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- Smile: I’m a 42-year-old man. For more than ten years, I’ve been experiencing leg cramps every night.
Sometimes the cramps are so severe that I can’t sleep. Answer: This is multiple rheumatic pain, characterized by nighttime pain. Treatment methods are effective with common anti-rheumatic drugs.
In traditional Chinese medicine, formulas such as Shaoyao Gancao Tang, Simiao San, and Gui Zhi Jia Fuzi Tang with modifications can all be used. - Beautiful Forest: My toenails have turned yellow. What could be the reason? How should this be treated? Answer: Yellow toenails themselves are not significant. First, check whether your conjunctiva has turned yellow, and whether there is jaundice throughout the skin. Also, examine liver function. If there is liver disease, seek timely treatment, and hospitalization may be necessary.
- jeans-girl: Is there a good treatment for toothache? Answer: Toothache can be caused by at least four factors: ① infection from dental caries; ② apical periodontitis; ③ pulpitis; ④ neuralgic toothache. A definitive diagnosis requires a doctor’s examination; blindly buying a painkiller will only make matters worse.
- shazhenghong: I am a patient with post-cholecystectomy syndrome.
Seven years ago, I underwent cholecystectomy due to gallstones. Eight months after surgery, I developed ulcerative colitis,
which has now largely healed. In recent years, I’ve experienced upper abdominal bloating, radiating pain in both flanks extending to the back, acid reflux, intestinal rumbling, alternating diarrhea and constipation. Ultrasound and MRI results are normal, while gastroscopy indicates chronic superficial gastritis with bile reflux. Western medicine has had little effect, and I’ve been eating rice porridge for nearly a year. I hope to try Dr. Pei’s traditional Chinese medicine. Answer: Your condition is typical post-cholecystectomy syndrome, which includes: ① inflammation of the residual gallbladder stump; ② inflammation of the soft tissues around the stump; ③ dilation and inflammation of the bile ducts; ④ pancreatitis; ⑤ bile reflux gastritis. Based on your description, you seem to have almost all five aspects simultaneously. The pain in the left flank is likely caused by pancreatitis, and the recurrent diarrhea is pancreatic diarrhea. Bile reflux gastritis has already been confirmed by gastroscopy.
When I wake up, I always feel a cool breeze blowing on my forehead! If exposed to air-conditioner wind,
I also feel a chilly, cool sensation.
It’s a bit uncomfortable! In the morning and evening, the knee joints (including the area around the knees) feel
cold and chilly,
and uncomfortable. But if I bask in the sun at noon, I don’t feel anything. Could this be “postpartum illness”?
Can it be regulated?
Is that okay?
Answer: It falls under postpartum illness. Currently, your body is still weak, and the sensitivity to cold indicates primarily yang deficiency.
It is recommended to try Jin Gui Shen Qi Wan to address this issue early on, hoping to eliminate it in its nascent stage. This postpartum yang deficiency can further develop, causing joint stiffness and eventually turning into pain. Severe cases are referred to as “postpartum wind” in traditional Chinese medicine and “pregnancy-related reactive arthritis” in Western medicine. As the condition progresses, this reactive arthritis can evolve into rheumatoid arthritis, rheumatoid-like arthritis, degenerative arthritis, or even ankylosing spondylitis, at which point the patient’s condition becomes prolonged and difficult to treat.
DNA viral load test shows 5 × 10², and the doctor says antiviral treatment is not needed for now,
I’d like to consult
Ask you: Is it possible to take traditional Chinese herbal medicine now to eradicate the root cause of the disease?
Answer: According to the latest international guidelines, only values below 2 × 10² are considered “small three yang.” Yours is still “large three yang,”
meaning the virus is still replicating and requires continued antiviral treatment. Traditional Chinese medicine has long-term efficacy against this disease, so you can combine antiviral treatment with traditional Chinese medicine.
- crystal: My mother is 61 years old,
She has diabetes and hypertension, but both are well-controlled.
However, she feels extremely fatigued all over, and even a little movement leaves her exhausted.
Her hands and feet feel weak. Can she avoid
- Zheng Haiqin: A five-year-old boy has been coughing severely after midnight for over ten minutes, repeatedly for a week now,
with phlegm but no runny nose. Is this due to wind-cold or lung heat? What should be done? He occasionally coughs during the day. Answer: If the only symptoms are coughing, phlegm, and no fever, it’s likely upper airway cough syndrome caused by chronic pharyngitis and chronic rhinitis. Another possibility is cough variant asthma triggered by these conditions. Simple antibiotics won’t work, so it’s recommended to first try Ma Gui Cough Syrup, Yangyin Qingfei Pills, or Baihe Gujin Pills to see if they help. If they don’t, then consult a doctor for differential diagnosis. - Gao Shan Liu Shui: I have a relative, a 30-year-old woman, who has been experiencing bilateral breast tenderness for half a year. During a B-mode ultrasound examination at the General Hospital of the PLA, she was diagnosed with fibroadenoma of the breast: the left side measures 2.0 cm × 1.1 cm,
The right side measures 0.7 cm × 0.4 cm, and lymph nodes can be felt in the left axilla, but none are present.
