Case Studies - Discussion Forum
This section contains modern and pre-modern Chinese medicine case studies with the option to ask questions or comment on each individual case. Cases are added weekly.

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Translation / terminological note : Over the years, my translational style and term choices have gone through many iterations and continues to evolve. Since the majority of these cases were translated years ago, they may contain choices that are somewhat personally outdated. Consequently, there may be terminological inconsistencies from case to case. When possible I’ve included the Chinese to help cross reference any terminological issues. I take full responsibility for any actual translational errors and welcome any feedback/corrections.
Latest Cases
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March 7th, 2010 with 0 comments
Tags:
Constraint
Sour taste
Ye Tian-Shi
Original Case by: Ye Tian-Shi (叶天士)
There was gastric cavity pain that had already ceased. Currently there was a sour taste in the mouth. Actually this is Liver constraint.
Gold Dendrobium (jïn shí hú)
Black gardenia (hëi shän zhï zî)
Moutan Cortex (mû dän pí)
Pinelliae massa fermentata (bàn xià qü)
Citri reticulatae Exocarpium rubrum (jú hóng)
Eriobotryae Folium (pí pa yè)
Original Chinese: 某 脘痛已止。味酸。乃肝郁也。(肝郁)金石斛 黑山栀 丹皮 半夏曲 橘红 枇杷叶
Source: From the Constraint Chapter of Case Records as…
February 25th, 2010 with 0 comments
Tags:
Cough
Edema
Fei Sheng-Fu
Heart irritability
Insomnia
Wheezing / Panting

Case by Fei Sheng-Fu (费绳甫)
The wife of Mr. Zhu Zhushi from Zhejiang was ill with cough and panting so that it was difficult for her to lie down at night. Her heart was irritable and vexed, she had a stifling sensation in the upper abdomen, and the mouth was greasy with little intake of either food or drink. The face was puffy and the legs swollen, and at night she could not sleep. The momentum [of this disorders] was…
February 21st, 2010 with 0 comments
Tags:
Numbness and tingling
Qing Dynasty
Stroke
Ye Tian-Shi
Original Case by: Ye Tian-Shi (叶天士)
At the onset of the illness there was numbness and tingling, the tongue was stiff, the sinews were hoisted (tight?) and back of the head was painful. There was also phlegm obstruction in the throat. This is Liver wind ascending and guiding. This certainly is caused from constraint and clumping of the emotions.
Saigae tataricae Cornu (líng yáng jiâo)
Forsythiae Semen (lián qiáo xïn)
Fresh Rehmanniae Radix (xiān shëng dì huáng)
Scrophulariae Radix (xuán…
February 14th, 2010 with 1 comment
Tags:
Constraint
Ye Tian-Shi
Original Case by: Ye Tian-Shi (叶天士)
(Clumping of Heart and Spleen qi, unclear spirit mind)
A 26 year-old patient named Lu was given:
Ginseng Radix (rén shën)
Platycodi Radix (jié gêng)
Linderae Radix (wü yào)
Aucklandiae Radix (mù xiäng)
Each Ingredient had a dose of three fen and was wet ground into a juice.
In addition [at the next visit], Alum and Curcuma Pill (bai jin wan) was given to take at night.
Note: Alum and Curcuma Pill (bai jin…
February 7th, 2010 with 4 comments
Tags:
Abdominal distension
Fei Sheng-Fu
Qing Dynasty
Wood / Earth

Case from Fei Sheng-Fu (费绳甫)
Mr. Wu from northern Jiangsu [suffered] from Liver wood encroaching the Spleen until only it’s [qi] was present in the abdomen 致成單腹. The abdomen was distended like a drum, the umbilicus protruded outward, the tendons were blue. The back was normal but the waist full. This constituted a dangerous pattern. In this situation [the appropriate strategy] is to curb wood and support earth, unblock with warming [medicinals], and leach out dampness. Prescription was:
Aconiti Radix…
January 24th, 2010 with 0 comments
Tags:
Abdominal distension
Fei Bo-Xiong
Flank pain
Qing Dynasty
Original case by: Fei Bo-Xiong (费伯雄)
[1st Visit]: Qi deficiency with fullness of the middle [burner]. The abdomen is distended and resistant to palpation. Both flanks are acutely painful, with focal distension and a stifling sensation in the chest and diaphragm. On getting up [in the morning] the patient feels well, but in the afternoon the stifling feeling becomes worse and the mood depressive. The stools are loose. The pulse is deep and wiry on the right, and wiry and…
January 17th, 2010 with 1 comment
Tags:
Constraint
Miao xiang san
Painful urinary dribbling disorder
Qing Dynasty
Ye Tian-Shi
Case by: Ye Tian-Shi (叶天士)
Yu, 55 years old, suffered from constraint that harmed the Heart yang. The yang sunk into the yin leading to a turbid painful urinary dribbling disorder. This was internal damage from the emotions leading to a yin [area?] deficiency resulting in disease. Merely seeing the symptoms will bring about a disordered (incorrect) treatment and is most inferior.
The Heart stores the Spirit. The spirit was damaged with symptoms such as muddle-headedness; all the orifices were disturbed. The herb treatment…
January 10th, 2010 with 5 comments
Tags:
Constraint
Jason Blalack
Painful urinary dribbling disorder
Prostatitis
Case By: Jason Blalack
Intro: This is a somewhat informal presentation of a recent case that I found quite educational for myself. It is definitely not the cleanest case (easy success) but that is why I like it. I am still working out the best way to present these cases and if anyone has any suggestions please let me know. I also welcome others to submit their cases for us to learn from. I hope you enjoy it and welcome…
January 10th, 2010 with 0 comments
Tags:
Constraint
Emotional
Wood / Earth
Ye Tian-Shi
Original Case: Ye Tian-Shi (叶天士)
Shen was 43 years old with a deficient and choppy pulse. The emotions had become unsmooth and the Liver and Spleen qi and blood were excessively constrained. This had persisted without relief for half a year. Giving a drastic formula was difficult [not appropriate]. Therefore giving the official prescription, Rambling Powder (xiäo yáo sân) with Tonify the Middle to Augment the Qi Decoction (bû zhöng yì qì täng) was decided upon.
Original Chinese: 沈(四三) 脉虚涩。情怀失畅。肝脾气血多郁。半载不愈。难任峻剂。议以局方逍遥散。兼服补中益气。…
January 3rd, 2010 with 0 comments
Tags:
Abdominal distension
Fei Bo-Xiong
Wood / Earth
Original case by: Fei Bo-Xiong (费伯雄)
When the Spleen is deficient and dampness wins out [over physiological transformation], the momentum [of the disorder] is towards Wood seizing the position of earth. Employing [a strategy] of relaxing the movement [of the qi dynamic] while separately eliminating [the various pathogenic qi] yielded results [quickly] after [the prescriptions] was taken. However, dampness is still soaking Spleen yang disabling movement and transformation. [Therefore, I once again] employ the previous strategy in order to promote…