Weblog of Xuemei Liu

Viewing and examine the patient on the 8th day: his paralytic ileus slowly remission, liver and kidney functions are in the process of improvement, the herbal enema can be absorbed more, the function of anal sphincter is enhanced, have 11 hours ventilator offline test, it was successful. He takes 200 ml thick rice soup each day through the gastric stoma, and has bowel movement once every one or two days, heart rate 96-106 beats / min with his natural breathing, many phlegm and deep coma, weak pulse still.
This is an effective treatment, the herbal enema continues 4 packs.
Chinese medicine decoction for intake: Zi Su 9g, Ren Shen 9g, Dang Gui 15g, Sheng Jiang 9g, Chen Pi 12g, Fu Ling 12g, Bai Zhu 12g, Gua Lou Ren 15g, Xing Ren 9g, Jie Gen 15g, Zhi Gan Cao 6g, Sha Ren 6g (cook late), Da Zao 6g, 4 packs, one pack per day, 100 ml decoction each time, four times a day, inject from the gastric stoma.
Experience: actual liver and kidney failures can be treated through the large intestine.

The next day after the Chinese medicine enema, patient eliminates a large number of black foul smell stools, the bowel sounds can be heard slightly stronger and more clearly, abdomen bloating and distension still, gastric juice from the stoma is fewer, and the patient has a normal body temperature, heart rate dropped to 117 beats / min., weak pulse. His digestive tract function slowly recovers. So 4 day later, the Traditional Chinese medicine prescriptions are adjusted to:
(1) Chinese medicine decoction for intake: Zhi Shi 9g, Hou Pu 9g, Mu Xiang 9g, Zi Su Ye 9g, Ren Shen 9g, Dang Gui 15g, Ban Xia 9g, Chen Pi 9g, Fu Ling 15g, Bai Zhu 15g, Xing Ren 9g, Jie Geng 15g, Zhi Gan Cao 6g, Gua Lou Ren 15g, 4 packs, one pack per day, 100 ml, four times a day, inject from the gastric stoma.
(2) Chinese medicine decoction for enema apply: Wu Yao 15g, Mu Xiang 15g, Sheng Da Huang (cook late) 12g, Hou Pu 24g, Zhi Shi 24g, Huang Qi 24g, Ban Xia 15g, Gui Zhi 12g, 4 packs, one pack per day, 200 ml, daily anal enema once.

One 24-year-old patient, male, 4 months after the an accident, critical condition, has been admission to ICU with so many medical diagnosis: acute brain injury, bilateral craniectomy after decompression of the hydrocephalus, pulmonary infection, respiratory failure, tracheotomy, paralysisintestinal obstruction, ascites, gastrostomy, renal failure, liver failure, venous filter implantation.
The patient is in deep coma, depending on ventilators and intravenous nutrition to sustain life. His limbs have no significant activity when stimulating, and light yellowish sputum comes out from suction duration. He has not pass any stool 3 days, and bowel sounds are sparse and very weak, only can be heard on the upper abdomen one area. The abdomen and stomach is bloating and hard, gastric juice flows from the gastric stoma, pale yellow skin, temperature of 38 degrees Celsius, heart rate 137 / min, and I cannot see the tongue, the pulse is very weak and fast, such as gossamer.
TCM diagnosis: Yuan qi deficiency and exhausting, plus qi stagnation and phlegm.
Treatment:
(1) Chinese medicine decoction applies immediately: Zhi Shi 9g, Hou Po 9g, Mu Xiang 9g, Zi Su 9g, Ren Shen 9g, Dang Gui 15g, Ban Xia 9g, Chen Pi 9g, Fu Ling 15g, Bai Zhu 15g, Raw Da Huang (cook late) 6g, Gua Lou Ren 15g, 4 packs, one pack per day, 100 ml, four times a day, inject from the gastric stoma.
(2) Chinese medicine decoction starts from the next day: Wu Yao 15g, Mu Xiang 15g, Raw Da Huang (cook late) 12g, Hou Po 24g, Zhi Shi 24g, Huang Qi 24g, Chuan Niu Xi 12g, Rou Gui 6g, 3 packs, one pack per day, 200 ml, daily anal enema once.

