Notes from Zhong Ri hospital, part 7, Shen

[Guest guest]

Hi all,

 

Am on the neurology ward at Xi Yuan but don't have anything to say

about it, pretty disappointing actually. What I do have is something

about Shen that a doctor on the Heart ward said to me at Zhong Ri.

Goes something like this:

 

Wisdom or intellect is the result of an inter-relationship between

the Heart Shen and the Kidney essence. In the same way as Water

(Kidney) and Fire (Heart) have a relationship. If there is phlegm in

the body due to the retention of dampness, then this will interfere

and obstruct the relationship between the Heart and Kidney. This is

known as phlegm misting the Heart orifices. In patients with this,

they will lack focus, memory or Shen. They will have a lost look on

their face and the pulse will also be without substance. All of this

was seen in a patient suffering with SLE (systemic lupus

erythematous).

 

Attilio

[Guest guest]

Dear Mr.Attilio

How about stroke patient in Neurology Ward? Any good case for us to share?

 

According to my experience stroke patients more faster rehab with TCM

(Accupuncture) more faster reversible.

But a lot of factor make this statement because depent many factor of

stroke?

What kind of herbal good for stroke patient?

 

Thank you for your attention and helps.

 

Best regards,

dr.Iwan Santosa

Jakarta, Indonesia

[Guest guest]

Hi Dr Iwan Santosa,

 

Ok, if you insist. I saw both inpatient and outpatients whilst in

the neurology ward. The doctor I was following was first trained in

Western medicine and then TCM. Therefore his stance was quite

Western. For example, syndrome differentiations were often

allopathic.

 

In the outpatient ward, the large number of patients presented with

symptoms of dizziness. Dizziness, the doctor said, can be divided

into 3 categories, Liver Fire, Phlegm and Spleen + Heart Qi

deficiency. Standard appropriate formulas were used in all syndromes.

 

In the inpatient ward, patients were categorised as having either

cerebral infarctions or cerebral haemorrhage. An example of a

patient is given below:

 

Male: 54.

 

Main complaint: dizziness.

 

Other symptoms: No vertigo, no headache, no aversion to hot or cold.

The dizziness is worse in the daytime. When the dizziness started he

vomited. The patient is dizzy when he stands. The patient has had

high Blood pressure for over 20 years, 130/80 was recorded a few

days ago. There is a family history of CHD. Sleep is normal. No

palpitations. No bitter taste in the mouth. No sweating, only

slightly at night. Bowels and urine are normal, once a day for bowel

movements. Not irritable. Cleft of lip and fingers were numb for 1-2

minutes when he was hospitalised. He also had a bitter taste in his

mouth at the time.

 

T: red, dull, ecchymoses, yellow coating.

P: strong and slightly wiry.

 

Ok, ponder on that and I'll post the doctor's analysis tomorrow.

 

Attilio

 

 

" dr.Iwan Santosa " <iwser@d...> wrote:

> Dear Mr.Attilio

> How about stroke patient in Neurology Ward? Any good case for us

to share?

>

> According to my experience stroke patients more faster rehab with

TCM

> (Accupuncture) more faster reversible.

> But a lot of factor make this statement because depent many factor

of

> stroke?

> What kind of herbal good for stroke patient?

>

> Thank you for your attention and helps.

>

> Best regards,

> dr.Iwan Santosa

> Jakarta, Indonesia

[Guest guest]

Kidney-Tonifying Health-Strengthening Tablet

(bu shen qiang shen pian)

 

Ingredients:

 

epimidium, cuscuta seed, Cherokee, ligustrum fruit, cibotium, etc.

 

Herba Epimedii 29.3 % Semen Cuscutae 17.7 % Fructus Rosae Laevigatae 17.7%

Fructus Ligustri Lucidi 17.7% Rhizoma Cibotii 17.6%

 

Functions and Indications:

 

Tonifying kidneys and strengthening health. It is used to treat aching pain of

the waist, soft legs, dizziness, tinnitus, palpitations, reduced ability, and

seminal emission.

 

Administration:

 

To be taken orally, five tablets each time, three times per day.

 

 

<attiliodalberto wrote:Hi Dr Iwan Santosa,

 

Ok, if you insist. I saw both inpatient and outpatients whilst in

the neurology ward. The doctor I was following was first trained in

Western medicine and then TCM. Therefore his stance was quite

Western. For example, syndrome differentiations were often

allopathic.

