Keywords:专著资料, 全文在线浏览, 第6部分
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Blue Plum Tree Leaf Comment: I am 37 years old this year, female, 150 cm tall, 45 kg in weight. I started experiencing insomnia eight years ago, when I worked shifts of 12 hours, which led to poor sleep. This year, I began to experience tinnitus in my right ear, and my menstruation has been coming 5–7 days earlier each time, whereas it used to be very regular. After seeing a doctor, everything seemed fine, but insomnia still troubles me so much that I can't sleep at all through the night. Is there a connection between tinnitus and sleep? This year, I saw a traditional Chinese medicine doctor and took medication for half a month, but it only had some effect at first and then lost its effectiveness. There is no pressure in life or work, yet my personality has become irritable, and I easily get angry over minor inconveniences. What could be the reason? Answer: Heavy workload and high mental stress can lead to endocrine disorders. Menstruation, irritability, insomnia, and tinnitus are all manifestations of endocrine disorders. Do you have a spouse? If you are 37 years old and unmarried, it will further exacerbate these symptoms. Currently, simply taking sleeping pills cannot solve the problem; a comprehensive solution is needed, including both medical and lifestyle adjustments.
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I am Lazy Sheep: 13 years old, student, slightly overweight. My menstruation always lasts for a whole month with excessive bleeding. What could be the reason? Answer: For a 13-year-old child, irregular menstruation cannot be diagnosed as menstrual disorder. It is a natural phenomenon during development, also known as adolescent syndrome. It is recommended to take Guizhi Fuling Wan and Danzhi Xiaoyao Wan and give them a try.
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Ge Wei Yang Comment: I want to reduce belly fat. Can I drink dried lotus leaf, dried tangerine peel, and roasted hawthorn long-term? Are there any side effects? Answer: These three herbs can help digestion. However, if taken in excess, they may even cause more fat accumulation in the abdominal area, which is counterproductive.
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802 Comment: Male, 30 years old. Suddenly felt throat discomfort and swelling upon waking up in the morning. Two days later, the throat became dry and itchy, with ulceration at the base of the tongue, like being pricked by needles. Lymph nodes on the left side of the neck were swollen, and the left ear also started to feel swollen and painful. The entire left side of the head and neck felt uncomfortable, making it difficult to eat and drink, and appetite decreased. Currently, after taking amoxicillin for one day and Pudilan Anti-inflammatory Oral Liquid for two days, the effect is not obvious. What good methods are there to relieve the symptoms? Should surgery be considered in the future? Answer: This is a cold, which in traditional Chinese medicine is called wind-heat cold, while in Western medicine it is chronic pharyngitis and eustachian tube inflammation combined with enlarged lymph nodes in the neck. Anti-inflammatory drugs can be administered, and traditional Chinese medicine can treat both the symptoms and the root cause through syndrome differentiation and treatment. However, medication needs to be taken for a period of time; do not stop immediately just because the effect is not obvious.
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Happy: Female, 39 years old. In the past week, she has had painful sores inside her nostrils, and erythromycin ointment has not helped. During the day, she has watery nasal discharge, but feels nothing. What medicine should she take to treat this? Answer: This is folliculitis of the nasal hair, meaning a boil has formed. Anti-inflammatory drugs should be used, and traditional Chinese medicines such as those that clear heat and detoxify, or promote the drainage of pus, are also effective.
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Yu Sheng Wei Ai - Di Mi: Male, 40 years old, thin build. Recently, he has been woken up every morning by pain in the front and back of his chest, but no cause has been found. He also has a long-standing stomach disease and had pulmonary tuberculosis in childhood. Recent examination shows that the gastric mucosa still has large areas of erosion, but there are no ulcers now, and other aspects are normal. Answer: Consider the following possibilities: ① angina pectoris; ② pancreatitis and cholecystitis; ③ chronic gastritis and gastric spasm.
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Tian Xia Piao Xue: My grandmother has been suffering from dry cough without phlegm, which worsens in winter and flares up when exposed to cold. Answer: Your grandmother has asthmatic bronchitis, and it could also be caused by chronic pharyngitis.
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Xie Huo Yan: My aunt is 35 years old and often coughs in autumn and winter, but she can neither cough up anything nor swallow it. Nebulization is also not very effective. What medication should be used for treatment?
Answer: Based on your symptoms of being unable to cough up or swallow, I suspect you have chronic pharyngitis.
