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First, many thanks and great
respect should go to our patient Mr. Giacomo from Italy, who is so kind and
graceful to agree that we could list his complete record of Chinese medicine treatment
on our website. His treatment record in our TCM center for 36
days from January 20 to Feb. 25, 2004 is as follows.
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January 20, 2004, the first day to start
treatment.
Giacomo, male, 40 years old, Italy. 1.80 meter
tall, 85 kilos in weight.
Major complaint:
Severe headache, frequent and serious sinus
problems every two weeks with much nasal discharge, heart stabbing pains, shortness of breath, occasional breath stops during sleep,
shrinking cold pains of the stomach, pains of the two kidney areas, painful and
weak back, groin twitching, leg muscle spasms, loss of hair, severe fatigue, for
15
years. Treated by western medicine intermittently in Italy,
USA and other countries for 15 years, encouraging improvement was not found. On January 18, 2004, he
came to our TCM center which is located in Huaihua city, China via Hong Kong and
Guangzhou from Italy.
Interrogation and checking made by TCM physician Dr.
Ming and acupuncturist Dr. Peng:
15 years ago, quite healthy and strong. One day
about 15 years ago, driving motorcycle for ten hours. The weather is very
hot and it is above 45¡æ, without any drinks. After that day, he gradually felt difficult breathing, shortness
of breath, cannot bend tendons, legs. Arms no
problem to stretch. Also sexual problem, local pains, ejaculation pains.
Acupuncture and massage helped. Reduced sex ability appeared two weeks later. Not
married now. Chest oppression. If bending chest, front chest pains. There were
five times before 4 years ago he experienced stopping of breath in sleep when waking up
suddenly. Recent 4 years, no such breath stop experience, only shortness of
breath.
Palpitations exist only in the daytime, stabbing
heart pains. Sometimes fearful, easily angry, easy to lose temper. He could not
inhale and exhale completely, about one third of the normal breath depth. No fluids
retention sense in the chest, not cough. Sometimes, spitting yellow phlegm. Very
easy to catch nasal inflammation; during the first two days when nasal attack
comes, general body weak, only ten percent energy of a healthy state; pains
around nose, eyes, even ears, strong headache. Yellowish and profuse nasal
discharge then begins to come out after two days. Nasal blockade happens with
loss of
smelling sense, dizziness. At the back of the eyes, heavy pains. Also blockaded
ear, but no voice in the ears. Loss of hair 10 years, the scalp dislikes
pressure, has the tight feeling when touching it.
The stomach shrinks, sometime strongly, sometimes
mildly. Both overeating and hunger could worsen the pains. The stomach likes warmth, likes
pressure. Appetite sometimes good, sometimes bad. Like hot drinks. Do not drink
often daily now, no much thirsty.
After the shower, feeling total body needling.
No diarrhea, sometime constipation to loose stool. If using power to defecate, semen
could come out. Every week 2 to 3 times for defecation of stool which is relatively
hard or normal sometimes.
Double kidney pains in a deep location, aching
pains there all the time. The right kidney is more painful than the left. The spine is not able to be
straightened. The outside part of the spine is painful.
Urine is slightly yellowish. Morning urine is
relatively darkish. At night, no necessity to get up for urination. On average, at daytime
urinate 6 times per day.
Urinary urgency, dripping after urinations, shrinking and dragging pains at
right lower abdomen and groins. Testicles have no hard masses, while right testicle
is painful. Recently no seminal emission. Sexual ability is generally good.
Premature
ejaculation happens when penetrating. The erection is good, but the testicle is
painful. The backs and body feel uncomfortable. No sense of anus dropping,
In general, the body likes warmth, dislikes
cold.
Always feeling fatigued and dispirited. Do not drink alcohol,
alcohol could make him very sick always.
Liver pains. Legs pains with muscle spasms. Leg tendons
are tight, painful. Knees are painful and soft. The sleep is not so good, seven to eight
hours sleep daily.
The right wrist pulse is floating and empty and
feeble. The left wrist pulse is deep, thin and feeble.
The tongue body is slightly pale, moist. The tongue coating is
thick and yellowish and with tongue teeth pressure on the two edges of the
tongue.
The nail is pale and bluish.
The coffee and tea, even though liking it, could make
him nervous.
Also met emotional frustration before the accident.
Diagnosis: Double deficiency of the liver and
kidney, qi deficiency of the heart and the lungs, spleen yang deficiency, qi
stagnation and blood stasis, coexistence of cold and heat, mixture of excess and
deficiency.
