1. Shijunjun: Children aged 10–12 often wet the bed. What treatment options are available?

1. Shijunjun: Children aged 10–12 often wet the bed. What treatment options are available? Answer: Bedwetting is a common symptom in children. All of a child’s systems are gradually developing and maturing, including the hypothalamus-pituitary-adrenal cortex system. The secretion of antidiuretic hormone from the posterior pituitary is still not fully coordinated, and the cerebral cortex’s control over subcortical centers is not yet tight enough. After sleep, the bladder sphincter isn’t fully responsible... Due to these reasons, children may experience bedwetting. However, there’s no need to panic—it’s a temporary phenomenon. As the aforementioned systems develop and mature, and their functions become more coordinated, bedwetting will gradually decrease and eventually stop altogether. In terms of treatment, Western medicine uses ephedrine to strengthen the tension of the bladder sphincter, which can appropriately reduce bedwetting. Traditional Chinese Medicine, on the other hand, uses methods like tonifying the kidneys and strengthening yang, as well as broadening the chest and regulating qi, which also have certain therapeutic effects. Specific treatment requires observation, auscultation, inquiry, and palpation to achieve syndrome differentiation and targeted treatment.
2. Kite after the earthquake: I’ve had chronic gastritis for many years. Usually I’m asymptomatic, but occasionally I feel uncomfortable before or after meals, along with constipation and being thin. I’m 176 cm tall and weigh just over 50 kg. I’d like to drink goat’s milk long-term to nourish myself. Is that okay? Answer: Chronic gastritis comes in several types: superficial, atrophic, and reflux. All of these types can be complicated by erosion, ulcers, intestinal metaplasia, and atypical hyperplasia. You must get a thorough examination to clarify the diagnosis. Only through syndrome differentiation can you achieve accurate treatment. My proposed TCM clinical “Six-Character Guideline” is: “Western diagnosis, TCM syndrome differentiation, TCM as the mainstay, Western medicine as the supplement.” By following this framework, you can effectively leverage the strengths of TCM and significantly enhance its therapeutic efficacy.
3. Fable Commentary: My niece is 11 years old and has experienced massive gastric bleeding. The hospital’s gastroscopy revealed an ulcer, and she was admitted to the ICU. Why would such a young child develop this condition? What’s the difference between gastric ulcers and duodenal ulcers? How should she be cared for afterward? Answer: Logically speaking, it’s unlikely for an 11-year-old to develop a gastric ulcer. In recent years, with improved birth control and better parenting, parents tend to spoil their only children, giving them whatever they want. Spicy hot pot, barbecues, and skewered snacks are everywhere, damaging the child’s gastrointestinal mucosa and leading to peptic ulcers. Among all cases of upper gastrointestinal bleeding, ulcers account for 90%, esophageal varices for 9%, and gastric cancer for about 1%. For minors, entering the ICU brings additional problems: nasogastric tubes, gastric tubes, tracheal intubations, and urinary catheters—all four are essential. Each tube can cause infection, and when a child suffers massive bleeding, their immune system is already severely compromised. Infections from these tubes quickly create a domino effect (cascade effect), resulting in persistent high fever. The ICU then labels the case as incurable, beyond saving. I’ve seen several such deaths. In fact, if you recognize the bleeding, you should immediately perform blood transfusions and volume expansion—fresh whole blood is best. It’s not like a massive hemorrhage caused by ruptured esophageal varices. I served as the head of the internal medicine department for 10 years, and I know that no case of such bleeding is truly impossible to save. Yet now it’s become a problem. Recently, the medical community has begun to pay close attention to this issue, and some people believe that a standard should be established for determining which patients urgently need ICU admission.

68 4. Linzi: Female, 30 years old. For nearly a year, her right knee joint has felt cold, especially when the leg is bent, making it difficult to straighten—almost like a dislocation. She can only stand after squatting for a while. The joint itself isn’t red or swollen. Could this be a meniscus injury, or calcium deficiency? Is it related to using an electric fan in summer? Would applying medicinal alcohol help? Answer: You have degenerative osteoarthritis, which is a chronic joint injury. The main pathological change is synovitis and joint effusion within the joint cavity; in severe cases, there may also be meniscus damage. Western medicine injects hyaluronic acid into the joint cavity to reduce friction and provide temporary pain relief. Traditional Chinese Medicine, on the other hand, uses methods like promoting blood circulation, removing blood stasis, dispelling wind and dampness, and reducing swelling and relieving pain, which are highly effective treatments. Do not use electric fans—they can exacerbate the pain, but they are not the cause of degenerative osteoarthritis. 5. LMw: Male, 35 years old. A hospital gastroscopy revealed “chronic superficial gastritis with erosion and bile reflux.” How should this be treated? Could you please offer some advice?

