Category: Zui Hua Chuang Medical Cases
(chapter33)Summerheat Stagnation Mistreated with Warming Herbs
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In the spring of 1736 CE (Bingchen year under the Qing dynasty’s Qianlong Emperor), I arrived in Shaanxi province as a reserve official. Mr. Shen Xiaomei, the governor of Xi’an and a former senior advisor in the imperial cabinet, invited me to assist with administrative duties during his transitional period. We worked closely together, and…
(chapter32)Liver Stagnation with Rebellious Qi: Pulse-Symptom Mismatch
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Case Study of Liver Pulse Prognosis The patient was the father of my clansman Wang Danwen (called “Maocai” – an imperial examination title equivalent to scholar). I always treated him with the respect due to an elder. In his youth, he had been an astute businessman, particularly skilled in profit calculations (ancient Chinese referred to…
(chapter31)Concurrent Postpartum Chest Pain, Lactation Phlegm Syndrome, and Liver Damage from Rage
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Case 1: Postpartum Chest Pain Misdiagnosis My sister-in-law (my wife’s younger sister) married the eldest son of Mr. Zhang, a military examination candidate (wǔjǔrén). After giving birth, she developed severe chest and stomach pain. During episodes, she couldn’t eat, had rapid breathing, and a dry mouth. Her father-in-law consulted multiple doctors, all of whom diagnosed…
(chapter30)Postpartum Abdominal Pain
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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”…
Wind Phlegm Disturbing the Mind Causing Confusion
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Medical Case Study: Acute Neuroinflammation Treated with Traditional Chinese Medicine In our village, Mrs. Duan, a woman in her twenties, suddenly developed alarming symptoms: 1,Mental confusion 2,Full-body tremors with cold sweats 3,Lockjaw preventing speech 4,Severe abdominal distension and pain causing agonized writhing Her family suspected “evil spirit possession” and summoned a local shaman who: 1,Conducted…
Yin-Type Abscess on Back (Chronic Ulcer)
A merchant from another province (name unknown), working as a pawnshop manager, developed a severe abscess on his back after autumn. Despite multiple medical interventions, the condition persisted. His younger brother arrived at my residence in a carriage, performing a kowtow (a traditional gesture of respect involving kneeling and touching the forehead to the ground)…
Common Cold with Internal Heat and Wind-Cold Attack
In the cultural circles of 19th-century Beijing, a story unfolded between Ma Jieqiao, an official from the Ministry of Rites (responsible for state rituals), and a renowned opera performer named A’Er: As autumn arrived, A’Er contracted malaria with distinct symptoms: frequent chills (“excessive cold” in traditional Chinese medicine terminology) accompanied by rare fever episodes, leaving…
Liver Qi Stagnation Causing Hernia Pain
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Mr. Zhang Bingtang, my fellow townsman, developed a hernia during the lunar calendar year of Jiayin. His symptoms included swollen and sagging testicles, with frequent sharp pains in the lower abdomen. At the time, he was assigned to work at the Old Summer Palace (Yuanmingyuan). The road out of the city gate was paved with…
Yin Deficiency with Internal Heat Damaging Spleen and Blood
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A Scholar’s Recovery: Traditional Chinese Medicine in Action In the year Renzi (a traditional Chinese calendar year), my fellow scholar Lou Bingqing passed the imperial civil examination and was appointed as a Shujichang (a probationary officer in the Hanlin Academy). While temporarily residing at Three Loyalists Temple, he secretly battled a chronic blood-coughing illness…
Diarrhea caused by excessive water intake was mistakenly treated with ascending tonics
My provincial fellow examinee Jiang Yanxiong traveled to Beijing for the Jingzhao imperial examination and lodged with me at the Three-Loyalty Shrine. We frequently engaged in literary discussions and banquets, enjoying each other’s company. In early autumn, continuous rainy weather persisted for over ten days, exacerbated by his northern constitution being unaccustomed to dampness. One…
