Abdominal Distension #4 (FSF)

Case from Fei Sheng-Fu (费绳甫)

Mr. Wu from northern Jiangsu [suffered] from Liver wood encroaching the Spleen until only it’s [qi] was present in the abdomen 致成單腹. The abdomen was distended like a drum, the umbilicus protruded outward, the tendons were blue. The back was normal but the waist full. This constituted a dangerous pattern. In this situation [the appropriate strategy] is to curb wood and support earth, unblock with warming [medicinals], and leach out dampness. Prescription was:

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Abdominal Distension #3 (5 visits) (FBX)

FBX-PicOriginal case by: Fei Bo-Xiong ((费伯雄)

[1st Visit]: Qi deficiency with fullness of the middle [burner]. The abdomen is distended and resistant to palpation. Both flanks are acutely painful, with focal distension and a stifling sensation in the chest and diaphragm. On getting up [in the morning] the patient feels well, but in the afternoon the stifling feeling becomes worse and the mood depressive. The stools are loose. The pulse is deep and wiry on the right, and wiry and rapid on the left. [Treatment will not be successful] unless one regulates and extends [the qi dynamic].

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Constraint Harming the Heart yang (YTS)

Case by: Ye Tian-Shi (叶天士)

Yu, 55 years old, suffered from constraint that harmed the Heart yang. The yang sunk into the yin leading to a turbid painful urinary dribbling disorder. This was internal damage from the emotions leading to a yin [area?] deficiency resulting in disease. Merely seeing the symptoms will bring about a disordered (incorrect) treatment and is most inferior.

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Chronic Constraint -> Fire (JB)

Case By: Jason Blalack

Intro: This is a somewhat informal presentation of a recent case that I found quite educational for myself. It is definitely not the cleanest case (easy success) but that is why I like it. I am still working out the best way to present these cases and if anyone has any suggestions please let me know. I also welcome others to submit their cases for us to learn from. I hope you enjoy it and welcome any feedback or criticisms.

Case: 55 year old male presented with testicular and perineal pain, sensation of “peeing glass”, strong sensation heat in the lower burner, unable to sit due to the pain, and frequent urination in both night and day. This had persisted for many months and had been labeled “chronic prostatitis.” He also presented with a painful left big toe, dry mouth, and very strong emotions (anger, anxiety, fear etc.). The pulse was cloudy (模糊,mó hú mài) and wiry, and his tongue was dark red/purple with a thick coat. The diagnosis was damp-heat stasis in the lower with the treatment principle of transform damp, clear heat, promote urination, and promote the movement of blood.

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