You suffer from upper airway cough syndrome, and the fundamental problem is treating chronic pharyngitis. This requires consistent medication for a period of time—do not stop halfway. If necessary, you can come to my clinic for treatment. 2. Liu Yi Xuan: My baby is 5 months old and sometimes involuntarily rolls his eyes upward while lying flat, for 2–3 seconds before returning to normal. What could be the problem? Answer: A 5-month-old infant’s various functional systems are still developing and need further maturation, especially the brain, brainstem, and autonomic nervous system. As the child grows older, these systems gradually improve, and such symptoms will slowly disappear. There is no need to rush into drug intervention. 3. Sha Li Fei: My spouse feels something stuck in the throat when swallowing food. Gastroscopy shows chronic superficial gastritis with polypoid hyperplasia in the gastric antrum and grade A reflux esophagitis. Pathological examination of the gastric antrum shows mild chronic inflammation of the mucosa. What are the good treatment methods? Answer: Treating chronic pharyngitis and treating bile reflux gastritis require simultaneous treatment. Doctors lacking clinical experience often find this quite challenging, because even a small difficulty in swallowing involves two departments: the ENT department and the gastroenterology department. The two departments keep passing the buck, ultimately affecting the patient’s treatment outcome. 4. Southwest China Botanical Garden: Thymoma type B2 and B3, stage IV, with metastasis to the pericardium, diaphragm, and pleura. Chemotherapy is ineffective. Currently, the patient feels chest tightness and sometimes pain under the left armpit. Can traditional Chinese medicine help regulate the condition? Answer: This requires blood circulation-promoting and stasis-resolving treatment. Western medicine does not have the concept of promoting blood circulation and resolving stasis, which I believe is the biggest shortcoming of current Western medicine. Traditional Chinese medicine’s blood circulation-promoting and stasis-resolving methods can indeed solve problems that modern medicine cannot address. 5. Heartache after giving up: I am a 35-year-old woman and have had acne on both cheeks for many years. What good methods do you recommend? Answer: For women of childbearing age, facial acne is often accompanied by menstrual irregularities. The key issue is that the menstrual flow is relatively light, indicating low levels of estrogen and correspondingly higher levels of androgens, which leads to acne. The underlying pathology of acne is folliculitis. The excess of androgens is an inducing factor for folliculitis, but not the root cause. In severe cases, antibiotics may be necessary to treat the acne.
Every morning, my throat hurts when I wake up,
Could my illness already be very serious?
Answer: Although it is serious, it can still be treated and cured. You need to persist in taking medication for a period of time. Traditional Chinese medicine treats both the symptoms and the root cause, with more flexible and varied methods than Western medicine, tailored to individual circumstances, and generally yields better results. If convenient, you can come to my clinic.
2. Waterproofing the roof: My father suffers from rheumatoid arthritis,
What good medicine is there?
Answer: Rheumatoid arthritis is a common and frequently occurring disease. Both traditional Chinese medicine and Western medicine have good treatments, but neither can completely cure the disease in the short term. Western medicines include salicylic acid-based drugs such as aspirin, aniline-based drugs such as aminopyrine, folic acid-based drugs such as diclofenac, nonsteroidal anti-inflammatory drugs such as indomethacin and celecoxib, as well as popular drugs like ibuprofen and fenbid, which are also effective. However, these are all symptomatic treatments. It is difficult to fundamentally solve rheumatoid arthritis, and the chances of success are not very high. Traditional Chinese medicine has the effect of treating both the symptoms and the root cause, but long-term oral administration of herbal decoctions can harm the stomach. Those with good stomachs can persevere, while those with weak stomachs cannot.
| > 3. Shi Junjun: I have been married for two years without conceiving, and have had one induced abortion, | > and one ruptured corpus luteum
followed by open abdominal surgery. Six months ago, hysterosalpingography showed that the fallopian tubes are patent but not fully unobstructed, and the fimbrial end is positioned too high. Is it necessary to undergo another hysterosalpingography? | Answer: No, it is not necessary! You have already had an induced abortion and an open abdominal surgery for ruptured corpus luteum. Based on your current symptoms, it is obvious that you have gynecological inflammation. Following this line of thinking, treatment will definitely be correct. Performing another hysterosalpingography would only increase the risk of infection.
Should I use "Musk Pain Relief Rub" topically? Will eating coix seed and red bean porridge affect the efficacy of the medicine? Answer: As for dietary restrictions, a light diet is sufficient. In addition, using Musk Pain Relief Rub topically is effective, and coix seed and red bean porridge is a good thing. Coix seed itself can treat rheumatoid arthritis, so it will not affect the efficacy of the medicine. 2. Flower World Has Many Things: Tinnitus, feeling like someone is beside my pillow when I sleep, but finding nothing upon waking up, What could this be? Answer: This is a kind of hallucination, indicating that your autonomic nervous system is not yet fully developed and needs adjustment. It is recommended to take Disaeno and Gamma-Oryzanol orally and see how it goes. 3. Yao Yu: How should bronchitis and pneumonia in infants and young children be treated? Answer: Most cases of bronchitis in infants and young children are related to rhinitis and pharyngitis. Western medicines have anti-inflammatory effects, but they are not the main treatment (unless moist rales are heard in the lungs). The key lies in regulating the body's response. Traditional Chinese medicines such as Yangyin Qingfei Wan and Baihe Gujin Wan also have this effect. There are commercially available finished products that you can try first. If they don’t work, you can come to the clinic for syndrome differentiation and treatment. 4. Sister Ai: Are Guizhi Fuling Capsules and Gongliuqing Capsules effective for uterine fibroids? I feel that after taking them, my menstrual flow becomes much heavier, and decreases when I stop taking them. Answer: For some patients with uterine fibroids, the main symptoms are heavy menstrual bleeding and dysmenorrhea. For such patients, a reduction in menstrual flow and alleviation of dysmenorrhea are considered effective. If the original menstrual flow was very light, an increase in flow is also considered effective. So, was your original menstrual flow light or heavy?
