Keywords：专著资料, 全文在线浏览, 第8部分
Pain in the pressure area,
Should I continue taking 2 tablets or start over with 6 tablets?
Answer: Subacute thyroiditis is a reactive subacute inflammation of the thyroid gland. Initially, there is no bacterial infection, but it is now classified as an autoimmune disease. The TSH level fluctuates—sometimes low, sometimes high—meaning the condition alternates between hyperthyroidism and hypothyroidism. However, hyperthyroidism lasts longer and occurs more frequently, while hypothyroidism is shorter and less common. Therefore, the general consensus is that this condition is seven parts hyperthyroidism and three parts hypothyroidism. During hyperthyroidism, hormone therapy is used; during hypothyroidism, levothyroxine is preferred. Thus, the decision on whether to use hormones or levothyroxine should be made by the physician based on the TSH level. Relying solely on whether there is local pain or swelling to determine whether to use hormones or levothyroxine is inappropriate.
3. Life is Like a Dream:
How should psychogenic vomiting be managed?
Answer: Strictly speaking, there is no such diagnostic term as “psychogenic vomiting.” All vomiting is caused by gastrointestinal nerve dysfunction. Diseases of the throat, stomach, and brain can all lead to gastrointestinal nerve dysfunction. You should first check for organic lesions. If no organic lesions are found, it’s simply autonomic nervous system dysfunction. Traditional Chinese medicine is highly effective in treating this condition. You’re welcome to visit my clinic.
4. Evil Wolf Xiao Xin: How should the disease of “snake head finger” be treated?
Answer: Snake head finger refers to a boil that develops at the tip of the finger, named so because its shape resembles a snake’s head. Traditional Chinese Medicine calls it “tuo ju,” while Western medicine refers to it as continuous acral dermatitis. Most cases are caused by fungal infections. If there is local itching, it is recommended to take sporanox orally, one pill twice a day, for a total of six days as a course of treatment.
Phlegm,
Would you please prescribe a formula, Dr. Pei?
Answer: Light menstruation is due to uterine coldness, which from a Western medical perspective means low estrogen levels. Chest pain and phlegm indicate respiratory tract inflammation. These are two separate issues and should not be confused. Of course, chronic respiratory inflammation can also affect menstruation, leading to menstrual irregularities such as earlier periods or dysmenorrhea, rather than reduced menstrual flow. Therefore, your problem requires a detailed diagnosis by a doctor, and after diagnosis, treatment should be carried out separately for each issue.
| > 2. Miaomiao: Female, mother of two children, 34 years old. In the past year, her menstruation has been irregular, | > Earlier, later, occasional lower back pain during menstruation. Ultrasound shows: right ovarian cyst, left ovarian thick-walled small cyst, multiple cervical polyps. What can be done? |
<!-- translated-chunk:9/41 -->Answer: You have menstrual irregularities, and it’s likely that there is inflammation in the adnexa, ovarian cysts, and cervical cysts. The development of these conditions is related to two factors: inflammation and endocrine disorders. While adjusting the endocrine system, it’s essential to use methods that promote blood circulation and remove blood stasis. Small cysts can be completely eliminated, and menstruation can return to normal—this is precisely what Traditional Chinese Medicine excels at.
3. Shi Huiwen: During the postpartum confinement period,
what causes gum swelling and pain?
Answer: Gum swelling and pain are most likely due to infection. During the postpartum confinement period, a mother’s immune system is weakened, making her more susceptible to infections; additionally, autonomic nervous system dysfunction can easily lead to hypersensitivity reactions, such as dental nerve pain and generalized joint pain.
Normal, may I ask whether this is kidney yin deficiency or kidney yang deficiency?
Could it be nephritis?
Answer: You exhibit both kidney yang deficiency (cold extremities) and kidney yin deficiency (low-grade fever in the afternoon or evening). Kidney yin and yang deficiencies refer to the body’s reactivity, not organic lesions of the kidneys. Nephritis and renal failure are organic diseases of the kidneys; they may present with characteristics of both yin and yang deficiency, or they may not.
The red line on the nail,
what could be the cause?
