# Period Pain # Irregular Period Cycle # Menstrual Issues
A teenager girl came to this clinic with her mother for her period issues. A healthy female would experience 28 days (± 2 days) period cycles, 6-7 days of period duration and very minor or no period pain. But since her menarche, her cycle was either too short or long and often lasted over a week. She also suffered from severe lower abdominal cramping and pain.
Interestingly she was a very healthy person otherwise. Apart from cold hands and feet, she did not have any other issues. Her sleep, digestion, bowel motion and urination were all healthy and she did not experience any fatigue or pain in the body. Her pulses were tense with 64 beats per minute.
Like this client, when a patient does not experience any other symptoms apart for his/her chief health issue, I usually treat them according to his/her constitution.
From her face, it was noted that she constitutionally has heat in heart and small intestine which can quite often causes period issues in females because small intestine is the one that regulates the blood in uterus from TCM’s point of view.
I prescribed her the decocted Chinese herbal medicine and acupuncture to control her constitutional heat. After the first month of treatment, her cycle became more regulated to 33 days with very minor period pain. But because the cycle was still longer than the standard cycle, I repeated the same Chinese herbs and acupuncture for another month. The period cycle then became 27 days, lasted for 7 days and she did not experience any period pain. Patient wanted to try one more cycle to make sure that her cycle comes on time again with good duration and no period pain. Thus, we have repeated further 1 month and it was all healthy again.
From my experiences, many of period related issues can be managed by Chinese medicine and acupuncture. If you or your family/friends suffer from similar issues, please do consider trying Chinese herbal medicine and acupuncture.
Have a good day and stay healthy!
Published on 31 July 2020
# Warts # Water Warts # Molluscum Contagiosum # Warts over whole body
A 5-year-old boy visited my clinic with his mother for his water warts. It started from below his breast area and has spread to his stomach, face, back, arms and legs. The skin wasn’t itchy but water warts’ typical flesh-coloured, dome-shaped with a dimpled centre lesions were all over his body. From Western medical perspective, the water warts are thought to be caused by viral infection. Western medicine usually believes that it takes about 9 months to 2 years to recover from water warts. This boy was also told by the GP that it may take over a year to recover.
His other conditions were as below:
His pulse rate was moderate for the young boy but it was quite weak.
I diagnosed him with Spleen weakness and prescribed him decocted Chinese herbal medicine to strengthen his spleen and thereby to reduce the warts.
The warts were healing quite fast. Most of the warts reduced sizes after a week, and after 4 weeks, they were completely disappeared. The different skin colours were still observed on the areas where water warts were presented but they will naturally heal over the time. Boy also starts to eat more, less sweating while sleep, less blocked nose and no dry coughing.
I have not seen a lot of water warts yet and therefore I cannot say that Chinese medicine is definitely effective for water warts. However, for those cases I have seen so far, it took between 2 to 4 months to recover from water warts. If you or your children are struggling from water warts, perhaps consider trying Chinese herbal medicine too.
Have a good day everyone.
Thank you =)
Published on 30 June 2020
# Myelodysplasia # Fatigue # Headache # Burning Feet # Insomnia
A client in 40s visited our clinic in early this year for her myelodysplasia, which was diagnosed about a year ago. Myelodysplasia is where the immature blood cells in the bone marrow fail to mature and therefore there are lack of healthy blood cells in the body. Usually there are not many symptoms in early stage but it may cause fatigue, shortness of breath or frequent infections as the condition progresses. In this client’s case, the rate of cells which produce blood cells were too low and therefore she was on the waiting list for the bone marrow transplantation.
Her symptoms were:
It was also noted that she has suffered from lots of emotional issues. Her pulse rate was quite high at 88 beats per minutes.
After checking her face, constitution, pulse and symptoms, I decided to take 2 steps in treating her condition. It was necessary to firstly soothe her emotional stagnation and then to strengthen her body. I provided her weekly decocted Chinese herbal medicine and acupuncture. After 3 months of treatments:
Most importantly, and thankfully, her most recent blood test which was conducted 2 weeks ago showed that there was a significant increase in her blood cells that the specialist has confirmed she no longer requires bone marrow transplantation.
I am still seeing this client and I think it is still too early to say that she is cured. But at least it is a positive sign that the rate on the blood test is now within normal range. After the discussion with the client, we plan to continue on for another 3-4 months of treatment to further improve her conditions.
Thank you very much for reading this case.
Published on 27 May 2020
# Shingles # Herpes Zoster
A female client visited me in early Feb this year. She said that she has skin irritation for 4 days. It started from her right-side nose to her right eye brows and it travelled to her forehead and then to right side temporal head. It sometimes causes her slight pain and itchiness. There were no vesicles yet.
The symptom and the location of her skin irritation suggested the possibility of shingles. When I asked her how it started, she mentioned that it started after the strong headache when she was stressed. She also mentioned that she repeatedly gets herpes on her nose. It appeared that the herpes on her nose was attacking her immune system after the stress trigger.
Her other signs and symptoms were:
Her facial colour was red and showed signs of high stress too.
I told her that she is suffering from initial stage of shingles on her head. I advised her not to scratch the affected skin areas in order to prevent from spreading the virus.
Traditional Chinese medicine very effective in treating shingles. I prescribed her the decocted herbs for a week. When she came back a week after, she said her irritation is a lot less but it sometimes still happened. I repeated same Chinese herbal medicine for further 2 weeks and it was completely cleared without any vesicles.
