Case Studies

This section contains modern and pre-modern Chinese medicine case studies translated by Jason Blalack with his commentary. Feel free to ask questions or comment.

 

Latest Cases

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Nov 19, 2011 with 6 comments

Zhao, suffered from warm disease. The [previous] physician prescribed Cinnamon Twig Decoction (gui zhi tang), which led to a subjective sensation of heat, thirst, and labored breathing. He then prescribed [Minor] Bupleurum Decoction (xiao chai hu tang) which made the heat especially worse and For the past six or seven she had increased wheezing and cough, repeatedly vomited up phlegm drool and had been unable to lie down. Her physician then said that her disease had become very severe and that he lacked the skill to address it. When her family learned of this they were alarmed and flustered. Younger brother Yi fang was dispatched to send for a physician.

When I arrived, I saw that the patient was experiencing hasty wheezing and shoulder breathing and spontaneous sweating from his head. This was heat in both the exterior and interior. His tongue coat was dark grey and his tongue was so contracted that he was unable to speak. I immediately took his pulse …

Oct 23, 2011 with 7 comments

Original Case by: Ye Tian-Shi (叶天士)

[Patient] Gu (age 44) had already greying whiskers and hair on the temples. His facial complexion though was bright. He was emotionally worried and irritable. [There was] yang ascending and agitating [the spirit] with phlegm and thin mucus also ascending and overflowing. The divine pivot says, when yang qi descends, joins and enter the yin, then the yang qiao vessel is full and one is able to sleep. [At this moment though] qi was disseminating and discharging outward and yang was not entering yin. He would drink alcohol in hopes of muddling his consciousness enough so he could sleep. This was not a good method for managing this disease. In middle age and afterwards, men’s lower base is the first to become depleted. [The treatment] was to use Eight-Ingredient Pill (ba wei wan) in the morning and Pinellia and Millet Decoction …

Sep 30, 2011 with 24 comments

Case by: Jason Blalack, Boulder, Colorado.
Visit #1: A 50 year-old patient presented with hearing loss and tinnitus that had persisted for four years. One year ago, in the late fall, her hearing loss worsened and she developed a sensation of blockage in the ears. She always thought it was related to allergies (external or possibly dairy). She did a round of prednisone which helped both the hearing loss and tinnitus. After stopping prednisone the symptoms returned after four to five days. Western medicine diagnosed her with Meniere’s disease. She had a history of eczema and allergies that had recently returned. She has high blood pressure (145/90) and takes Lotrel to control it. At the visit her blood pressure was 117/80.
Her energy was overall good. She had cold hands and feet. Her core temperature was generally ok, but can become cold when chilly out. She was thirsty and craves room temperature water. She often wakes hot …

Jun 28, 2011 with 12 comments

Case Study by: Jason Blalack

** This is a work in progress and currently only intended for review by the CHA (Chinese Herb Academy) and The Traditional Chinese Medicine Yahoo Groups :

Working Introduction:

Below is a case record from my clinical practice in Boulder, Colorado that highlights the strength of Chinese medicine’s treatment for common colds and flu. It also illustrates a problem with the health-care system in the U.S. and hopefully will spark a deeper much needed dialogue between Western and Chinese medicine.

May 26, 2011 with 1 comments

Chen, a 76 year old, had suffered from colon cancer 15 years previously. Consequently, part of his colon was removed and had remained healthy ever since. Recently, he had not moved his bowels for an entire week and he had developed a palpable mass in his lower abdomen on the side of the surgery. Chen went to several hospitals for further examination, where all [of his medical council] recommended surgery and noted that the prognosis was poor. Although Chen requested Chinese herbs, [his physicians] felt this was pointless and refused to prescribe for him. After this, the patient unexpectedly voided a hard pellet and immediately felt his lower abdomen relax.

The object was removed from the chamber pot with fire tongs, washed off with water, and then …

May 16, 2011 with 0 comments

Lurking Warmth

Original case by: Liu Bao-Yi (Liu Baoyi) (柳宝诒)

Patient [Zhang] presented with physical cold and fever, no sweat, a wiry and thin pulse, and a yellow tongue [coat]. This was an exterior pathogen with food accumulation knotted up and not transforming. It was suitable to resolve both the exterior and interior.

dan dou chi (Sojae Semen preparatum)
da dou juan
(Sojae Semen germinatum)
zi su ye
(perilla leaf)
jing jie (Schizonepetae Herba)
xing ren (Armeniacae Semen)

Jan 16, 2011 with 0 comments

Original Case by: Ye Tian-Shi (叶天士)

[Patient] Zhao (44) [suffered from] chronic constraint and clumping. The five emotions had lead to ascending qi fire. There was Stomach qi counterflow resulting in a stifling sensation of the gastric cavity and no appetite. [This was a pattern of] excessive ascendant Liver yang and wind fire intimidating the orifices. Inevitably there was dizziness and painful obstruction of the throat. There was a feeling of cold, but this was not true cold. All of these signs are due to qi painful obstruction and lack of free flow. This disease [can be understood] from [the classic] phrase, “All clenching, shuddering, and chattering [of the jaws] belongs to fire.” [In addition] Dan Xi said, qi that ascends is from Liver and Gallbladder ministerial fire that does not have a place to reside.

Jan 06, 2011 with 2 comments

Original Case by: Ye Tian-Shi (叶天士)

[Patient] Ni had lots of pain and ascending yang. The yin fluids were endlessly pouring out from the upper part of the body. The tongue was dried-up and red-crimson colored. There was irritability and inability to sleep. It was suitable to augment the Kidney water in order to control Heart fire.

xian sheng di (fresh Rehmanniae Radix)
xuan shen (scrophularia, ningpo figwort root)
mai men dong (Ophiopogonis Radix)
lu dou pi (Phaseoli Radiati Testa)

with 0 comments

Original Case by: Ye Tian-Shi (叶天士)

[Patient] Gu (age 44) had already greying whiskers and hair on the temples. His facial complexion though was bright. He was emotionally worried and irritable. [There was] yang ascending and agitating [the spirit] with phlegm and thin mucus also ascending and overflowing. The divine pivot says, when yang qi descends, joins and enter the yin, then the yang qiao vessel is full and one is able to sleep. [At this moment though] qi was disseminating and discharging outward and yang was not entering yin. He would drink alcohol in hopes of muddling his consciousness enough so he could sleep. This was not a good method for managing this disease. In middle age and afterwards, men’s lower base is the first to become depleted. [The treatment] was to use Eight-Ingredient Pill (ba wei wan) in the morning and Pinellia and Millet Decoction …

Nov 29, 2010 with 0 comments

Original Case by: Ye Tian-Shi (叶天士)

(Case 6) – from Understanding Case Records Pt. 2

A 10 year-old presented with a mild cough and tidal fever. This was caused by childhood yin exhaustion and qi aspect heat.

Di Gu Pi 3 qian (Lycii Cortex)
Qing Hao 1 qian (Artemisiae Annuae Herba)
Zhi Mu 1 qian (Anemarrhenae Rhizoma)
Gan Cao 3 fen (Glycyrrhizae Radix)

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