Answer: There have been detailed statistical analyses and discussions regarding changes in nail color and shape, with some proposing that such changes can be used to diagnose systemic diseases. I have also answered questions about this topic online. However, I believe that changes in the nails do not necessarily indicate a specific disease. Since I haven’t seen the red line on your nails, I cannot determine what the issue might be.
Shortness of breath, imaging shows slight congestion and swelling of the mucosa of the nasal cavity and pharynx, with enlarged adenoids, obstructing
Blockage of the posterior nasal passages. It is recommended to remove the tonsils and adenoids. If you don’t want surgery, Please
What good suggestions does Old Pei have?
Answer: Your child has: ① chronic rhinitis; ② chronic pharyngitis accompanied by enlarged tonsils. Such children are prone to recurrent colds, so you need to treat both the colds and the chronic rhinitis, chronic pharyngitis, and enlarged tonsils. Rhinitis is often allergic rhinitis, while pharyngitis and tonsillitis also have a certain allergic tendency. Traditional Chinese Medicine has a saying: “Three parts of throat pain are caused by wind.” Removing the tonsils does not eliminate the “wind”—the “wind” refers to hypersensitivity reactions. TCM uses syndrome differentiation for treatment, which is very effective.
Excessive sweating, quick fatigue when walking, sensitivity to cold,
Is there any good TCM remedy?
Answer: This is autonomic nervous system dysfunction. The organs most sensitive to the autonomic nervous system are the gastrointestinal tract.
- Shi Huiwen: During the postpartum confinement period, both knees always feel icy cold. What Chinese medicine should I take to regulate them? Answer: This is a normal reaction; there’s no need to take medication indiscriminately. During the postpartum confinement period, the mother’s autonomic nervous system, metabolic system, and endocrine system all need time to gradually return to normal. If the coldness continues to worsen or even turns into pain, then medication intervention becomes necessary. You can try Jiawei Qianghuo Wan or Duhuo Jisheng Wan.
- Mengxiangyuan: How should variant asthma be treated? Answer: The full name of variant asthma is cough variant asthma. It is a special type of cough and asthma caused by chronic pharyngitis or chronic rhinitis. The fundamental treatment lies in addressing the rhinitis and pharyngitis, as both conditions have a certain allergic tendency. It’s best to first seek definitive treatment from the ENT department; if the condition doesn’t improve, then proceed to the respiratory department for further treatment.
- Ma Wen: My mother is 61 years old and has suffered from insomnia for two years. She experiences sour taste in her mouth and discomfort in the chest area at night. How should she be treated? Answer: Your mother likely has cardiovascular disease. First, check her blood pressure and lipid levels to confirm whether she has coronary heart disease. Insomnia is merely one manifestation of hypertension and arteriosclerosis, which is a symptomatic condition. To improve her sleep, we must fundamentally treat the arteriosclerosis and coronary heart disease. Once the chest discomfort subsides, her sleep will naturally improve as well.
- Wang Jing: After applying medicated patches for cervical spondylosis, the effect is minimal. Are there any other good methods? Answer: I’ve mentioned this issue many times before. If the cervical spine only shows bone hyperplasia without any bony spurs, then it’s considered mild cervical spondylosis. Massage, physiotherapy, acupuncture, and other methods are all effective. You
1. Bai San: Gastric cancer surgery, 3/4 of the stomach removed, lymph node metastasis,
Which medication should be taken?
Answer: Now that you’ve completed postoperative chemotherapy (using CS or CF regimens—six cycles for young patients and four cycles for elderly patients), start taking traditional Chinese medicine. You can also take TCM during chemotherapy, for at least six months. This can reduce chemotherapy side effects and prolong survival. 2. Xiangfei de Yu: How should a 68-year-old elderly person with lower back pain be treated?
-
Passerby A: Female, 36 years old. Yesterday, she suddenly developed a widespread rash, especially dense on the upper and middle back, accompanied by itching and low-grade fever. Today, her face is swollen. Dr. Pei, what could this be? Answer: It could be drug allergy; food allergy; or a cold combined with skin allergy. In TCM, treatment requires syndrome differentiation, aiming to dispel wind and dampness, relieve itching, and clear heat and detoxify. In Western medicine, you can try Cyproheptadine or Diphenhydramine.