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hpcom150: Hepatitis B DNA test shows < 1000, and all other indicators are normal. Do I still need to continue taking medication? Answer: According to international guidelines for the diagnosis and treatment of hepatitis B, the standard is about 200. Yours is about 1000, so if we consider the virus not replicating, it’s still a bit insufficient. However, some domestic hospitals do not follow the international standard of 33 steps, and regard a value of about 1000 as “small three yang” and also consider the virus not replicating. My suggestion is
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Late at night: Do nasal polyps necessarily require surgery? Can they be treated with medication? Answer: Taking medication is very slow. I suggest surgery instead, because the procedure is simple—minimally invasive ligation—and doesn’t cost much.
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An Weisheng: Is there a good treatment for renal insufficiency? Answer: For early and mid-stage renal insufficiency, a combination of traditional Chinese and Western medicine is effective. In the late stage, it becomes more difficult. Dialysis can solve the immediate problem, but it does not provide a cure.
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Sister Ai: Three months ago, a uterine fibroid was discovered (23 mm × 23 mm), and today the uterus has experienced pain three times. Is surgery necessary? Answer: Your uterine fibroid is not very large yet. You can try treatment with traditional Chinese medicine. Some patients’ fibroids can completely disappear, while others can shrink. In short, if the menstrual flow is not excessive and the pain is not severe, it’s okay. Of course, there is also the issue of fertility, which depends on the specific situation.
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Mr. Liu: My mother always burps. Gastroscopy shows chronic gastritis. What good methods do you have? Answer: This is bile reflux gastritis. With the increasing incidence of cholecystitis, the number of patients with this condition is rising year by year. For treating this disease, traditional Chinese medicine has a complete set of effective methods, with the core being syndrome differentiation and treatment.
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Wu Xia Ammon: I have suffered from mixed hemorrhoids for more than ten years. Do you have any good remedy to get rid of this long-standing ailment? Answer: For mixed hemorrhoids, I’ll give you a single prescription: 30 grams of mirabilite and 20 grams of borax, added to 2000 ml of water, then soak in the warm solution once a day. Give it a try.
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Late at night: My father is 50 years old and has suffered from lumbar disc herniation for seven years. Now the 3rd, 4th, and 5th lumbar vertebrae are herniated. Should he undergo surgery? Answer: Not yet. It is recommended to sleep on a wooden board bed, sleeping 16 hours out of every 24 hours. Wooden boards, naked, lying flat, lying on the back, lying on the side—all are acceptable. The purpose is: in this position, under the influence of the wooden board, the intervertebral space gradually widens, and the protruding nucleus pulposus gradually retracts, not
- Miao Miao: The tear duct in my eye is broken, What should I do? Answer: The main measure at present is anti-inflammation, to prevent serious infection at the site of the broken tear duct. Currently, minimally invasive surgical techniques are highly advanced, and in the future, surgery may be able to solve this problem. If local infection becomes extremely severe, subsequent surgeries will not be ideal.
2. Liu Hong: Small cell lung cancer,
What good methods do you have?
Answer: Small cell lung cancer is highly sensitive to chemotherapy, meaning the short-term efficacy is very good, but the long-term efficacy is not ideal. If combined with traditional Chinese medicine treatment, it may prolong survival time and improve quality of life. [3. Li Hui: My grandmother has had a titanium plate implanted in her thigh for a year, but it still hurts]{.underline}
Pain,
What is the reason?
Answer: For elderly people with femoral fractures, implanting a steel plate is the only treatment method. Postoperative pain is inevitable—some people feel it mildly, others severely. This requires treatment based on syndrome differentiation in traditional Chinese medicine. Based on my experience, only by using traditional Chinese medicine to promote blood circulation and resolve stasis, and to reduce swelling and relieve pain, can the patient’s pain be relieved through long-term treatment.
Effect?
Answer: This is obliterative vasculitis. Traditionally, the treatment was amputation. In recent years, due to the development of minimally invasive vascular surgery, bridge procedures can be used for treatment. However, the surgical outcomes are not always satisfactory, because the cause of obliterative vasculitis is still uncertain, and local treatment only addresses the symptoms, not the root cause. Traditional Chinese medicine: Yanghe Tang, Simiao Yong’an Tang, Huoluo Xiaoling Dan, Sini San with modifications—these formulas have cured this disease, but not every patient is suitable.
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