Treatment strategy: Tonifying the liver and
kidneys, warm the spleen yang, quickening blood circulation, adjust the cold and
heat.
The first formula is made by Dr. Ming. 4 dosages,
a dosage a day, twice per day. Every time drinking herbal tea 200 milliliters.
The herbal tea will be decocted by Giacomo himself after being told the way to make the decoction. So he decocted his herbal decoction in his dormitory in
our TCM college. No acupuncture and massage are used since tomorrow (January 21)
will be China's New Year Eve.
fresh rehmannia root
15g
cinnamon twig 10g
Chinese yam 10g
tangkuei root 10g
moutan bark 6g
ligusticum root 10g
poria 10g
white peony root 15g
millettia stem and
thorn 10g
cornus fruit 15g
achyranthes root 10g
astragalus root 15g
eucommia bark 10g
lycium berry 10g
licorice root 8g
Jan. 25. The three dosages started to make him
feel the spirit was improved a little. Less
frequent urination. All the tendons' nervousness is slightly relaxed. Less darkish
urine. The shallow breath is the same as before. The testicle twitching is relaxed.
But yesterday, facing cold again, so the right
nasal orifice is blockaded, with nasal discharge, headache, but less fatigue.
The stomach painful with shrinking sense. Still back pains.
Today, it is the third day of China's Spring
Festival. Acupuncture and massage starts, practiced by Dr. Peng. Try to expel
coldness and open the nasal orifices. Acupuncture points are Yang Bai,
Ying Xiang, Tai Yang, He Gu, Lie Que, San Ying Jiao, Yang Ling Quan, Zusanli, and
general body massage starts in a comprehensive way. Herbal package warming is
used on the head and nose too.
So it is very important to prevent the attack of
the nasal problem. These two new dosages will be for expelling wind
cold, opening nasal orifices, warming stomach to stop pains. Prescribed by Dr.
Ming.
astragalus root 15g
codonopsis root 10g
ovate atractylodes
rhizome 10g
dried ginger 3g
ledebouriella root 10g
xanthium
seed 10g
cinnamon twig 10g
magnolia flower 7g
jujube 3
pieces
houttuynia 15g
cornus fruit 15g
angelica dahurian 8g
white peony root 15g
platycodon root 6g
poria 10g
ligusticum root
10g
tangkuei root 10g
Jan. 27. After two days of acupuncture by
needling Yang Bai,
Ying Xiang, Tai Yang, He Gu, Lie Que, San Ying Jiao, Yang Ling Quan, Zusanli, and
general body massage, herbal package warming, so today (also taking two dosages
of herbal decoction for expelling wind, opening nasal orifice and warming the
stomach), Giacoma is now feeling the sinus pains is leaving,
very little nasal excretion, no nasal blockade sense, improved spirit, improved
and good sleep, good appetite, very relaxed tendons of the general body. Stomach
is of less shrinking sense, but still heavy head, abdominal distention. At daytime
very clear urine, no night urination. Back pains much better, can squat without
pains (in the past very painful), but bending the back still difficult and painful.
The tongue coating is less yellowish.
So the current emphasis is still the nose and
stomach, also tonify the kidney and qi in the meantime. Two dosages were
prescribed by Dr. Ming.
astragalus root 15g
codonopsis root 10g
ovate atractylodes
rhizome 10g
xanthium
seed 10g
ledebourialla root 10g
magnolia flower 6g
cinnamon twig 10g
houttuynia 15g
jujube 3
pieces
platycodon root
6g
cornus fruit 15g
ligusticum root 10g
white peony root 15g
tangkuei root 10g
poria 10g
fresh rehmannia root 10g
lycium berry 10g
Jan. 29, 2004. Nasal problem is almost
disappearing. Spirit and appetite improved, stomach pain relieved. Still right kidney area
pains, when bending the back. The tendons of the legs still tight and painful.
Acupuncture, massage are being used and today cupping method is added for
expelling cold and opening the channels.
Two dosages were offered by Dr. Ming.
astragalus root 15g
codonopsis root 10g
ovate atractylodes
rhizome 10g
xanthium seed 10g
ledebourialla root 10g
magnolia flower 6g
cinnamon twig 10g
houttuynia 15g
jujube 3
pieces
platycodon root 6g
cornus fruit 15g
ligusticum root 10g
white peony root 20g
tangkuei root 10g
poria 10g
fresh rehmannia root 10g
Chinese yam 10g
lycium berry 10g
eucommia bark 10g
Jan. 31. So the nasal problem is almost fine.
Deeper breath, relaxed tendons, better sleep and better appetite. But right kidney
point pains, left kidney area pains. So we turn our attention to kidney and stomach
now.