Tenderness, smooth surface—doctors recommend surgical treatment, but the family prefers conservative treatment.
Please advise
Could Dr. Pei prescribe a good formula?
Also, does your Chai Shan mixture have any effect on this condition? Answer: You’re still somewhat inexperienced, but you know about Chai Shan mixture, which is indeed a good prescription for treating breast diseases.
However, it must be used based on differential diagnosis; simply prescribing the formula without adjustment yields only about 50% effectiveness.
Your relative has enlarged lymph nodes, so differential diagnosis and adjustments are urgently needed. Besides, fibroadenomas rarely exist alone—they are usually accompanied by mammary hyperplasia—and pure fibroadenomas are quite rare; most are fibroadenomas. Ultrasound diagnosis cannot strictly distinguish tissue characteristics, so doctors’ experience and local palpation are far more reliable. Nowadays, clinical practice often neglects doctors’ experience, and young TCM practitioners don’t emphasize accumulating experience, relying too much on examination reports. With such a generation, it’s hard to produce renowned doctors—like looking for a partner: even if you’ve seen the person, does judging solely from photos still make sense?
After being infected, I took Sanjin Tablets for three days, two tablets each day. This month,
Because of fungal vaginitis, I took six tablets of O Nitrazole and Nifuratel, and today I tested positive for pregnancy.
I want this baby, but I don’t
Do you know if these medications affect the fetus?
What should I do?
Answer: You can continue the pregnancy. Medications do have some impact on pregnancy,
but it’s not that serious—especially in the early stages, before implantation and when the fertilized egg is just beginning to develop.
Except for a few antibiotics and hormonal drugs, such as metronidazole and quinolones, their impact on pregnancy is minimal. Many people today are overly cautious and end up aborting a perfectly healthy fetus,
which means older women miss their best chance to conceive. Especially after such an abortion, it may even lead to endocrine dysfunction for a period of time, and after two or three years, once they pass the age of thirty, their chances of conceiving will greatly decrease. In my clinic, I often see happy families,
but they’re missing one precious child—men and women running around everywhere, desperately seeking a baby, even resorting to superstition. Thinking back to past abortions, they’re filled with regret. Though it may not become a lifelong grudge, it can certainly leave a lifelong regret.
There is lower back pain and tightness, palms are hot all year round without sweating, sensitive to heat but not to cold, prone to internal heat,
Tongue
White, greasy, and dry tongue coating, easily irritable, reluctant to move, dizziness and poor memory,
The upper body, especially the head, tends to sweat easily, and urine is yellow. Married for over a year, but sexual activity is lacking in enthusiasm.
Seems to have symptoms of yin deficiency
Symptoms also include yang deficiency,
So what medicine should I take?
Answer: I’ve said it many times—this condition is quite complex,
and it’s mostly caused by long-term masturbation.
[4. Mr. Haichao’s comment: My father has cirrhosis and advanced liver cancer, and has undergone tumor resection]{.underline}
Let’s confirm,
What should be done next?
Answer: As long as liver cancer is confirmed, metastasis to nearby lymph nodes is over 90%,
but lymph node metastasis doesn’t add much to the overall burden of liver cancer.
The real problem is that liver cancer itself is very heavy, and cases without metastasis are rare. Liver cancer doesn’t bring you much burden,
but lymph node metastasis does, and it’s unnecessary to worry so much about it.
Treatment?
Answer: That’s acne. In men, acne is often caused by increased androgen levels, and in women, it’s also related to increased androgen levels.
For men, acne generally improves after marriage, while for women, it usually gets better after menstruation, when menstrual flow increases and cycles become regular.
6. Sunflower: I have a relative, a 46-year-old woman,
who frequently experiences motion sickness and can’t ride in vehicles for long distances. When she gets motion sick, she feels nauseous and vomits, and this time it was particularly severe.
After getting motion sick, she felt nauseous and vomited for three consecutive mornings, and there was even a little blood in the vomit.
Her stomach has been constantly uncomfortable. Dr. Pei, do you have any way to treat motion sickness?
Answer: Motion sickness is actually caused by increased parasympathetic nervous tension. Most people who get motion sick also experience nausea and vomiting, and in severe cases, diarrhea and abdominal pain as well. Traditional Chinese medicine formulas such as Xiangsha Liujun Wan and Xiangsha Yangwei Wan have preventive effects against motion sickness.
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Leisurely Clouds and Wild Cranes ：How should radiation pneumonia caused by esophageal cancer radiotherapy be treated? (Patient is a 60-year-old man,
after radiotherapy he developed a malignant ulcer, a stent was placed, and his main symptoms now are cough and fever.