A young male patient, aged 21, had suffered from obesity more than 10 years, and he had gained weight very quickly in the last year. He came to the hospital with a medical report that had shown 193 kg of weight. His waist circumference was 145 cm, and calf maximum diameter was 63cm. Clinical symptoms included: difficult to walk fast, fatigue, depressed mood, eats large amount foods, no exercise, severe fatty liver, burning pain in legs when walking. I viewed the case and made a TCM diagnosis which is stomach heat plus some qi deficiency. He had been given acupuncture and Chinese medicine decoction. After 10 times of stomach acupuncture and 2 weeks of herbal treatment in the hospital, I prescribed herbs to bring back home to continue take for consolidating the curative effect and getting more improvement on weight loss. His abdominal circumference was reduced 2 cm, and calf maximum diameter was reduced 1.5 cm during this 2 weeks plan. Of course, the clinical symptoms had been improved at the same time. Thus, we know that extraordinary weight loss efficacy of acupuncture and Chinese medicine even in the short term.

One Patient, female, aged 51, it was on the fifth day post-operation of the thoracolumbar spinal space-occupying lesions when I see her. The patient had stomach distension for two days, nausea, not enter any food and water through mouth and no bowel movement since the surgery, pale face, thirst, unable to sleep, purple tongue with thick greasy coating, pulse string on the liver and spleen positions. I given acupuncture treatment after made Chinese medicine diagnosis --- cold and dampness blocked middle Jiao. The points I used was Zusanli (ST36) He-Sea Point (Zusanli (ST36) He-Sea Point) He-Sea Point, Tianshu (ST25) Front-Mu Point of the Large Intestine (Tianshu (ST25) Front-Mu Point of the Large Intestine) Front-Mu Point of the Large Intestine, Shangjuxu (ST37) The Lower He-Sea Point of the Large Intestine (Shangjuxu (ST37) The Lower He-Sea Point of the Large Intestine) The Lower He-Sea Point of the Large Intestine, Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point (Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point) Luo-Connecting Point the Eight Confluent Point, Gongsun (SP4) Luo-Connecting Point, The Eight Confluent Point (Gongsun (SP4) Luo-Connecting Point, The Eight Confluent Point) Luo-Connecting Point, The Eight Confluent Point, Zhongwan (CV12) Front-Mu Point of the Stomach (Zhongwan (CV12) Front-Mu Point of the Stomach) Front-Mu Point of the Stomach, Xiawan (CV10) (Xiawan (CV10)), Qihai (CV6) (Qihai (CV6)), Yinlingquan (SP9) He-Sea Point (Yinlingquan (SP9) He-Sea Point) He-Sea Point, SJ6, and TDP healing lamp on Shenque (CV8) (Shenque (CV8)) plus lower abdominal area. The patient started to eat food and drink water after one time acupuncture, had smooth bowel movements after 2 times treatment, and began to walk after 3 times treatment. Then I prescribed an herbal formula for her 7 days orally taken, it functioned as warming middle Jiao, smooth liver qi, and strengthen spleen. 2 weeks later when I saw her, she had been recovered very well from that operation. Many cases have shown that an early postoperative treatment of Acupuncture and Chinese Medicine is a great help to hospital in-patients.

One patient, 47 years old, breast cancer post-operation many years, had been found lung metastasis and brain metastasis (multiple metastases in the brain). She had radiotherapy and chemotherapy already. The Western medicinal doctors had basically abandoned her treatment, so she came to my office to seek Chinese medicine treatment. She had numbness and dyskinesia on one lower extremities, seizures, headache, black complexion, anxiety, palpitation, and cool limbs, pale tongue, white greasy coating, deep pulse. TCM diagnosis: Phlegm and stasis resistance internally, cold resistances meridians. By 6 months of warming yang herbal treatment, she had a CT scan again, the metastasis tumors had no growth, and those clinical symptoms had disappeared completely, her life is as same as healthy people.

Heat gets into “blood chamber” which is consider to uterus. This was originally from "Treatise on Febrile Diseases." It refers to woman whom has evil attack during menstruation or post-partum, the evil heat invades “blood chamber” and acts with blood when her defense is weak. Although it is not a frequently-occurring illness, but we still see it sometimes in clinic. The symptoms: after a few days of wind evil attack, she has chill and fever alternately with stopped menses which should not be over yet; or she has fever during the menses, her spirit is clear during day time, but delirium after sunset. This is heat into uterus and lead to blood knot. Xiao Chai Hu Tang from "Treatise on Febrile Diseases" will be a good formula to cure it.