For shingles, it is very important to start the treatment at early stage and not touching the affected areas. Even if it has progressed further that you experience severe pain and many clustered vesicles, Chinese herbal medicine works very well to quickly calm it down.
Many of you may be under a lot of stress as the lock down progresses. Please make sure you do not overly stress in order to keep the good level of immune system.
In Chinese medicine, there is a saying that the Spring (good time) comes after the Winter (hardship time). So, be positive and stay healthy!
Published on 4 April 2020
# Enuresis # Bed-Wetting # Child Growth # Child Health
A primary school boy, age 6, visited with his mother for his bed-wetting issue, which happens almost every day.
He managed to self-urinate by 11-month-old but he started to have this issue for last 7 months. His mother believed that his issue has started after having younger brother 9 month ago. His mother said that her son was under huge stress about having the younger brother that his nails did not grow for last 8 months.
His other issues included:
His height and weight were within normal range for his age. He avoided eye sights and had many white spots on his face, which both in TCM’s view indicates the lack of energy. His eyes and ears were quite big which indicate Kidney and Liver issue.
Although his enuresis may have resulted from his stress, I decided to strengthen his Kidney and Liver energy so that he can better manage his emotional issues. Decocted herbal medicines were prescribed to him.
After 4 courses of weekly treatment, he now does not urinate while sleeping on most of the days (only once in last 2 weeks). He also can fall sleep within 30 minutes, eat more amounts than before, and pass bowels 1 in 1-2 days. He still suffers from leg and knee pain but the frequency is significantly reduced.
I recommended his mother to repeat the treatment for 2-3 more times to further strengthen his energy to completely stop the bed-wetting and leg pain.
If you do have child with bed-wetting issues, consider try Chinese herbs too.
Published on 06 February 2020
# Lower Back Pain # LBP # Stomach Pain
Male patient in late 30s, BMI 29.72, no significant previous medical history.
Main issue was the lower back pain (LBP) which he suffered for last 6 years and it became a lot worse for a month now. X- ray showed that the herniated disc at L4-5.
The LBP started while he was lifting heavy things at work. LBP presented constantly throughout the day and it travelled down to his right leg and he often felt numbness on right foot too. The pain was quite severe (VAS = 7-8/10) that he woke up at night due to the pain.
One interesting symptom was that he always suffers from bloating and the ‘stretching sensation from umbilicus to xyphoid process’ before the severe onset of his lower back pain.
Other signs and symptoms were as below:
From TCM perspective, there are quite many cases where lower back pain is caused by improper diet and stagnation of foods. By considering his stomach condition and LBP together, I thought his LBP is caused by food stagnation.
I applied acupuncture and provided him the decocted Chinese herbal medicine, which I repeated twice in 2 weeks. After 2 weeks, his pain rate was quite low (2-3/10) and it didn’t travel down his leg any more. He did not have frequent bloating and there was no pain between his umbilicus and xyphoid process. His bowels were more regulated that he only passes bowels twice a day although there was still incomplete sensation. Tinnitus did not present any more.
As his condition was improving quite well, we plan to continue on for next few weeks so that he wouldn’t experience any more pain on LBP and to treat his stomach condition.
Thank you for reading and wish you a great afternoon today.
Published on 9 January 2020
# Pregnancy Support # Infertility
An early 30s client has visited for pregnancy support.
Her menstruation was a bit irregular, ranging from 25 to 33 days. She sometimes has blood clots and usually experience painful abdomen on first 2 days of period.
Her other symptoms included:
Her complexion was red and her features indicate involvement of congenita heat in her body.
Her pulse was deep but tense and was 68 beats per minutes.
To assist the pregnancy, it is quite common to first adjust any menstruation / period issues. I thought her irregular period cycle and period pain was caused by heat in her Small intestine and Heart (from Chinese medicine perspective). Also most of her symptoms were able to explained by the Small intestine and Heart heat as well.
Hence, I prescribed her decocted Chinese herbal medicine to clear this heat. Client was a bit scared of needle, so we decided to use Chinese herbs only.
I repeated same Chinese herbal medicine for 9 weeks. During the course of Chinese herbal medicine, most of her symptoms were improved. She did not have much period pain on her next cycle. Sleep became deeper without much dreams. Even if she woke up at night sometimes, it was much easier to fall back to sleep. She no longer had sweating on hands and feet and no more heat sensation on hands and feet.
Mostly importantly, on her 10th visit, she told me it was confirmed that she is 4 weeks pregnant. I provided some information about pregnancy care and things to be cautious during pregnancy from Chinese medicine perspective. Hope the client’s pregnancy period goes well and smooth.
Thank you and wish you a Merry Christmas and a Happy New Year 2020!
Published on 6 December 2019
A female client in her late 30s with moderate body size (BMI 22.1) visited my clinic for her acnes.
Her acnes were located mainly on her chin and on both sides of cheeks. They get worse 2-3 days before the menstruation and after having spicy foods or eat late at night. Acnes are hard to mucous types and skins are the acnes are slightly reddish.
Other signs and symptoms:
Her pulse was deep, slippery and rapid (83 on right, 82 on left).
I diagnosed her as having damp heat in stomach, which causes the acnes. I provided her decocted Chinese herbal medicine and acupuncture treatments to remove her damp heat in order to help her acnes.