Two dosages by Dr. Ming as follows.
astragalus root 15g
Chinese yam 10g
ovate atractylodes
rhizome 10g
codonopsis root 10g
ledebourialla root 10g
platycodon root 6g
cinnamon twig 10g
ligusticum root 10g
jujube 3
pieces
tangkuei root 10g
cornus fruit 15g
fresh rehmannia root
10g
white peony root 20g
lycium berry 10g
poria 10g
eucommia bark 10g
achyranthes root
10g
mistletoe 10g
Feb. 2, 2004. Today, the stomach shrinking sense
disappeared. Nose almost no problem, tendons relaxed. Kidney area pains, but relaxed a little
bit, about twenty percent kidney pain reduction. The tongue coating is slightly
yellowish. The left pulse is becoming stronger.
Generally improved, spirit improved, appetite
good.
A special good change today is that there is the desire to move the body, do exercise,
which is rare in the past years. The right side of the body is tighter compared to
the left one. Little bit deeper breath. Sleep good.
So two dosages prescribed by Dr. Ming.
astragalus root 15g
achyranthes root 10g
ovate atractylodes
rhizome 10g
tangkuei root 10g
cinnamon twig 10g
ligusticum root 10g
jujube 3 pieces
milletia root and
stem 10g
cornus fruit 15g
eucommia bark 10g
white peony root 20g
mistletoe 10g
poria 10g
moutan bark 6g
alisma tuber 10g
Feb. 4. Try to warm the stomach, move qi, stop pains, tonify
the kidneys.
astragalus root 10g
achyranthes root 10g
ovate atractylodes
rhizome 10g
peach kernel 10g
cinnamon twig 10g
carthamus flower 10g
jujube 3 pieces
lindera 10g
cornus fruit
15g
toosendan 10g
white peony root 20g
frankincense 10g
poria 10g
eucommia bark 10g
moutan bark 8g
Feb. 6, 2004. The major change of these two days
is reduction of pains of the two kidneys. The major problem is the tightness of
the right side of the body, the same as a few days ago, but generally reduced.
The old painful points below the right shoulder occurred again. The testicle also
stretched. Stomach and intestines no pain, but full of gas. Tongue yellowish. The
therapeutic bleeding method is used on the upper right back, where the pains are very
strong. This pain area exsited there for quite a few years. The bleeding materials are
black and sticky.
achyranthes root 15g
myrrh 10g
peach kernal 10g
jujube 3
pieces
carthamus flower 10g
cornus fruit 15g
lindera 10g
white peony root 20g
toosendan 10g
poria 10g
frankincense 10g
moutan bark 10g
eucommia bark 10g
alisma tuber 10g
saussurian 10g
mistletoe 10g
dipsacus 10g
fresh rehmannia root 15g
Feb. 8, 2004. Giacoma said that in the Feb. 6 afternoon, very deep 3 hours sleep,
then got up, feeling the body is very relaxed, tightness disappear, and deep
breath, no pains. This is the first time during recent 5 years that he had such a good change.
That morning, it was the first time that three-edged-needle was used to bleed on
the right shoulder tender point. The bleeding materials are
some dark blood with mucus. Feb. 7, there was a slight abdominal spasm and go
to toilet for quite a while. After massage in the morning, when sitting up, sparks before eyes
for 15
seconds.
Today, also the second time for bleeding, less
dark blood with mucus.
So blood quickening dosage is reduced a little bit.
Offered by Dr. Ming.
codonopsis root
10g
achyranthes root 10g
ovate atractylodes
rhozome 10g
peach kernel 10g
jujube 3
pieces
carthamus flower 10g
cornus fruit 15g
lindara 10g
white peony root 20g
toosendan
10g
poria 10g
frankincense 10g
moutan bark 8g
eucommia bark 10g
alisma tuber 10g
Feb. 11, 2004. Now, there are no following problems such as
nose attack, stomach upset. Very slight kidney pains. Lower back spine is painful, when moving like
cracks. But in the past, when lying, the lower back and kidneys very painful,
now only a little bit. Bending the body, more natural without pains. Sleep
normal, appetite good.
So right now, tonify the kidney and liver and
quick blood circulation.
Chinese yam 10g
achyranthes root 10g
cooked rehmannia root 15g
peach kernel 10g
moutan bark 10g
carthamus flower 10g
alisma tuber 10g
lindara 10g
cornus fruit 15g
toosendan
10g
poria 10g
eucommia bark 10g
mistletoe 10g
amomum 10g
Feb. 12. This morning, the nasal problem tends
to make another small attack. So left side nasal congestion appeared, slight pains under the left
eye socket. The good changes are that the tendon tightness, body pains, painful
back points are being improved greatly. The tongue coating is thinner, not so yellowish and
greasy at the end part of the tongue root.