-
Xueyu: Mid-back pain, occasionally radiating to the left side. As someone who works standing up, is this work-related, or is there another cause? Answer: Over 60% of back pain cases are due to gallbladder and pancreatic diseases, 20%–30% are due to lumbar and dorsal muscle strain, and the remaining cases may be related to coronary heart disease or similar conditions. You should get checked to determine the exact cause and then proceed with treatment.
-
Bad Child: Oral medications cause severe gastrointestinal adverse reactions, while topical medications have very little effect. How should synovitis be treated? Answer: Single-joint pain in a 21-year-old is mostly degenerative joint disease. Degenerative joint disease is chronic wear and tear, but in young people, it’s more likely to be acute wear and tear. The consequences are the same—joint synovial damage, sometimes with effusion. Western painkillers generally include salicylates, anilines, azoles, nonsteroidal drugs, folic acid, and hormones. All these drugs can harm the spleen and stomach, so they shouldn’t be taken long-term. However, for degenerative joint disease, long-term medication is necessary, which creates a fatal flaw in Western medical treatment. Therefore, this kind of illness should be treated with TCM. TCM’s syndrome differentiation is flexible; a single prescription can both promote blood circulation and relieve pain, while also strengthening the spleen and benefiting qi to protect the gastrointestinal tract. Compared with Western medicine, TCM’s efficacy is superior.
-
Liu Xingzi: An eight-month-old baby has developed numerous red bumps on the back, about the size of mung beans. How should this be handled? Answer: This is atopic dermatitis, which needs serious attention. Take traditional Chinese medicine. If it’s not cured within a short period—say, 63 days—the condition will recur repeatedly. Recently, an article in the United States stated that atopic dermatitis is
-
Xueyuan: Chronic pancreatitis and chronic gastritis. After taking ten prescriptions from you, there’s still no improvement. What’s going on? Answer: Chronic pancreatitis cannot be cured with just a couple of prescriptions. Treatment must be continuous. Some patients see noticeable effects after a month of medication. This disease is closely related to diet—fatty foods (meat, eggs, milk) must be strictly avoided. Most people don’t pay attention to this point and claim the medication is ineffective. They always find loopholes: “Meat, eggs, and milk are off-limits,” yet they still drink meat broth, eat fish, shrimp, and crab, claiming these aren’t meat. Eventually, they conclude the medication is useless. Answer: This is pediatric indigestion. Don’t take medication indiscriminately. Jianpi Wan, Shenling Baizhu San, and Pingwei San are all worth trying. Honey water and hawthorn water are unnecessary. A child’s gastrointestinal tract is mainly functional; traditional methods for regulating the stomach and intestines should be used. Single medications will only address one aspect while neglecting others, leading to confusion and worsening the situation. [3. Uglystone: My grandmother is 80 years old, She has leg swelling and abdominal distension, and can’t lie down to sleep—only]{.underline}
She can only sleep sitting up, and diuretics have almost no effect,
What else can be done?
Answer: This is typical senile heart failure. Diuretics themselves can reduce the heart’s preload, thereby treating heart failure. If diuretics are no longer effective, it’s recommended to take 0.25 mg of digoxin once a day. Traditional Chinese medicines such as Wuling San, Linggui Zhugan, and Zhenwu Tang are also effective.
4. Angry Birds:
How to treat neurodermatitis?
Answer: Neurodermatitis is very difficult to treat. Atopic dermatitis is a type of neurodermatitis that recurs frequently, and there are some treatment methods available. Simple chronic skin keratinization changes accompanied by fissures—commonly referred to as “cow-neck” changes—currently lack truly effective treatments. One formula involves equal parts of mercury and croton seeds, wrapped in cloth and applied externally. I’ve tried it, and it was effective in healing blisters, ulcers, and erosions, but the toxicity and irritation are too high, making it unsuitable for widespread use.
White, occult blood 1+, 2+, and 3+ have all appeared, with no edema, accompanied by left flank pain,
Please
Ask: Is this nephritis?
Answer: You have focal segmental glomerulonephritis, which falls under the category of minimal change disease. It’s a milder form of chronic glomerulonephritis, so treatment should be prompt; otherwise, the condition may worsen and even lead to renal failure.
This chapter is prepared for online research and reading; for external materials, please align with original publications and the review process.