After 5 weeks of weekly treatments, her acnes were calming down that they were mainly presented on her left cheek. Her sleep was getting deeper. She did not burp much and had no diarrhoea. The mouth smell was calming down and she did not have much discharge. Her pulse was still deep but it was 71 beats per minute. Her cycle was regulated to 28 days and the acnes did not get worse during the period/
I repeated same treatments for further 3 weeks and her acnes were all resolved. Most of her other symptoms have also improved. I advised her to reduce her consumption of spicy foods (heat) and always dry her hair carefully (damp).
Thank you for reading my case and have a wonderful Melbourne Cup holiday!
Published on 4 November 2019
Digestive Issues - Stomachache, Acid Reflux & Burping
A male client in his 30s visited my clinic for his digestive issues, which he has been experiencing over 5 years. He was suffering from chronic and severe stomach ache, difficult to digest, burping throughout the day, acid reflux and frequent vomiting. Because of his severe digestive issues, he was only able to eat small amounts of foods each time. He also could not pass bowels for a few days and sometimes it even took up to 1 week for the bowel motion. He felt cold hands and feet when he is indigested.
Since his digestive issues, he also suffered from difficulty in falling sleep, lack of energy and motivation and easy weight loss. He was about 177cm tall but only weighted 55kg at the time of his first visit. His blood pressure was normal but his pulse was very rapid (92 beats per minute) and tense.
Scans showed nothing significant except minor stomach ulcer and therefore he was quite frustrated that he is not getting any treatments to improved his conditions.
Many of his symptoms and signs (e.g. burping, reflux, constipation, slim body size and rapid pulse) indicated to me that he was suffering from Yin deficiency with deficient heat. When there is lack of Yin energy, there is insufficient downward moving energy in our body. Hence the health issues such as reflux, indigestion, hot flushes, constipation and etc. can be manifested
I have provided him acupuncture treatments and Chinese herbal medicine over 4 weeks. During the course of his treatments, many of his conditions have improved. He no longer has frequent burping, no stomach aching nor vomiting, significantly less reflux and his bowel was more regulated that he was having the motion once in every two days. I have advised him to continue his treatment for another 4-8 weeks in order to prevent the recurrence of his issues.
Thank you again for reading my case, and I wish everyone to have a great day =)
Published on 07 October 2019
Case Study - Insomnia
During the month of June 2019, I had a male patient in his 30s who suffered from insomnia. It took him very long time to fall sleep. He was usually able to sleep after 3 am but he also woke up early too.
His energy is very low in general and his appetite was very poor. He also had quite bad reflux which was worse when he lied down. His bowel and urine seemed all healthy. He sometimes had dizziness, shoulder pain and lower back too. He mentioned that he gets stress and anxious quiet easily and he sometimes even felt like panic attack.
He was of very slim body size and his face and ears were very red. His pulse was quite rapid as well that he was more than 90 beats per minutes.
Insomnia can be caused by many different reasons from Chinese medicine / acupuncture perspectives. In male patients, it usually happens when their energies are quite low. This patient fell in this category. Acid reflux, slim body size and red ear indicate the possible Yin deficiency especially in Kidney or LU energies. As his Yin energy deteriorates, he can become much more active in the active due to the deficient heat arises in his body, which may describe his fast heart rate.
Hence, I applied acupuncture and herbal medicine to increase his Yin energy and to assist his sleep. After 2 weeks of treatment, he found that it was much easier to fall sleep and his overall condition was better. I believe that his response to Chinese herbal medicine and acupuncture was quite quick because he was still young. Usually it may take between 2 weeks to 2 months before a person feels good with insomnia. He repeated 2 more weeks to maintain and to further improve his better conditions. I also recommend him to do warm bath in the afternoon or mediation to bring down his rising deficient heat.
Thank you for reading my case once again.
Have a good day everyone =)
Published on 05 August 2019
Case Study - Chronic Indigestion
A female client in her 60s suffered from chronic indigestion for many years.
She suffers from severe stomach pain and discomfort, especially below the xyphoid process, and she burps quite often whenever she has indigestion. Her appetite is generally good but her digestion always gets worse after having foods made by flour, e.g. bread.
Her other health issues were (1) very shallow sleep and (2) chronic fatigue, which is worse in the morning. Her bowel motion (1 per day, well-formed) and urination (4-5 per day) all appear to be healthy.
Her blood pressure was normal and her pulse was tense and 67 beats per minute.
Her facial complexion was yellow in general and red around her cheeks.
If the person suffers from indigestion especially below the xyphoid process, it is usually caused by emotion-related indigestion. Her taut pulse and poor sleep also indicated that she has some emotional issues.
I used the acupuncture to soothe her QI flow and to resolve the food stagnation. She felt better with indigestion after the first session of acupuncture. I also prescribed her some decocted Chinese herbal medicine to regulate her digestion and energy. She has been taking herbs for 4 weeks now. She finds her energy is improving and has not had any indigestion issues so far. I advised her to come back after 3 months to follow up again.
In order to improve digestion, it is always recommended to walk slowly for 15-30 minutes after the meal. Have a minimum of 3 hours gap between your last meal and sleep time. Lastly, enjoy having your meal without thinking about other issues.
Have a good day everyone =)
Published on 05 July 2019.
Case Study - Coughing in Child
4.5-year-old girl visited the clinic with her mother for her coughing and common cold symptoms.
She was having dry cough which was worst at night and in early morning, runny nose, sneezing and slight temperature. She also felt like she needs to throw up. She did not want to drink fluid and had difficulty in passing the bowels.
Her palms were warmer than dorsum of her hands and her ears were cool.
Her pulse was tense and was stronger on right side.
