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Case of 加減瀉白散 (Jiājiǎn xiè bái sǎn)// Modified White-Draining Powder's case

1) Female, 35 years old Protruding eyes Pale face The throat has a smell of fish, ammonia, and alcohol. She experiences shortness of breath and despite 10 years of treatment, it has not been cured. Itchy nose, sore mouth, occasional fever, and hives, usually at night and in summer. Severe menstrual cramps and occasional lower abdominal pain. There are signs and symptoms of phlegm-dampness. 加減瀉白散   Jiājiǎn xiè bái sǎn  (from  東醫寶鑑  Dong Yi Bo Gam ) [Deep understanding and adaptation]  The patient's protruding eyes indicate t he presence of fever. (yang ming type, copious blood and qi)  The pale face suggests a lung -related issue. Shortness of breath and a fishy smell are symptoms of liver disease. Considering the form and color, the basic formula is 瀉白散. However, in this case, there is a strong fishy smell, so  加減瀉白散  from the [ 口舌門 on 東醫寶鑑 ] category was prescribed. 2) Male, 61 years old Many wrinkles on the forehead. He had a history of pulmon...

wrong treatment (Bu Zhong Yi Qi Tang and Liu Wei Di Huang Tang)

wrong treatment (Bu Zhong Yi Qi Tang and Liu Wei Di Huang Tang) One woman who is 35 years old and goes to work. She has a severe fatigue. She is thin and a little bit black complextion. Anyway I give her Bu Zhong Yi Qi Tang (modified). She took this two times a day during about 20 days. At first time she said that she feels better. But at the end of time, she came to my clinic, and she said that “she feels sudden dizzy and tinnitus few times”. At that time I realized that I should give her Liu Wei Di Huang Tang ( 六味地黃湯 ) family. So I gave her 6 packs of 荊防地黃湯 which is modified from Liu Wei Di Huang Tang, I reduces 8 g of Shan Zhu Yu to 2 g and add 4 g of Gou Qi Zi ( 枸杞子 ). And the signs of dizziness and tinnitus removed.   Due to kidney water deficiency, deficient fire ascends upward, but I gave Bu Zhong Yi Qi Tang, this makes the upper part more replete. Than dizziness and tinnitus occurs.   Bu Zhong Yi Qi Tang. 補中益氣湯 (Tonify the Middle and ...

A Case of Post-herpetic neuralgia uncontroled after Stellate Ganglion Block

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A Case of Post-herpetic neuralgia uncontroled after Stellate Ganglion Block     Post-herpetic neuralgia(PHN) is a chronic pain syndrome associated with the reactivation of a primary infection with varicella zoster virus(chinken pox), which leads to a chronic infection of dorsal root ganglia. The most common risk factor for shingles and its potential sequela, PHN, is advanced age. For a significant number of patients, the pain following healing of shingles can persist for months to years. If this pain, classified as PHN, persists longer than one month. PHN often leads to depression, disrupted sleep, decreased productivity, and utilization of health care.                                      We treated a 60 year-old female patient who suffered pain and headache after Stell...