The former formula adds ledebourialla 10 grams
and xanthium seed 10 grams and magnolia flower 10 grams.
Feb. 14, 2004. Emotional state quite relaxed and
good. All the conditions are being improved in a stable way. Good sleep, good
appetite, good spirit, stomach no problems, no kidney pains. Today, slight nose congestion
and yellowish excretion. Pulse is stronger, tongue coating not so yellowish and greasy.
Chinese yam 10g
baijiang 10g
cooked rehmannia root 10g
achyranthes root 10g
Chinese yam 12g
peach kernel 10g
moutan bark 8g
carthamus flower 10g
alisma tuber
10g
toosendan 10g
cornus fruit 15g
eucommia bark 10g
poria 10g
amomum 10g
mistletoe 10g
xanthium seed 10g
magnolia flower 10g
Feb. 16, 2004. All the conditions stable. No
stomach, kidney problems; tendons relaxed, generally stronger against wind with
no fear. Going to windy environment yesterday, no problem for the nose. Still a little nasal congestions
with some discharge. So continue with the Feb.14 Formula for another two days.
Feb. 18, 2004. Only right side of the body a little bit
tight. So try to strengthen the kidneys and liver to
improve the right qi.
Chinese yam 10g
mistletoe 10g
cooked rehmannia root 10g
achyranthes root 10g
white peony root 20g
peach kernel 10g
moutan bark 8g
carthamus flower 10g
alisma tuber 10g
eucommia bark 10g
cornus fruit 15g
ovate atractylodes
rhizome 10g
poria 10g
ligustrum 15g
black seseme 10g
codonopsis 10g
Feb. 20, 2004. The right side of the body is not
tight. Sleep good, appetite good, almost no kidney pain, tension at the groins
and lower abdomen relaxed quite a lot.
The hair on the top of the head begins to grow.
Pulse is powerful and steady. The tongue coating is thin, very slightly yellowish.
The root of the tongue coating is almost disappearing.
Chinese yam 10g
mistletoe 10g
cooked rehmannia root 10g
achyranthes root 10g
white peony root 20g
peach kernel 10g
moutan bark 8g
carthamus flower 10g
alismas tuber 10g
eucommia bark 10g
cornus fruit 15g
ovate atractylodes
rhizome 10g
poria 10g
ligustrum 15g
eclipta 10g
codonopsis root 10g
Feb. 23. Generally stable, sleep and appetite good.
Digestion stronger, right side of the body completely relaxed, no muscle spasms of the
legs, almost no twitching sense of the groins, the kidney area is much stronger,
no pains sense radiating to the legs. Open nasal orifice, clear and no
discharge. The pulse of the left side and the right side are more balanced and
with power. Not so shallow at the right side and not so deep and thin at the
left side. The tongue coating is thin and very slightly yellowish. No thirst, no
dry lips.
Chinese yam 10g
platycodon root 10g
cooked rehmannia root 10g
trichosanthes fruit 10g
white peony root 20g
mistletoe 10g
moutan bark 8g
achyranthes root 10g
alisma tuber 10g
perch kernel 10g
cornus fruit 15g
carthamus flower 10g
poria 10g
eucommia bark 10g
ovate atractylodes
rhizome 10g
codonopsis root
10g
So, after 36 days comprehensive treatment
by herbal decoction, acupuncture, massage, cupping, moxa, the chronic and complex conditions of Mr.
Giacomo have been greatly improved. The body is much stronger and could
fight against the external wind efficiently. No headache, no nasal problem re-occurrence, no
heart pains, no stomach shrinking pains, no kidney pains, no groin twitching, obviously
increased ability of deep breath, even the hair begins to grow, sleep good,
appetite good, spiritedness. So the general recovery is unexpectedly stable and satisfactory.
Feb. 25, 2004, Giacoma successfully finished the total
treatment course here and happily left our TCM center for his own country Italy
via Singapore.
Dr. Ming and Dr. Peng advised him to take care
of good rest, regular daily life, relaxed mind, happy mood; avoid spicy foods,
alcohol and beer; avoid the wind and cold and take part in proper physical exercise
so that his health will be well kept permanently.
Grateful, happy, healthy
and spirited Mr. Giacomo was leaving Huaihua, Feb. 26, 2004.
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