Category: Zui Hua Chuang Medical Cases
Liver Fire Excess with Qi-Blood Stasis
Case 1: Misdiagnosis of a High-ranking Official’s Daughter-in-Law The eldest daughter-in-law of the Prime Minister’s household (wife of official Zihe) had an irritable temperament. Due to the strict household rules, her prolonged emotional suppression led to abdominal bloating and a two-month absence of menstruation. Everyone mistakenly assumed she was pregnant and avoided proper medical examination.…
Post Stroke Limb Swelling and Pain
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Here’s an English translation with cultural adaptations for international readers (retaining all details and adding contextual explanations): Mid-Autumn Medical Case During the Mid-Autumn Festival, I suffered a recurring severe arm pain and summoned Mr. Cao, a junior official from the Ministry of Rites (“Bu Cao” – a low-ranking position in the Six Ministries during Ming-Qing…
Dizziness from Spleen Deficiency with Dampness
Medical Case Record of Qi Shouyang (Former National High-Ranking Official) Translated with Cultural Contextualization During his recuperation in the capital, Mr. Qi Shouyang suffered from chronic dizziness characterized by severe nausea, vomiting, and vertigo-like spatial disorientation. Multiple physicians had diagnosed this as constitutional weakness, prescribing prolonged use of ginseng and astragalus supplements without improvement. Symptoms…
Food Retention Triggering Diarrhea
Medical Case Record: Severe Diarrhea Treated with Sequential Herbal Formulas I once treated an unnamed merchant working at a traditional money exchange house (Qianzhuang) who developed severe diarrhea during summer. The initial physician diagnosed “excessive internal fire” and prescribed Chengqi Decoction (a classic purgative formula containing rhubarb/Da Huang and mirabilite/Mang Xiao for heat clearance). This…
Wind Pathogen Invading Organs Causing Sudden Aphasia
Medical Case Study: Traditional Chinese Medicine Treatment for Stroke-Like Symptoms Patient Profile: Mu Qitong, a merchant manager from Dongxiang, exhibited obesity and chronic overeating. During a summer banquet in Beijing, he suddenly developed acute symptoms: loss of speech, limb paralysis, and severe abdominal distension, requiring emergency transport home. Initial Misdiagnosis: A Southern Chinese acquaintance (with…
Cholera with Vomiting and Diarrhea
Less than a month after Guanxiang recovered from illness, his elder brother Weiqing (a county magistrate awaiting official appointment in the capital) was invited to a friend’s banquet. After indulging in food and wine, suffering from the summer heat, and overconfident in his strong constitution, he recklessly ate an entire watermelon. Late that night around…
Severe Scarlet Fever-like Rash with Coma
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In the spring of [Year designated by the Chinese cyclical calendar], my fellow townsman Guanxiang, who held the official title of Taishi (Grand Historian, responsible for archival records), attended a New Year’s group ceremonial gathering at Wenchang Hall. Around mid-afternoon (approximately 3 PM), he suddenly developed severe generalized pain. The attendees assumed it was fatigue…
Systemic Flushing with Yin Deficiency and Hyperactive Fire
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Translation of the Original Vernacular Version: The 13-year-old daughter of Imperial Censor Xingcha was a talented girl who excelled in classical literature and art. One summer, she suddenly developed a high fever with reddened skin. Multiple doctors gave conflicting diagnoses: Doctor A: Suspected epidemic disease, prescribed Huoxiang Zhengqi San Doctor B: Blamed excessive cold food,…
Phlegm-Dampness Obstructing Lung-Stomach Causing Cough, Asthma and Syncope
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Mr. Yang, a 50-year-old legal official in Beijing, suffered from severe asthma and chronic cough for over two decades. His coughing episodes frequently led to loss of consciousness, despite consultations with numerous physicians who prescribed various tonics targeting “Yin Deficiency” (a TCM concept of vital fluid depletion). During a social gathering, he described his frustration:…
Eye Pain due to Yin Deficiency with Internal Heat
Dr. Guo Hexuan (given name Changnian), a rural physician in China, specialized in prescribing herbal medicines. One summer, he suddenly developed severe eye pain. Believing it was due to “heat” (a common TCM diagnosis), he self-prescribed cooling herbs like Coptis (Huanglian), Gardenia (Shanzhi), chrysanthemum, and mint. Surprisingly, his condition worsened. Eventually, he sought my help.…
