May 4£¬2005.

Yang Jia, male, 17 years old, a middle school student in Huaihua¡¯s Train Middle School. Chronic diarrhea for 18 months. The stool is sloppy without normal shape. Frequent gas passing in bowl movement. There are slight pains before, in and after bowel movement. No abdominal pains other time. Three bowel movements each day. The amount of stool is not too much each time. The bowel movements are carried out at 7:00 Am, 12:00 Am and 7:00 Pm everyday. Pressing the umbilicus, there is painful feeling there.

Two years ago, there is a disease history of acute inflammation of the stomach and intestines. Many times of treatment by injection and oral use of western medicine as well as TCM treatment in other hospitals are of no help.

The patient may feel slight dizziness if reading books for a relatively long period. Occasionally, there is tinnitus which sounds like cicada.

Slight itching at the inner canthus. There is occasionally nose blockade. The history of rhinitis for one year. Runny nose happens occasionally at night. The patient feels thirsty. He could not drink milk, since drinking milk could worsen his symptoms. The patient could drink both hot or cold water, and prefers cold drinks. There is a slight bitter taste in the mouth. During this recent year, the amount of food-intake was reduced half. The spirit is not good. Much sleep, dreaminess and not easy to awake up.

Sometimes, Yang Jia feels chest oppression. He sometimes spits white and sticky phlegm, not too much amount. There is no desire of vomiting in the afternoon, the patient always feels palpitations for one hour. There is no obvious distending sense in the abdomen. There is not much gas passing without bowl movement. The right rib-side is comfortable. The urine is yellowish. There is not night urination. The lower abdomen likes warmth and pressure. Drinking hot water could make the abdomen feel better. No back pains.

Sometimes, the patient feels soft legs. He does not take part in physical exercise too much. In the afternoon, he feels hot sense in the soles and palms, three days a week. The patient does not feel aversion to cold. There is no cold sense of the hands and feet. The tongue is red, relatively thin, yellowish and greasy tongue coating. The pulse is soggy. Today¡¯s check reveals WBC O-1/HP. OB£¨+£©¡£The B-ultrasonic reveals normal liver, gall-bladder, pancreas, spleen.

The diagnosis:

Chronic Enteritis (western medicine)

Spleen Deficiency and Damp Stagnation (Chinese medicine)

Treatment strategy:

Tonifying the spleen, warming the intestines, quickening blood circulation, moving the qi, clearing heat, tonifying the spleen.

codonopsis root 15g,  ovate atractylodes rhizome 15g,  Chinese yam 15g,   poria 10g,   amommun seed 10g,   coix seed 10g,   agastache10g,   magnolia bark  10g, tangerine peel 6g,   buddha's  hand 10g,   atractylodez rhizome 10g,   atractylodez rhizome 10g,   peach kernel 10g,   carthamus flower 10g,   baijiang 15g,   wild chrysanthemum flower 15g,   dandelion 15g,   cuscuta seed 10g,   lycium berry 10g, evodia fruit 2 g

Prescribing three dosages, taking 200 milliliters in the morning and another 200 milliliters in the afternoon.

                                                                                                                                                                 Dr. Zhu Ming

May 6, 2005, taking our herbal tea for two days, the amount of stool is increased a little bit. Three times of bowel movement each day. The abdominal pains were worsened during bowl movement.

There are much foams and bulb-like fluids mixed with the stool. Much gas passing. The urine becomes whitish. The food-intake and sleep are the same as before. The tongue tip is red, the tongue coating is yellowish and greasy. The tongue coating becomes a little bit thicker. No obvious thirst.

codonopsis root 15g,   ovate atractylodes rhizome 15g,   Chinese yam 15g,   poria 10g,   amommun seed 10g,   coix seed10g,   agastache 10g,   magnolia bark  10g, tangerine peel 6g,   buddha's  hand 10g,   atractylodez rhizome 10g,   atractylodez rhizome 10g,   peach kernel 10g,   carthamus flower 10g,   baijiang 15g,   wild chrysanthemum flower 15g,   dandelion 15g,   cuscuta seed 10g,   lycium berry 10g, evodia fruit 3g

Three dosages are prescribed.

                                                                                                                                                                     Dr. Zhu Ming

May 11, 2005. During the recent two days, the bowel movement is twice or three times a day. The abdominal pains are reduced ten percent. The digestion degree is slightly better. There are not too much undigested foods and vegetables seen in the stool. The foams and bulb-like fluids in the stool are reduced 50%. The stool is still of no normal shape. Much gas passing during bowl movement. The urine is clear. The appetite, spirit and sleep are almost the same as before. Not much thirst.

codonopsis root 15g,   ovate atractylodes rhizome 15g,   Chinese yam 15g,   poria 10g,   amommun seed 10g,   coix seed 10g,   agastache 10g,   magnolia bark  10g, tangerine peel 6g,   buddha's  hand 10g,   atractylodez rhizome 10g,   atractylodez rhizome 10g,   peach kernel 10g,   carthamus flower 10g,   baijiang 15g,   wild chrysanthemum flower 15g,   dandelion 15g,   cuscuta seed 10g,   lycium berry 10g, evodia fruit 3g

Three dosages offered.