Upon stomach palpation, she felt uncomfortable when I pressed her umbilicus and middle of the stomach.
Her signs and symptoms were typical example of coughing in children caused by food stagnation (indigestion). The symptoms are usually very similar to common cold / flu that some children even suffer from high temperature. But if the child’s palms are warmer than the dorsum of hand, uncomfortable stomach upon palpation and dry cough worse in early morning are the typical symptoms of indigestion in children. From TCM’s view, the food stagnation can create the heat in the body which then pushes up the diaphragm and causes the coughing.
I prescribed her 7 days of granules. When her mother visited me for her own case on another occasion, she confirmed that her daughter’s coughing and other symptoms were resolved in a few days after taking granules.
I see many parents worrying about their children’s coughing and common-cold like symptoms. I hope that this case provides them some information to distinguish coughing caused by indigestion.
Have a good day everyone =)
Published on 04 June 2019
Case Study - Chronic Fatigue
A patient in his late 60s visited for his chronic fatigue. For over a few months, he felt extremely tired, especially in the afternoon that he had no motivation to do things. He also felt whole body ache when he wakes up the in the morning. He said that there is not anything that caused his fatigue. It just started naturally.
His other symptoms included:
He was on some medications for diabetes, high blood pressure and cholesterol.
His facial complexion was red and his pulse about deep and slow.
From TCM perspective, the chronic fatigue can happen by a few different issues.
In this case, I thought his heart and kidney energy was low after considering his age, symptoms, pulse and facial complexion.
I prescribed him herbal medicine to boost his kidney and heart energy.
After 4 weeks, he felt improvements in most of the symptoms although not 100% better yet.
He felt less tired, no body ache when wake up, less acid reflux, no night sweating, no headache, no numbness, less shoulder stiffness and less coldness in feet.
For a person with chronic fatigue to get better, it usually takes 3-6 months of herbal medicine and/or acupuncture. This patient agreed to try for another month and hope that his conditions improves further.
Thank you for reading. Have a good day everyone.
Published on 06 May 2019
Case Study - Period Pain & Acnes
A high school teenager girl visited our clinic with her mother for her severe period pain and acnes. Her period cycle and duration were good but she had severe lower stomach, lower back and breast pain throughout her period. She started her period at age of 12, which is considered to be a bit early from TCM perspective. TCM views that female’s body changes every 7 years and therefore it is ideal to start period at age of 14. This early menarche (first period) indicates that her uterus is weak or contains a bit of heat.
From TCM perspective, female’s acnes are very closely related to the uterus conditions, especially when the acnes are mainly located on forehead and on T-Zone of the face. This client’s acnes were mainly on her forehead and chin. Thus, I thought that her acnes are caused by her uterus conditions.
Her other major symptoms included:
Her faces were red on cheeks and her upper lip was slight raised. This facial character indicates that there is a bit of heat in her organs. Her pulses were weak but rapid.
Considering all her conditions, facial characteristics and pulse, I diagnosed her as having deficient heat in her SI which then affects her uterus.
She took herbs 6 weeks so far (2 weeks x 3 visits) and had a few acupuncture treatments. She had very minor period pain this time and her acnes were settled down since 2nd week of herbal medicine. Her sweating on hands has almost disappeared. She finds easy to fall sleep now, and there has not been stomach pain nor headache since the treatment.
Key recommendations for her were:
Now her mother plans to have herbs once or twice a year to maintain her good health, and it was very pleased to hear that they were satisfied.
Thank you for reading my case.
Wish you all a good day.
Published on 29 March 2019
Case Study - Infertility / Pregnancy Support
Female client in her late 30s came for her infertility issue.
She was my old client who also had same issue a few years ago when I was in the different location.
At that time, she was successfully pregnant after a few months of herbal medicine & acupuncture treatments.
She came for her second pregnancy support this time.
After the first labour, she was having regular cycles but all the sudden she did not have cycle for past 3 months. Other symptoms included cold hands and feet, left thumb pain, lower back pain, shallow sleep and emotional swings during the period.
During the consultation, I found out that she went through huge emotional period for a while. Her pulse also showed that she had some stagnation in her body. Thumb pain usually indicates depression issues considering its meridian. Cold hands and feet can be resulted from a variety reason and one of the possible reason is due to the stagnation of her energy.
I prescribed her Chinese herbal medicine to regulate her cycle by soothing her circulation, and I also provided acupuncture treatment to strength her uterus as well as to promote circulation.
After about 3.5 months of treatments, she found out that she was 6-weeks pregnant.
I provided her some Chinese medical recommendations for pregnant period.
Hope she and her new boy go through easy and comfortable pregnancy.
Thank you for reading this case.
Have a nice afternoon everyone!
Published on 14 February 2019
Case Study - Right side body pain
Male patient in 40s visited our clinic for his right-side shoulder, upper back, lower back and leg discomfort and pain. Pain has started after some physical works. He felt pain and discomfort throughout whole day, and he also felt very tired recently.
His face was red, eyebrows were dark and his mouth was quite big. These appearances all indicated that there is some blood deficiency with possible heat in his body. When I checked his pulses, it was quite deep and loose, which also indicate blood deficiency.
Hence, I have applied acupuncture points on his left-side to boost up his blood energy and clears his deficient heat. Cupping was also performed after the acupuncture.
After 2 acupuncture sessions, he felt no discomfort and no pain. I still advised him not to do heavy physical works for a while and try to sleep early to increase his blood energy.
Thank you for reading my case.
