TCM China:

Record of Herbal Treatment Of Giacomo from Italy  

       
 

         

 

 

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.