                                                                                                                                                                      Dr. Zhu Ming

May 13, 2005. The abdominal pains during bowel movement are reduced 30%. These recent two days, there are once or twice bowel movements each day. Yesterday is the first time during recent 500 days that the stool has the normal shape. There are not much undigested foods in the stool .The much foams and bulb-like fluids do not exist. No obvious change or improvement of the spirit, sleep. Still dreaminess.

The urine is whitish. There are no night urination and aching pains of the back. There is a self-feeling of 40 percent to 50 percent relief of distention in the lower abdomen. Slight thirst these two day. No bitter taste in the mouth.

The tip and two edges of the tongue are red. The tongue coating is thin, yellowish and moist. Slight cracking lines on the tongue body.

Only adding 12 grams of glehnia root in the former formula for three dosages.

                                                                                                                                                                         Dr. Zhu Ming

May 17, 2005. The patient does not come today. His mother said there is not obvious improvement during recent three days. So offer another six dosages as below.

codonopsis root 15g,   areca husk 12g,   ovate atractylodes rhizome 15g,   Chinese yam 15g,   poria 15g,   amommun seed 10g,   coix seed 15g,   agastache 10g, magnolia bark  10g,   tangerine peel 6g,   buddha's  hand 10g,   atractylodez rhizome 10g,   atractylodez rhizome 10g,   peach kernel 10g,   carthamus flower 10g,   baijiang 15g,   scutellaria root 10g,   dandelion 15g,   cuscuta seed 10g,   lycium berry 10g,   evodia fruit 3 g

                                                                                                                                                                         Dr. Zhu Ming

May 24, 2005. The patient said that during the recent three days, there is only one time bowel movement each day. The stool has the almost normal shape. No undigested food found in the stool. The appetite is improved. There are almost no abdominal pains during bowel movement. Pressing the umbilicus, the pains there in the past are relieved 80 percent. There are no bulb-like fluids in the stool. The smell of the stool comes back to the normal. There is not much gas passing in bowl movement. The tinnitus in the ears disappears. In recent days, the spirit and sleep are improved. There are slight thirst and slightly yellowish urine. The tongue tip is slightly red. The tongue coating is yellowish and greasy.

codonopsis root 15g,   ovate atractylodes rhizome 15g,   Chinese yam 15g poria 15g,   amommun seed 10g,   coix seed 15g,   areca husk  12g,   agastache 10g ,  magnolia bark  10g,   tangerine peel 6g,   buddha's  hand 10g,   atractylodez rhizome 10g,   atractylodez rhizome 10g,   peach kernel 10g,   carthamus flower 10g,   baijiang 15g,   wild chrysanthemum flower 15g,   dandelion 15g,   cuscuta seed 10g, lycium berry 10g,   evodia fruit 1.5g,   hawthorn  12g

Currently the general condition of the patient has been 90 percent recovered. Offering the above dosage for another six days so that the patient could get full recovery soon.

Advice the patient to take care of the food and rest. Avoid spicy, cold and uncooked and unhealthy food. Relax the mind and take part in the physical exercise in proper way so as to get stronger after long term diarrhea.

                                                                                                                                                                       Dr. Zhu Ming 

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My Disease History

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--The Self-Introduction Written by The Patient Himself

My name is Yang Jia, 17 years old now, coming from Huaihua, Hunan Province.

I went to hospital for treatment because of an acute diarrhea in June 2003. After the stool routine examination, it was found that there¡¯s WBC in it. According to the diagnosis, I was suffering from chronic enteritis.

After a few days of injection of western medicines, my condition was initially controlled. However, western medicines could merely alleviate the symptoms, it was difficult to effect a permanent cure for such a chronic disease. Thus I began to try TCM treatment by an old Dr. and took the herbal TCM medicine for more than 20 days.

Because of the slow effect, I felt unable to go ahead with the treatment, ad I stopped it finally.

My bowel movement is twice to three times each day, and it lasted for a long time. The stool was shapeless along with serious indigestion. Chronic enteritis was very harmful to my physical growth.

I turned to TCM treatment once again, and treated by a Doctor Xie. But after 20 dosages of herbal tea as well as the prepared herbal product for one month, there is still of no effect. On the contrary, I was even more worse because of strict diet advice. Until May 2005, I went to He Ji Hospital on a friends¡¯ recommendation and met with Dr. Ming for my health problem. Dr. Ming made a careful diagnosis for me, and prescribed a herbal formula. He examined my condition and made change of my formula every three days. There was no improvement at all as to my first three dosages, I become more serious. After another three dosages of herbal tea, my state was in a stable condition, and six days later I began to feel good changes. Another six days later, I got an obvious improvement and the suffering was cured basically.

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My chronic enteritis suffering for 2 years has been radically cured through TCM treatment by Dr. Ming. During this period of time, I just had 24 dosages herbal tea in all (including 3 dosages to stimulate appetite and fortify the spleen) and get a full recovery now.

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