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Answer: Chronic gastritis combined with bile reflux, most often coexisting with cholecystitis. In Traditional Chinese Medicine, soothing the liver and promoting bile flow can reduce bile reflux; additionally, harmonizing the stomach and strengthening the spleen are also beneficial. Combining these two approaches yields even better therapeutic effects. 6. Xiao Diao: Nasal inflammation is very uncomfortable—what should I do if it cannot be completely cured? Answer: Most cases of nasal inflammation have an allergic tendency and are also related to genetics. Sometimes entire families suffer from nasal inflammation. This is because an allergic constitution can be inherited, and hypertrophy of the nasal turbinates or a deviated nasal septum can also be inherited. For this reason, nasal inflammation is difficult to treat, but consistent and persistent treatment can be effective. 7. Sun Lu Wan’er: Female, 43 years old, from Liaoning Province. My body is sensitive to wind and cold; I even use an electric blanket in summer. This condition has lasted nearly 10 years. Every year I undergo examinations and tests, which show no signs of rheumatism. Now, after getting angry, I experience pain in both kidney areas, my lower abdomen feels cold, my period comes five days early, I have tinnitus, and my tongue is swollen with tooth marks. What could be the problem? What medication should I take to regulate my condition? Answer: Your symptoms are typical of Kidney Yang Deficiency Syndrome. The basic treatment in Traditional Chinese Medicine for this condition is to tonify the kidneys and strengthen Yang. The representative formula is Jin Gui Shen Qi Wan. You can try this, but you must take it regularly to gradually alleviate the symptoms of Kidney Yang Deficiency.

8. Qin An Qianxian: I often get ulcers on both sides of my tongue and frequently have diarrhea in the morning. What should I do?

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Answer: Oral ulcers are often precursors to autoimmune diseases, and morning diarrhea is a typical symptom of Yang Deficiency-related diarrhea. Regarding the nature of autoimmune diseases, Traditional Chinese Medicine believes they are related to Kidney Yang Deficiency, which aligns perfectly with the occurrence of morning diarrhea. Therefore, it is recommended to take Sishen Wan (containing Psoralea corylifolia, Evodia rutaecarpa, Myristica fragrans, and Schisandra chinensis). There are documented reports of Sishen Wan being used to treat oral ulcers.

Nasal congestion has persisted for half a month. Could you please advise what medication I should take for treatment?

Answer: You have chronic rhinitis combined with a nasal cavity infection. You need to treat both the chronic rhinitis and clear heat and detoxify the infection. You are welcome to visit my clinic.

10. Yuan Comment: How should rosacea be treated?

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Answer: 70% of rosacea cases are caused by mite infestation, while 30% are due to capillary hypersensitivity. The Tongqiao Huoxue Tang formula in Traditional Chinese Medicine is effective for treating this condition, but the inclusion of musk in the formula makes it expensive, thus creating difficulties in its application. | > 11. Yuan Dan Comment: My child is 4 years old and frequently catches colds, with sinusitis. There is nasal discharge every day. Recently, after recovering from a cold, the child developed a fever again today. Whenever the child catches a cold, he/she immediately develops a fever, with a temperature of 39°C at noon. What should I do? How can I boost the child's immunity? | Answer: Chronic rhinitis has led to sinusitis, indicating a bacterial infection involving purulent cocci. There is pus accumulation in the sinus cavities, and children with such conditions often have weakened immunity, making them prone to recurrent colds. The treatment approach is as follows: thoroughly cure the sinusitis (through puncture or surgery); enhance the body's resistance (by intramuscular injection of thymosin peptide); and promptly treat colds (by long-term oral administration of Jingfang Baidu Granules and Jiuwei Qianghuo Pills). [12. Jia Lili: Female, 26 years old, married for two years, but has not yet conceived. Went to the hospital]{.underline} Answer: The doctor prescribed Euthyrox, indicating that your thyroid function is low. What causes this low thyroid function? The most common cause is chronic follicular thyroiditis. Of course, subacute thyroiditis can also lead to hypothyroidism (though this is usually temporary). If chronic follicular thyroiditis persists for a long time and is accompanied by hypothyroidism, along with positive thyroglobulin antibodies and peroxidase antibodies, then Hashimoto's disease should be diagnosed. Hashimoto's disease makes it difficult to conceive, and even if pregnancy occurs, miscarriage is more likely.

Look, after that, the ear ringing stopped, but recently one ear has experienced hearing loss. May I ask, Old Pei, will this condition get worse over time? Could you please recommend some medication?

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                Will this condition become increasingly severe?
                  Could you please suggest some medication?

Answer: Your mother may have had catarrhal otitis media 10 years ago, but without proper treatment, the inflammation became chronic, affecting the inner ear, semicircular canals, and the eighth cranial nerve. The current deafness is sensorineural hearing loss.

Acne—have visited many places for treatment, tried numerous Western and Traditional Chinese medicines, but none have worked. Please, Old Pei,

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   could you offer some guidance on what to do?

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Answer: Male acne is often caused by excess androgen levels, which tend to ease somewhat after marriage. There are some treatment methods, but they are quite slow.

