Case Studies
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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Latest Cases
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November 19th, 2011 with 0 comments
Tags: Cong long tang
Misdiagnosed
Wheezing / Panting
Zhang Xichun

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…
October 23rd, 2011 with 0 comments
Tags: ba wei
ban xia shu mi tang
Classical formulas
Eight extraordinary vessels
shen qi qan
yang qiao
Ye Tian-Shi

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…
September 30th, 2011 with 2 comments
Tags: Boulder Colorado
Hearing loss
Jason Blalack
Tinnitus

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
…
June 28th, 2011 with 4 comments
Tags: Antibiotics
Boulder Colorado
Fever of unknown origin
High Fever
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…
May 26th, 2011 with 0 comments
Tags: Misdiagnosed

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…
May 16th, 2011 with 0 comments
Tags: Liu Bao-Yi
Lurking warmth
Qing Dynasty

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)
zhi ke…
January 16th, 2011 with 0 comments
Tags: Constraint
Emotional
Qing Dynasty
Ye Tian-Shi

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…
January 6th, 2011 with 0 comments
Tags: Heart fire
Insomnia
Ye Tian-Shi

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)…
January 6th, 2011 with 0 comments
Tags: ba wei wan
ban xia shu mi tang
Classical formulas
Eight extraordinary vessels
shen qi qan
Ye Tian-Shi

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…
November 29th, 2010 with 0 comments
Tags: Cough
Qi aspect heat
Qing Dynasty
Tidal fever
Ye Tian-Shi
yin exhaustion

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)
Nan Sha Shen 1 qian (Adenophorae Radix)
Shi Hu 3 qian (Dendrobii Herba)
Qin Bo-Wei’s Commentary:
This…