Have a good day =)
Published on 01 February 2019
Case Study - Tennis Elbow (from post-natal weakness)
A female patient in her late 30s came to see me for right tennis elbow which she was suffering over 6 months. She does not believe there was anything triggered the pain. Her pain was constant dull in nature which was worse with pressure and in elbow extension.
Her other symptoms were:
I also noticed that she breastfed her child for about 2 years. I understand that breastfeeding over a year is recommended by Western medical doctors. However, in Chinese medicine, we do not recommend breastfeeding over 1.5 years. In most cases, I recommend breastfeeding between 12-14 months only because
Considering this, I diagnosed her tennis elbow as part of her post-natal weakness which led to weakness of her tendon. So, I applied acupuncture points on her left side (SAAM acupuncture technique) to boost her energy as well as to strengthen her tendon.
After 5 weekly treatments, she did not have pain, less thirsty, no headache, and no middle back pain. I advised her to revisit sometime next year to have some Chinese herbs to boost up her energy.
Thank you for reading my case study.
Have a good afternoon!
Published on 28 November 2018
Case Study - Insomnia
A mid-50s female patient has visited for her chronic insomnia. She said that although she is sleepy, she cannot fall sleep when she lies down on bed and usually takes her over an hour to fall sleep. She also wakes up at night because of urination (usually 2 per night) and she finds difficult to fall back sleep afterwards.
Her other sings and symptoms were:
- Feeling her body becomes very hot at night
- Sore and swollen legs in afternoon
- Put her feet out of blanket at night
- Shortness of breath and coughing in heavy air areas, especially indoor
- Tired easily
She was very tall and her cheek bones were quite big compared to her face size. These indicate that she may be constitutionally lack of Yin energy, which may cause her insomnia.
I prescribed her cooked Chinese herbal medicine for a week initially.
When she came back after a week, she said she felt better with shortness of breath, no coughing, and less sore and swollen legs in afternoon. But her insomnia was not changed much.
Although her main issue did not improve much, the improvement of her other symptoms were the signs of Yin energy being increased, and hence I repeated same cooked Chinese herbal medicine for next 3 weeks.
After 3 further weeks, she was able to fall sleep in less than 30 minutes with less hot sensation at night and less number of waking up for urination.
Now we plan to continue herbal medicine for next 2-3 months to more improve her insomnia and energy.
Thank you for reading this case and have a wonderful day.
Published on 29 October 2018
Case Study - Diarrhoea
A male patient in 50s visited our clinic for diarrhoea, which was started after having beef for dinner about 2 weeks ago.
He was having minimum of 3 bowel motions each day and the quality of bowel was varied between loose to watery diarrhoea.
His appetite was reduced and had slightly increased gas in stomach. He was thirsty at night and tired all the time.
His pulse showed that there was a stagnation in his upper and middle systems, which I thought was the reason for his diarrhoea.
Patient preferred to have acupuncture than having Chinese herbs.
So I applied acupuncture points to relieve the stagnation in his systems as well as some points to directly stopping diarrhoea. Total of 10 acupuncture points were applied in his extremities.
I also recommended him to purchase Shan Zha from a herbal shop to have as tea because Shan Zha is a great herb to relieve indigestion and diarrhoea from having meats.
Patient came back for check-up in 4 days. He said that he did not have any diarrhoea since the first visit although his bowel was still slightly loose.
I applied same acupuncture points to control the loose bowel quality.
Acupuncture and Chinese herbs are usually very effective in treating indigestion, diarrhoea, food poisoning and allergic hives reactions. Usually it takes a lot short time to treat the conditions if the patient suffered conditions for a shorter time.
Thank you and have a great day =)
Happy Chinese Moon Festival to you!
Published on 24 September 2018
Case Study - Gout on Big Toe
A male patient in 40s suffered from gout on his left-hand-side big toe.
He was suffering from gout on this location for 3-4 years, and it became worse in recent few weeks.
Pain was of dull in nature and the toe was swollen. The reddish skin on the toe indicated that there may be some inflammation too. Due to his pain, he was not able to walk properly.
Other signs and symptoms included:
In a big toe, there are 2 acupuncture meridians flowing – spleen and liver. This patient’s pain was mainly along the spleen meridian where the spleen, from TCM perspective, is the main organ to control the digestive system together with the stomach. This explained his bloating due to poor digestive system, which may have resulted from frequent meat consumption. Also, when the person suffers from poor digestive system (i.e. weak SP/ST), the body cannot generate enough energy (i.e. Qi & Blood in TCM) as well as resulting in stagnation of dampness. The damp stagnation may cause many symptoms such as shallow sleep, snoring, swelling of hands/face/body, spine sclerosis and weight gain etc.
Hence, I have tried acupuncture to strengthen his spleen function and to remove his dampness by needling on his extremities on opposite side to his gout location, which is a unique and common method in SAAM acupuncture. I have also advised him to reduce his consumption of meat.
After 3 treatments with 3-day intervals, the patient was freed from the pain. However, I have advised him to do some exercise and to keep the good diet to maintain his health in order to prevent the reoccurrence of his gout.
Thank you for reading my case and wish you a happy day =)
Published on 22 August 2018
Case Study - Shoulder Pain & Stomach Pain
A female client in her 40s visited me for RHS shoulder and neck pain which was on and off for years. She complained sharp and deep pain and sometimes stiffness too. Pain was worse with movement. Pain location was on anterior shoulder joint.