The hospital diagnosed him with radiation pneumonia, and there is lymph node metastasis in the neck.) Can Zhenqi Fuzheng Granules be taken? Answer: The ulcer formed after radiotherapy is complicated by infection and fever, and the stent placed has helped keep the esophagus open,
but it hasn’t helped with the infection or the ulcer—it’s actually made the situation worse,
making treatment very difficult. The effect of Zhenqi Fuzheng Granules is limited; it’s okay to take them,
but it’s hard to say how much benefit they’ll bring. -
Fangfang: A 37-year-old woman was diagnosed with vaginitis and endometriosis.
Which approach is better—traditional Chinese medicine or Western medicine? Answer: Traditional Chinese medicine treats this condition by promoting blood circulation, clearing heat and detoxifying, softening hard masses, regulating menstruation, and relieving pain. The methods are diverse, the effects are comprehensive, and the efficacy is generally better than Western medicine.
Of course, Western medicine’s use of antibiotics for anti-inflammation is something traditional Chinese medicine can’t match. My experience is that, -
Old Wet’s comment: My testicles are always damp,
and my sexual performance is short, with sweaty palms.
I went to the hospital, and the doctor prescribed Compound Xuanju Capsules and Tamsulosin Hydrochloride Sustained-Release Tablets. I’ve been taking them for a week now,
but my testicles are still damp. Dr. Pei, could you please help me figure out what’s going on? Answer: You’re experiencing premature ejaculation, probably due to kidney yang deficiency. I suggest trying Jin Gui Shen Qi Wan first, and if it doesn’t work, come to my clinic. -
wp: A 23-year-old unmarried woman has recently been feeling nauseous upon waking, gagging while brushing her teeth, and having an itchy throat.
She’s had these symptoms for half a year now. After taking Yangyin Qingfei Pills, her symptoms improved slightly, but worsened again after stopping the medication.
What could be the reason?
Answer: Chronic pharyngitis is exactly like this. You are taking the Yangyin Qingfei pills correctly, but taking this medicine alone is not enough. I suggest trying a combination of Yangyin Qingfei pills, Sanhuang tablets, and Yinqiao Jiedu tablets. If that doesn't work, you're welcome to visit my clinic.
- Wang Tianzhu: My wife caught a cold after giving birth and now suffers from both qi and blood deficiency. Our baby is nine months old, and every day she wakes up with severe body pain that only eases in the afternoon. Her anti-O titers are more than double the normal level. Can we confirm it's rheumatism? Does she need to be hospitalized? Since the baby is still breastfeeding, does treatment require weaning? Answer: Yes, it is rheumatism. In Traditional Chinese Medicine, this is called "postpartum wind," which occurs during the perinatal period when the mother's immune system function declines and her endocrine system becomes imbalanced, often triggered by an infection leading to an allergic reaction. Treatment should be started promptly, as it can not only lead to rheumatic joint pain but also progress to rheumatoid arthritis, degenerative joint disease, or ankylosing spondylitis, resulting in systemic, lifelong conditions. The baby does not need to be weaned.
- Yangdi Home - Cotton Quilt: I've been suffering from sinusitis since 2002. Over the years, occasional colds have always triggered flare-ups. I've seen many TCM and Western doctors and taken numerous medications, but each cold still causes a relapse. Now I experience mild headaches, dry throat at night, a sensation of postnasal drip, yellow purulent nasal discharge that requires cleaning in the morning, and occasionally bloody purulent mucus. During the day, aside from the headache, there are no other symptoms. How should I treat this condition? Answer: Chronic rhinitis and sinusitis are most susceptible to colds, and each cold exacerbates the sinusitis, creating a vicious cycle that worsens the patient's condition day by day. I recommend preventing colds while treating sinusitis. Currently, thymosin pentapeptide and intravenous immunoglobulin are effective drugs for preventing colds.
- Ziren: I saw a prescription for treating low blood pressure. Can my grandfather use it? If so, is it better as a decoction or a powder? The prescription is as follows: 10g of Polygonatum, 15g of Chinese yam, 10g of Chuanxiong, 10g of Ledebouriella, 5g of jujube, 10g of Atractylodes, 10g of Angelica, 10g of lily, 10g of tangerine peel, 10g of fried Ziziphus seed, 10g of Achyranthes, 10g of Cuscuta, 10g of honey-fried licorice, plus 20g of Cibotium and 10g of Dipsacus for elderly patients with lower back pain. Answer: If this formula includes one more ingredient—Codonopsis—it will be even more suitable for treating low blood pressure and can be taken regularly. Decoctions are undoubtedly more effective than pills, but they are inconvenient to take, whereas pills are easier to consume.
- If Love Continues: My relative, a 58-year-old man who is rather thin, often experiences headaches, feeling of fullness and distension inside the head, constant mental fog, unsteady gait, a sense of impending collapse, and dizziness when he lifts his head. His appetite is also poor. We’ve tried to get an appointment at the traditional Chinese medicine hospital, but haven’t been able to. What could this be, and what medication can treat it?
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