddenly sits up crying loudly at night, as if dreaming. What could be the reason, and what good remedies are available?
Answer: This is autonomic dysfunction in children. The autonomic nervous system is most sensitive in the gastrointestinal tract, and regulating gastrointestinal digestion is the fundamental method for treating childhood zangzao syndrome. In rural areas, such children are called “night-crying boys,” and traditional Chinese medicine requires syndrome-differentiated treatment.
- 唯语言：I’m 21 years old and suffer from recurrent vaginitis and cervicitis. What medication or other methods can be used to regulate this condition?
Answer: Vaginitis and cervicitis are relatively rare among 21-year-olds. They can be treated with traditional Chinese medicine, and Western medicine can also use anti-inflammatory drugs, but caution is advised.
July 10, 2014
- 秦佳：How should vitreous opacity be treated?
Answer: Currently, there is no effective treatment for vitreous opacity. I’m not sure about the latest developments, so further consultation with an ophthalmologist is needed.
- 茉莉花开：Can moderate anemia cause fever? How should it be regulated?
Answer: There are many types of anemia, including aplastic anemia, malnutrition-related anemia, megaloblastic anemia, blood-loss anemia, iron-deficiency anemia, and various secondary anemias. At a certain stage of anemia, if accompanied by a cold or infection, fever may occur. If fever develops, it’s no longer a matter of simple regulation—it requires hospitalization to identify the cause of the fever, which is the only way to achieve better results.
- 看云起云落：There are small blisters in the throat, commonly known as “moths.” What is the traditional Chinese medical term for this condition?
Answer: This is chronic pharyngitis with follicular hyperplasia. The traditional Chinese medical term is “pharyngeal pain.” No other terms are currently used.
- 胖龙：I looked up online and found that rheumatoid arthritis still can’t be cured. Is this true? Also, can Mr. Li Shaobo’s Zhenqi Yunxing Fa treat rheumatoid arthritis?
Answer: You may not necessarily have subacute thyroiditis. Seventy percent of patients with subacute thyroiditis have a history of hyperthyroidism, while thirty percent have a history of hypothyroidism. However, your erythrocyte sedimentation rate is unlikely to be that high. I would instead consider the possibility that you have an autoimmune disease. Autoimmune diseases encompass a broad spectrum of conditions, so you should undergo a comprehensive examination to confirm the diagnosis before proceeding with further treatment.
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