Respiratory

CASE – RES009

Main signs and symptoms Intermittent cough with blood streaked sputum. Doctor suspects lung cancer and has booked patient for examination with tracheoscopy. A 3.5 cm diameter shadow was detected in upper left lung by X-ray ten years ago. However, he has had no symptoms and has only recently begun to cough blood. The shadow on the lung has remained the same over the past 10 years On examination patient appears chronically unwell (i.e. pale and sickly appearance), weakness, cough, shortness of breath. Tongue: Pale …

CASE – RES008

He presented in early spring 2014, with headache, blocked nose, copious nasal discharge, and severe fatigue. The symptoms had been worsening over the past several weeks since contracting a common cold. He had been treated with an antibiotic, which did not help. On examination he appeared tired, had a low voice and was reluctant to speak, his manner was quite lethargic. Pulse: deep-thready Tongue: pale with a thin white coat TCM Diagnosis: Spleen and Lung Qi deficiency with Exterior not consolidated Treatment: Treatment Principle: Unblock the nasal passages and clear …

CASE – RES007

She presented in early spring 2014 with a blocked nose, copious nasal discharge (clear and thin), bouts of uncontrollable sneezing, itchy eyes, headache and lethargy. She reported that she needs to sleep with her mouth open due to the constantly blocked nose. These symptoms had been steadily worsening over the past few weeks. She experiences nasal blockage with milder symptoms throughout the year. She has tried various treatments but without success. On examination she appeared tired, had a nasal voice and constant …

CASE – RES006

For the past two days: runny nose, mild cough, fever 37.5 degrees. Pulse: floating-rapid Tongue: red with a thin coat. TCM Diagnosis: Wind-Cold attack on the Exterior. Treatment: Treatment Principle: Release the Exterior and expel Wind-Cold Treatment: Formula: Black Pearl® Yin Qiao Wan (Lonicera & Forsythia Formula BP036) Dosage: 30 pills, 3 times daily. Outcome: After one day symptoms improved, and after 2 days the fever was resolved but the cough, runny nose and headache were still present. Changed the formula to Black Pearl® Xiao Chai Hu Wan (Minor Bupleurum Formula BP029). He initially began to improve, but …

CASE – RES005

Weak constitution, frequent URTI’s occurring all the year round that trigger her asthma attacks. With the recent onset of the cold weather, she has had more frequent episodes of asthma. Western treatments include antibiotics and frequent daily use of Ventolin inhaler. Appearance: slim build and looks tired. During asthma attacks she has palpitations, sweating, sensations of coldness, shortness of breath, cyanosis particularly around the lips and chin. Pulse: thready-soft and particularly weak in the middle (guan) position Tongue: pale with purple areas and a thin coat TCM …

CASE – RES004

Main signs & symptoms: Persistent sneezing with clear watery discharge, runny nose. Other signs and symptoms: Lethargy, poor appetite, sleep O.K., Spirit good. Tongue: Pale tongue with a thin white coat. Pulse: Floating-rapid pulse. TCM Diagnosis: Lung and Spleen Qi deficiency Treatment: (a) acupuncture: yin tang (extra); ying xiang (LI-20); he gu (LI-4); zu san li (ST-36) all bilateral. b) Herbal formula (single herb granules with gram equivalents): yin chai hu 15; fang feng 12; wu wei zi 10; wu mei 15; huang qi 12; zhi gan cao 5; chao bai zhu 12; …

Case – RES003

Male 55, engineer with a chronic cough for the past four months, since recovering from a mild ‘flu like illness, which had been treated with antibiotics. Main Signs and symptoms: Dry cough, worse when talking and more severe in the evening. Other signs and symptoms: Restless irritability1, dream-disturbed sleep. The patient has a history of hypertension, which has been controlled by weight loss. Tongue: Deep pink, no coat. Pulse: Deep and thready. 1. ‘Restless irritability’ is an English rendering of the Chinese term xin fan, which refers to a sense of …

Case – RES002

After recovery from a head cold two months ago he developed a cough which has resisted medical treatment. He has taken four courses of antibiotics and has used a cough suppressant (steroid inhaler), which were not very effective. Main Signs and symptoms: Dry cough that becomes more severe in the evenings before sleep and is aggravated by speaking; dry throat. Other signs and symptoms: Fatigue, appears drawn with dull spirit. Tongue: Deep pink, no coat Pulse: Deep, thready and weak TCM Diagnosis: Lung Qi and (Lung) Yin deficiency Treatment: Nourish the Lung …

Case – RES001

Dry and sore throat, nasal congestion with clear discharge, feels hot. Overall the symptoms are not severe and he does not have a cough. Other signs and symptoms: Poor sleep (especially when he has a heavy work load), waking at night two to three times; dry stools and frequent constipation; no loss of appetite. Tongue: Deep red with small cracks on the tip, moist coat. Pulse: Thready TCM Diagnosis: Exterior attack by Wind-Heat. The patient has a Yin deficiency constitution. Treatment: ChinaMed® CNF Relief Formula Dosage: 3 capsules every 2 – 3 …