She also suffers from indigestion and stomach pain, which wakes her up in early morning. She tends not to eat too much even though she is very busy at her work because of her indigestion and she also doesn’t feel hungry.
She suffers from constipation over years which recently has improved with probiotics.
She often gets severe dizziness and LHS tension headache together with eye pain sometimes.
She had 20 years history of depression.
Her hands and feet are cold and her pulse was deep and tense.
In TCM perspective, she was having Tai Yin meridian issues. It means that her energy is not freely flowing as well as her digestive system became weak. So I acupunctured her to free flow her energy as well as to strengthen her digestive system.
After 5 sessions of acupuncture treatments, she did not have any shoulder pain but she was still experiencing stomach pain. I then prescribed her decocted Chinese herbal medicines. She called me after a week and mentioned that her stomach pain is gone and she eats well with hunger sensations. I advised her to come back for more herbal medicine for 1-2 weeks to further strengthen her stomach.
Thank you for reading and have a good weekend everyone =).
Published on 13 July 2018
Case Study - Painful and Tearing Eyes
A male client in his 40s visited our clinic for painful, fatigue and tearing eyes, which he has suffered for a few weeks. His eyes were congested and his face, ears and nose were appeared to be red colour. The client mentioned that he has been busy with his work both physically and mentally where his work involves a lot of time watching the monitor. He also suffered from minor lower back pain, difficulty in passing bowel and very fatigue especially after his work. His pulses were weak and slippery.
From Chinese medicine perspective, the eyes belong to the liver. There is a phrase saying that ‘energy of Liver is opened through eyes’. So, most eye conditions indicate that the client has liver and gall bladder issues from Chinese medicine perspective. Tearing eyes especially occurs when the liver energy of a person is very low. If you use your eyes too much, it also damages the liver energy.
Difficulty in passing bowel can happen in a few different situations, but considering his pulse and weakness of liver, I concluded that he is lacking Liver blood energy which fails to moisten the large intestine.
Hence, I prescribed him herbal medicine for a week and acupuncture points to strengthen his liver.
When he finished his herbs, he came back and said that his eyes are no longer painful but still slightly fatigue. Hence, I prescribed him same herbal medicine for extra week.
If you also have some eye issues, try some acupuncture and/or Chinese herbal medicine!
Have a great day =)
Published on 28 June 2018
Case Study - Sinus during Pregnancy
A pregnant patient was suffering from severe sinus during her pregnancy.
She felt like bruise around her nose and could not smell anything. Her ears were blocked and upper gums were sore as well.
She suffered from pneumonia 8 weeks before her sinus and she was still coughing with yellowish phlegm and vomited a few times as well. Her bowels were also very runny since the sinus.
Her pulse was very tense and slow for a pregnant woman, which indicated that her body was too cold.
I prescribed her decocted herbs for 1 week to assist sinus. This decocted herb is commonly used during pregnancy to help with common cold, sinus and even pneumonia. This herb is to harmonise the body of pregnant woman without causing sweating, urine promotion and diarrhoea. The following up chat with her, she was happy that she was recovered from her sinus.
In TCM's perspective, when a pregnant woman suffers from external diseases such as sinus and common cold, the treatment method should be focusing on avoiding sweating, urine promotion and diarrhoea in order not to harm the foetus.
So please remember! If you are pregnant and suffers from common cold in this winter season, please don't voluntarily cause sweating because it may harm your foetus.
Have a wonderful day =)
Publichsed on 25 May 2018
Case Study - Migraine
A female teenage client visited our clinic with her parents for migrain which she suffered over 1.5 years.
Migraine usually happens on occiput and LHS forehead with LHS eye pain. After the migraine attacks, she becomes lathargic and suffers from numbness of her limbs and blurred vision.
The attack was too severe that she frequently missed her school. Parents and the client are not aware of any triggers.
Her other symptms included - ST soreness, psoriasis on nape, rashes and difficult to wake up in the morning.
her pulse was very weak but tense, and her tongue had white coating from mid to root of tongue.
Her face was of oval shape with large forhead and eyes, eyes are deep and had dark circles. She was quite pale and was of slim body build.
A person with big forehead are usually emotionally very senstive and oval face shape often indicates some stomach / spleen disorrders. With this in mind, I diagnosed her with disharmoney between her liver and stomach considering her symptoms.
Because the clent was a bit young for the acupuncture and she was scared of acupuncture, I prescribed and decocted raw herbal medicine for a week to boost her stomach energy and to relieve her tension.
She repeated herbal medicine 6 times. During this period of time, she only had one migrine attack at early stage of treatment but with a lot less symptoms.
She wakes up more easily in the morning and most of her other symptoms have improved.
I recommened her parents to provide healthy meals to their daughter and maybe introduce her some relaxing activities such as yogo to maintain her health. I hope she maintains her good health =)
Published on 05 April 2018
Case Study - Urticaria (Hives)
A male client in his 30s came for urticaria all over his body which he has experienced for past 2-3 weeks.
He was of slim to fit body nature with dark eye brows and big nose.
His urticaria appeared slightly swollen from his skin with clear to pinkish colour and they are of coin sizes.
Client said that his urticaria started from his arms and back, and now it sometimes appears on his legs and stomach too.
His main complaint was the itchiness from urticaria which gets worse at night times
His other signs and symptoms included (1) excessive fatigue (2) excessive sweating (3) yellowish green phlegm with occasional blood inolved and (4) min. 3 nocturia per night.
His pulse was deep yet tense. His tongue body was very moisture with deep crack in centre and thin white coating at root.
