Mr. Meng, a close friend of mine, sought my help when his wife—a woman in her forties—developed severe abdominal pain with a palpable mass shortly after childbirth.
Pulse Diagnosis Findings
Upon examining her pulse, I detected:
- An unusually forceful and rapid rhythm
- Tense quality beneath fingertips (Note: In TCM terminology, this “Shi Da Er Jian” pulse indicates excessive pathological energy)
My clinical experience suggested a grim prognosis, but out of respect for our friendship, I hesitated to voice my concerns directly.
Initial Prescription
Prescribed Ginseng and Ze Lan Decoction (Classic TCM formula for Qi-tonification and blood circulation promotion). Unfortunately, the (used in traditional contexts) brought no relief.
Doctor-Patient Dialogue
Mr. Meng (during follow-up):
“If the pain persists, this formula isn’t working. You should consult another physician.”Physician’s Account:
“He persisted, visiting my home three to four times daily…
‘After childbirth, a woman’s pulse should naturally feel soft and faint—a sign of expected blood and Qi depletion. But her pulse remains rigid and overpowering… I fear recovery is unlikely.’”Mr. Meng (with red-rimmed eyes):
“Please try another formula. Even if it fails, I’ll bear no resentment.”Final Response:
“My worry isn’t about resentment—it’s about wasting your resources and prolonging her suffering.”
Treatment Outcome
The patient:
- Underwent treatments from >10 physicians over 50 days
- Ultimately passed away despite all interventions
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