 

In the outpatient ward, the large number of patients presented with

symptoms of dizziness. Dizziness, the doctor said, can be divided

into 3 categories, Liver Fire, Phlegm and Spleen + Heart Qi

deficiency. Standard appropriate formulas were used in all syndromes.

 

In the inpatient ward, patients were categorised as having either

cerebral infarctions or cerebral haemorrhage. An example of a

patient is given below:

 

Male: 54.

 

Main complaint: dizziness.

 

Other symptoms: No vertigo, no headache, no aversion to hot or cold.

The dizziness is worse in the daytime. When the dizziness started he

vomited. The patient is dizzy when he stands. The patient has had

high Blood pressure for over 20 years, 130/80 was recorded a few

days ago. There is a family history of CHD. Sleep is normal. No

palpitations. No bitter taste in the mouth. No sweating, only

slightly at night. Bowels and urine are normal, once a day for bowel

movements. Not irritable. Cleft of lip and fingers were numb for 1-2

minutes when he was hospitalised. He also had a bitter taste in his

mouth at the time.

 

T: red, dull, ecchymoses, yellow coating.

P: strong and slightly wiry.

 

Ok, ponder on that and I'll post the doctor's analysis tomorrow.

 

Attilio

 

 

" dr.Iwan Santosa " <iwser@d...> wrote:

> Dear Mr.Attilio

> How about stroke patient in Neurology Ward? Any good case for us

to share?

>

> According to my experience stroke patients more faster rehab with

TCM

> (Accupuncture) more faster reversible.

> But a lot of factor make this statement because depent many factor

of

> stroke?

> What kind of herbal good for stroke patient?

>

> Thank you for your attention and helps.

>

> Best regards,

> dr.Iwan Santosa

> Jakarta, Indonesia

 

 

 

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[Guest guest]

Ok, the doctor's answer. He said the syndrome differentiation was

Phlegm Heat. Formula used was Huang Lian Wen Dan Tang.

 

Did another get anything different, I sure did.

 

Attilio

 

" " <attiliodalberto> wrote:

> Hi Dr Iwan Santosa,

>

> Ok, if you insist. I saw both inpatient and outpatients whilst in

> the neurology ward. The doctor I was following was first trained

in

> Western medicine and then TCM. Therefore his stance was quite

> Western. For example, syndrome differentiations were often

> allopathic.

>

> In the outpatient ward, the large number of patients presented

with

> symptoms of dizziness. Dizziness, the doctor said, can be divided

> into 3 categories, Liver Fire, Phlegm and Spleen + Heart Qi

> deficiency. Standard appropriate formulas were used in all

syndromes.

>

> In the inpatient ward, patients were categorised as having either

> cerebral infarctions or cerebral haemorrhage. An example of a

> patient is given below:

>

> Male: 54.

>

> Main complaint: dizziness.

>

> Other symptoms: No vertigo, no headache, no aversion to hot or

cold.

> The dizziness is worse in the daytime. When the dizziness started

he

> vomited. The patient is dizzy when he stands. The patient has had

> high Blood pressure for over 20 years, 130/80 was recorded a few

> days ago. There is a family history of CHD. Sleep is normal. No

> palpitations. No bitter taste in the mouth. No sweating, only

> slightly at night. Bowels and urine are normal, once a day for

bowel

> movements. Not irritable. Cleft of lip and fingers were numb for 1-

2

> minutes when he was hospitalised. He also had a bitter taste in

his

> mouth at the time.

>

> T: red, dull, ecchymoses, yellow coating.

> P: strong and slightly wiry.

>

> Ok, ponder on that and I'll post the doctor's analysis tomorrow.

>

> Attilio

>

>

> " dr.Iwan Santosa " <iwser@d...> wrote:

> > Dear Mr.Attilio

> > How about stroke patient in Neurology Ward? Any good case for us

> to share?

> >

> > According to my experience stroke patients more faster rehab

with

> TCM

> > (Accupuncture) more faster reversible.

> > But a lot of factor make this statement because depent many

factor

> of

> > stroke?

> > What kind of herbal good for stroke patient?

> >

> > Thank you for your attention and helps.

> >

> > Best regards,

> > dr.Iwan Santosa

> > Jakarta, Indonesia