An interesting fact was that the client eats until very late at night which he has done it for a while.
I diagnosed with him Spleen deficiency with damp accumulation, and prescribed him some herbal medicine to boost his digestive function and remove dampness to help his urticaria.
I noticed that quite many number of people eat until late night these days. In Chinese medicine, eating at late night can harm your digestive function and can results in symptoms like fatigue and itchiness in your limbs and stomach, which usually gets worse at night time. It is a quite common pattern of urticaria resulting from inappropriate eating habits.
Please remember to finish your dinner before 7pm. If you do have late dinner, please also don't forget to walk around for a while and sleep 2-3 hours after your dinner to keep your stomach healthy!
Have a wonderful day =)
Published on 22 February 2018
New Year Holiday Period
We are closed from 1 January 2018 to 6 January 2018, and then will be back to usual clinic hours from 8 Janary 2018.
We wish everyone a happy new year 2018!
Published on 28 December 2017
Case Study - Prolonged Coughing
70 years old female patient, suffered coughing for over 3 years. She often gets phlegm and itchy throat as well.
Her scans showed that her esophagus is narrowed with about 85% of normal lung capacity.
She also suffers from falling sleep at night and frequently wakes up due to the nocturia. She has good appetite but has difficutly digesting them. She feels slightly dizziness and her bowels tend to be loose.
Her pulse was slow (about 54 beats per minute) and deep, an her voice was very small.
From TCM perspective, prolonged coughing especially in elderies are often caused by lack of energies (Qi and/or Blood), and this patient also falls into this category.
Both acupuncture and herbal medicine are effective in this case. But because the patient was unable to come often for acupunctue as she lives far away from the clinic, I prescribed decocted Chinese herbal medicine to increase her energies.
Patient came back after 4 weeks with less coughing with very little phlegm.
She was prescribed with another course of decocted herbal medicine.
TCM classifies coughing in about 16 different types with different causes such as coughing from external pathogens (e.g. common cold), indigestion, damp retention, seasonal and etc.
Both acupuncture and Chinese herbal medicine are effective for coughing even when the coughing persists over a month.
Thank you fore reading.
Have a lovely day =)
Published on 28 December 2017
Please check the following link to find the acupuncturists around your area who provide pregnancy related acupuncture services. www.pregnancy.com.au
Published on 17 October 2017
Case Study - Frequent Nose bleeding & Abdominal Pain
A 10 year old female patient came to our clinic with her mother for her frequent nose bleeding and abdominal pain, which have been issues for a while. She experienced nose bleeding a few times a week, and had one episode of abodminal pain each day.
Her other symptoms were nocturia, nausea, frequent forehead headache, tired in the afternoon, constipation (1 in 2 days) and tingling in her feet.
She was slim to moderate body size with red cheeks and dry lips.
Her pulse was tense without much strength.
My diagnosis was that she was lacking Xue energy in her spleen.
When a child lacks the Xue energy in spleen, his/her body cannot hold the blood within the vessel and this can lead to freuqent nose bleeding and/or easy bruising.
This also causes the dryness of bowel pathway, leading to constipation, as well as poor circulation to cause pins and needle in extremities.
Of course, spleen - a main digestive organ from TCM view - weakness can cause some digestion issues as well as 'forehead (belongs to digestion in TCM)' headache.
Typical appearance characteristics for this condition include red cheeks and dry lips.
I provided decocted herbal medicine over 4 weeks.
During those 4 weeks, the client did not have any nose bleeding and decreasing frequency of abdominal pain.
Other symptoms all got better except the bowel motion which still tended to happen 1 in 1-2 days only.
I recomended her mother to consider continuing for 3-4 more weeks to adjust her bowel motion as well.
If you see your child with red cheeks and dry lips, he/she may also lacks the energy in spleen.
Providing them foods with some sweet taste can help them to recover in initial stage.
Thank you and have a good day =)
Published on 27 September 2017
Case Study - Pregnancy Support
A female client in her mid 30s came for pregnancy support as she was difficult to pregnant again after a miscarraige a year ago. She did not have any major issues affecting pregnancy from hospital checks.
After a consultation, I found that she had 2 major issues.
First issue was that she had her miscarriage in 2nd month of pregnancy. Even months (2,4,6,8) during the pregnancy are where your uterus should be closed. But if there was a miscarriage during these even months, it may indicate that the uterus was damaged from the miscarriage.
Second issue was that her stomach and uterus were too cold. A person would not want to stay in a cold room for a long time. Similarly, when the female's uterus is too cold, it is difficult for a foetus to settle it and therefore it may lead to infertility.
I prescribed her 3 courses of 2 weeks of decocted herbal medicine to address above two issues. After 3rd course of medicine, she was successfully pregnant.
There are many reasons affecting pregnancy. Please consult gynaecologists or Chinese Medicine practitioners as early as possible if you also experience same issues. There are always higher successful chances when you are even 1-day younger =) Have a great day.
Published on 23 August 2017
Case Study - Acnes
A female client in her 20s visited for her acnes. Acnes were all around her cheeks on both sides and around her chin. She also had some on her forehead as well. They were very tiny and white colours. Her skin was dry and face skin sometimes peeled off. She also felt that her face was tight and sometimes itchy, but there was no swelling or soreness.
Her other signs and symptoms were:
- difficult to fall sleep because she cannot stop thinking when lying on the bed, and her sleep was generally very shallow
- She tends to easily sweat
- Thirsty and dry lips when wake up in the morning
- Moderate to large amounts of vaginal discharge
Her pulse was fast (88-90 per minute), float and loose.