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        Worsening—what disease could this be?
                What medication should be used?

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Answer: As mentioned several times before, patients with long-term skin itching are mostly suffering from atopic dermatitis. This type of dermatitis often coexists with urticaria, and it tends to be persistent. Recently, an article published in the United States suggested that atopic dermatitis is often a lifelong condition. Of course, Chinese people believe that "skin diseases like eczema and scabies are not serious," but itching is indeed annoying and should be treated promptly. Western medicine's antihistamines and serotonin inhibitors can provide some relief, while Traditional Chinese Medicine's syndrome differentiation and treatment not only temporarily relieve itching but also address the root cause to some extent.

It hasn't been cured yet, and this problem has persisted for decades. Now it flares up every night, and when

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When exposed to wind, the skin itching worsens, and the eyes also itch during flare-ups. Could this be urticaria? How

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can this condition be cured? Answer: It's possible that there's also urticaria involved, but atopic dermatitis is more likely. We've already discussed many treatments for this condition earlier, so please refer to those resources. 17. MRS Hehe: Male student, prone to sweating. His palms and soles sweat profusely when walking, and he sweats even more in hot weather. His palms also often peel. Are there any medications to treat this condition? Answer: If the sweating is not excessive, no medication is needed. Just increase physical exercise and strictly avoid bad habits such as smoking, drinking, and other unhealthy behaviors. 18. WJMAMAA: When giving birth, the hospital said she had high blood pressure and prescribed many medications. Now, almost six months after delivery, her blood pressure is still under control, generally around 130/70 mmHg. However, new symptoms have appeared: she now experiences daily hot flashes, with her face becoming very hot and red during these episodes. What should she do? Answer: This could be gestational hypertension. The aftereffects of gestational hypertension include excessive sweating, facial flushing, and irritability. Although her blood pressure is now stable, her autonomic nervous system is still out of balance. Traditional Chinese Medicine has effective remedies for this condition, so she should consult a TCM practitioner. 19. EJiu: My aunt is in her 50s and suffers from pain in both wrists. The doctor diagnosed tendonitis, but there’s no effective treatment. The recommendation is to avoid activity, yet now the pain is so severe that she can’t even cook. Can this condition be cured, and what are the effective treatments? Answer: Tendonitis can be effectively treated with painkillers (such as salicylates, anilines, nonsteroidal anti-inflammatory drugs, and opioids). In my experience, combining these with local acupuncture, physiotherapy, and massage is also beneficial. 20. Zui Ai De: I am 46 years old, and everyone says I’ve entered menopause, but my menstruation hasn’t stopped yet. Over the past two years, my health has clearly deteriorated compared to before—I catch colds easily, and taking Jingfang Baidu Granules helps for a short while, but even a slight breeze can trigger another cold. Is this a manifestation of menopausal syndrome? What medication should I take to prevent colds? Answer: This is menopausal syndrome, now referred to as perimenopausal syndrome. During this period

1. Qiu Xin Comment: My brother is 23 years old and unmarried. His nasal inflammation has never been cured. He has clear nasal discharge and cannot breathe cold air; his nose is very dry. What type of nasal inflammation does this belong to, and can it be cured? Answer: All types of nasal inflammation have an allergic component and can be treated with antihistamine medications. However, Traditional Chinese Medicine offers a variety of treatment methods for this condition. This illness easily leads to colds, and colds, in turn, can exacerbate the condition, creating a vicious cycle where the two mutually reinforce each other. Therefore, treatment should focus on both curing colds and boosting the body's immunity, while also addressing localized allergies. Combining these three aspects is the key principle of TCM syndrome differentiation.
2. zzb Comment: My brother-in-law has numbness and tightness on the right side of his head and right temple, accompanied by coldness in the right limbs, frequent tension, high blood lipids, and poor sleep. This has been going on for over a year, and despite numerous hospital examinations, all results have shown no illness. Is this a disease? Does Traditional Chinese Medicine have any treatment options? Answer: Your brother-in-law's high blood lipids indicate varying degrees of arteriosclerosis. The target organs for this condition are the heart, brain, and kidneys. When it affects the brain, it's called cerebral arteriosclerosis. Common symptoms of cerebral arteriosclerosis include dizziness and memory loss, and some patients may also experience hemiplegia. Traditional Chinese Medicine excels at treating this condition, so you should seek diagnosis and treatment based on syndrome differentiation.

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I feel very damp inside, have difficulty with bowel movements, and my sleep is not good either. What medication should I take?

Answer: You have chronic gastritis, and it's likely that you've also developed erosion or ulcers. Otherwise, simple chronic gastritis would only cause bloating without pain. You should actively seek treatment to prevent the condition from worsening. If you're not experiencing pain, try taking Xiangsha Liujun Wan.

4. Sun Lu Wan’er: My complexion has turned dark. What could be the cause, and Can I still drink it?