Oversea TCM institutions generally pay more attention on the systemic management in teaching clinics, including: fixed healthcare process, team work, thoughtful arrangement of services, comply with supervisors, cultivate professional temperament, professional ethics, relationship between health professional and patient, clinic disinfection, medical records management, medical waste, clinical supplies and patient privacy protection etc.


Oversea clinical instructor of Chinese medicine needs to be good at foreign language, their own clinical experience as well as supervisory teaching experience. The clinical supervisor who possesses these qualities as a good teacher is somehow hard to find with. Since their role is so important that clinic director will not give up seeking. Therefore, following cultivation and upgrading for clinical instructors is an eternal topic of education.


Effective leading and managing is another key which cannot be ignored. Timing, advance case discussions, summed up at the end, practice guidance, and other sectors should follow a framework and implementation. In the guidance of individual case, supervisor personalized monitoring is to ensure the patient’s safety and treatment smoothly.


Oversea Chinese institutions pay attention on the interaction of theory and practice. Therefore the students usually have their clinic theater class at the first school year, and have their clinic observer shift started after some TCM foundation classes. The intern shift does not have to wait until the end of the last course. This is a good method to get mutual impetus.


Clinical training not only gives prominence to the key points of diagnosis and treatment, but also widely covers all the aspects. It resolves the short-term symptoms or acute problems, meanwhile has long-term plan for fundamental treatment as well as prevention of recurrence or follow-up tracking. The flexibility using of a variety of TCM methods offers students a well-shaped patterns, and the overall concept is conducive to their future conduct of clinics practice alone.


In order to maintain patient’s well being, coexisting with western medicine and other health care system is important. Clinical training leads students to expand their medical knowledge and learn from other health care systems. Promoting mutual understanding and development, it is a very good point in the clinical training.

Key words: TCM oversea, clinical training, experience

The facial acupuncture has facial beauty effect from clinical practice. Needles stimulate face points, such as Juliao (ST3), Taiyang, Yintang, Cuanzhu (BL2), Quanliao (SI18), Dicang (ST4), Baihui (GV20) and Chengjiang (CV24), that will smooth local qi movement, or bring qi upward to our face. Following the energy work, moisture stays on face skin, garbage excretes and adequate nutrition supply comes. Then we will have luster, less wrinkle, less spots and natural healthy color on our face.

We also know that Chinese beauty secret formulas have been circulated in palace which helped royal family members for thousands of years. In fact, these remedies against to age are not always mysterious; they are in accordance with the basic principles of Chinese medicine and basic properties of herbs into the configuration.

The human body is a unified whole, if one meridian does not function well the whole body system will have some problem. If the body overall situation in general is poor, the maintenance of beauty appearance will not be easy. Therefore, the systemic plan of facial beauty will be the combination of acupuncture and some Chinese herbs.

Facial acupuncture uses a very small and fine one-time completion of sterile needles. The treatment process in the sense of pain is very minor. Facial acupuncture combines with some body acupuncture and Chinese herbs, detoxification, nourishment, clearing stasis and balancing, all of them work together to achieve our anti-age effect.

By TCM standard yin-yang theory, we know that in general yin deficiency will cause yang deficiency. And if the patient’s yang deficiency isn’t corrected following this, the next stage is yin and yang both deficiency. This is absolutely right for many people.

But this may not fit for cancer and malignant tumor patients. What is cancer and malignant tumor in TCM diagnosis? Usually, in many views of practitioners, it has been considered to blood stasis and phlegm. I have a different opine through my personal clinical practice experience: cancer and malignant tumor is yin excess. It comes from yang deficiency. After the decreasing, the yang cannot function well as usual, cannot spread out yin, so the yin aggregation or accumulate then becomes yin excess-----cancer and malignant tumor will grow and come out. Therefore, the main treatment principle should be warm yang and dispel yin, instead of invigorate blood and remove phlegm.

TCM and acupuncture practitioners in western countries have been developed more authentic, more powerful and more energetic in this natural medicine field. It will be very good if oriental medicine doctors or acupuncturists use more modern technology, such as digital photography, to demonstrate the clinical efficacy and improvement. For example, taking pictures before treatment and after 5 times treatments to the local area of chronic skin problem, it will help us to prove our strength by the convincingness.