Considering her constitution, S&S and pulse, I diagnosed that her acnes are from deficient heat in lungs.
She was prescribed with 7 days decocted herbal medicine.
When she came back a week after, most of her acnes were disappeared, and decided to continue for 1-2 weeks more.
Please note that acnes can be caused from various reasons in Chinese Medicine perspectives, e.g. Lung, uterus, stomach, kidney, liver issues etc. Treatment period varies depending on many factors such as constitution, where the problem lies and how long the client had acnes etc. Some may take 1-2 weeks to treat but some many take longer periods.
Published on 23 August 2017
News - Efficacy of Acupuncture on Period Pain
There is an interesting article about the efficacy of acupuncture on reducing period pain.
Please click the link below to have a read.
Have a good day, everyone!
Published on 19 July 2017
Information - Foods to Avoid during Pregnancy
Here are some information about foods to avoid during pregnancy according to UNESCO registered Oriental medicinal book called Dong-Ui-Bo-Kam.
Thank you for reading.
Published on 29 June 2017.
Case Study - Prolonged Menstrual Bleeding & Indigestion
Early April 2017, Female client, mid 40s, came for her prolonged menstural bleeding and indigestion.
Her duration of menstruation was almost 20 days with small amount of blood. This has happend over a few cycles.
She did not have much discharges, no clots, and had very minor lower stomach pain during menstruation.
She also had lower back pain which sometimes travels down her leg and she needed back support aid.
Her sleep was very shallow, her appetitie was poor and frequently experienced indigestion especially below solar plexus.
Her pulse was overall deep but Guan positions on left and right hands were very tense.
I diagnosed her with Spleen Qi deficiency.
Spleen is a vital organ in TCM system which controls the digestion and motions of four limbs, supports lower back in females, and maintains the blood flows within the vessles.
Because her spleen did not have enough Qi, it failed to support the lower back, causes indigestion and failed to regulate proper blood flows.
Client did not want to try herbal medicines, and hence I applied acupuncture to strengthen her spleen as well as some points to ease her lower back pain. Acupuncture points such as SP 2, SP 1, LR 1, SI 3 were applied.
I also provided her short Chinese massage after acupuncture treatment.
Same treatment was repeated after a week.
Follow Up & Treatment
Client came back in late May 2017. She mentioned that her bleeding stopped after second treatment and her lower back pain was relieved that she no longer required back support aid.
She came for her indigestion this time which started after a late dinner. She experienced headache near her vertex and her limbs were aching. She was nauseus and felt her stomach is bloated too much.
I explained to her that this has happened because her spleen is not fully recovered yet and she requires more treatments to strengthen her spleen.
I applied acupuncture treatment to strengthen her spleen again. This time I also applied moxibustion on her stomach to provide some warmth and to promote circulation and strengthen Qi.
After the treatment, she said that she felt something moving down her stomach and believed that her indigestiona and bloating were relieved.
She was also prescribed with some herbal pills for indigestion.
In TCM, lower back of a female is often associated with her spleen and stomach strengths.
Once they lose the strength in their spleen and stomach, many of them experience lower back pain.
It is commonly seen among females with C/S.
By the time when a female experiences lower back pain because of spleen and stomach weakness,
it usually equires 1-2 months treatments to fully strengthen her spleen and stomach again although lower back pain and other symptoms can be relieved in a shorter time.
For the same reason, I asked this client to come back in 2 weeks time for a check up and further treatments to prevent the repetition of her health issues.
Published on 29 May 2017.
Case Study – Lower Back Pain
A female client in her late 40s visited this clinic in middle of April 2017.
She was suffering from severe lower back pain, which initially started 4 years ago and was previously diagnosed with herniation of lumbar discs at GP clinic.
Pain became severely worse this week, and she was considering to have a surgery.
She said that she could not stand up for two days this week and felt her whole body is numb including hands and feet. Although she had pain on whole lower back, more severe pain trembles down on her left thigh and lower leg.
She mentioned that she mainly lies down on her bed at home and she is on sick leaves from her work.
What is herniation of lumbar discs?
Spinal discs serve as shock absorbers between the vertebrae (back boners) and it supports the upper body to allow movements in all directions.
When a disc herniates, and leaks its inner material, it aggravates the nerve and triggers back pain and nerve pain down the leg.
TCM Diagnosis & Treatment
She mentions that she does physical works at her job and she is always tired, which well showed from her loose and no-strength pulse, especially at Guan (one of TCM pulse location). Her face is slightly pale but her cheeks were red. She was of very slim size.
I diagnosed her with Liver Qi & Blood deficiency and acupunctured on LR 8, KI 10, LR 3, LU 8 on her right-hand side. I usually acupuncture on opposite side to pain location and this is based on traditional acupuncture theory – “acupuncture on left when the disease is on right, and acupuncture on top when the disease is at bottom”.
She came back every 2-3 days afterwards and had similar acupuncture treatments with cupping and/or massage. She also had 1 week dose of Chinese herbal medicine to boost her liver energy to help her relieving pain and fatigue.
After 6 acupuncture treatments and 1 week of Chinese herbal medicine, she was able to do her daily job and walks about 2 hours without pain. She insisted to go back to her work, and I recommended her to do less hours of work for further 1-2 weeks. I hope that she looks after her body well from now on, and takes a good rest for her body to recover especially when she overworks.
Published on 03 May 2017.