Patient: 53 years old
Date: 3rd April 2023, First visit
Main Issue: Hemoptysis (coughing up blood) for three years, getting worse for past one month.
Patient:
“Hi TCM (Traditional Chinese Medicine) Practitioner, good morning! My problem is coughing and the blood-stained mucus seen.”
Prac. Liau:
“May I know this sickness has last for how long?”
Patient:
“Three years.”
Prac. Liau:
“Ah! Do you mean you spit out the blood-stained mucus for the past three years?”
Patient:
“I have a severe hit at my chest 4 years back. Following year, which is 2020, I think in July I started to have the hemoptysis symptoms, coughing up blood. Even I move my body I will spit the blood-stained mucus. It is getting worse for past 1 month.”
Prac. Liau:
“Do you still encounter other issue?”
Patient:
“Today my right neck is aching. I feel dried throat. Whenever I coughing up blood, the feeble wheezing sound in the alveoli (tiny sacs in the lung) will appear in advanced before coughing. When I coughed, it caused tingling ache underneath the right clavicle, so it did affect the surrounding muscle as well. Hence, I am really feared by coughing. Any factor causing the cough such as wind or air-conditioned environment, I try to avoid it. Sometimes, I wake up in the midnight and coughing up blood.”
The patient has good appetite and good sleep if not coughing.
The tongue diagnosis shown redness with white coating on top of the tongue. Purple red clot underneath the tongue.
In the month of April, we have been closely monitoring the outcome of the illness by prescribing the Chinese herbal medicines for several times. It seems that the volume of blood that spit has been reducing gradually.
Prescibed Chinese herbal medication for the patient.
2023 May 7 fifth visit:
Prac. Liau:
“Hi, how are you recently?”
Patient:
“The volume of blood-stained mucus discharged reduced as well as the cough. If I cough hardly, my right neck and the muscle underneath the right clavicle will cause me pain.”
Prac. Liau:
“Do you see any other symptoms?”
Patient:
“My sleep quality is not well. Hence, I tend to sleep in the daytime.”
Due to the symptoms are relieved much, we decided to meet 3 weeks later. We continue prescribing the herbal medicine for her.
2023 May 27 sixth visit:
Prac. Liau:
“Hi how are you?”
Patient:
“Past two weeks the discharge of blood-stained mucus has stopped. However, it resumes in the past few days.”
Prac. Liau:
“Please elaborate.”
Patient:
“Midnight suddenly Qi risen to the head and felt burping. If I cough with some energy, then it causes bleeding.”
We advise the patient to rest well. To feel relax. We continue prescribing the herbal medicines for the next two months.
2023 August 20 tenth visit:
Patient feedback to us that her hemoptysis issue has almost recovered. She will only cough when the environment is cold.
She continued the diagnoses for body maintenance purpose.
Case Study Analysis:
The patient is a middle-aged woman with a yellowish pale face and slim figure. After the occurrence of hemoptysis for past 3 years, she used to speak with a feeble voice and gentle motion because she learned that if she coughed out loud, the blood-stained mucus will be discharged. She has a severe hit at the chest 4 years back. Following year, which is 2020, she started to have the hemoptysis symptoms, coughing up blood. It has been worse for past 1 month. Whenever she coughing up blood, the feeble wheezing sound in the alveoli (tiny sacs in the lung) will appear in advanced before coughing. After coughing, it caused tingling ache underneath the right clavicle, so it did affect the surrounding muscle as well.
After the long period of 3 years, her body’s condition turned weaker. She hardly moved her body, her muscle started to shrink, and figure become slim. She has been haunted by the long period of fears and anxious about the occurrence of hemoptysis due to heavy cough. Sometimes, she felt the energy flow rises up till the head and trigger the cough. Indirectly, the coughing has affected the sleeping quality too. She has no energy to work in the daytime.
After several visits, she has been prescribing the oral prescription to boost up the immunity system. The herbal medicines ingredients were devised to balance Ying and Yang of the body to enable a good sound sleep. We encouraged the patient to do exercises to reduce the anxiety of moving the muscles of the limbs, as well as to build up the good flow of circulation in the muscles. By adopting the suggestion, the patient managed to help herself to become relaxing and build up the stamina of the body. Her coughing up blood has recovered gradually.
Tips for daily care:
- Diet therapy
We encouraged everyone stop drinking cold drinks and eating fried food. The cold food such as salad, ice-cream, icy fruits are not recommended as cold food slowing down the digestive system process. Meanwhile it might freeze the lung system and trigger chilling type of cough. Besides, fried food will cause heaty trapped inside the body. The heat also kept inside the lung system and trigger heaty type of cough. Both affecting the balancing of Ying and Yang in the body.
- Emotion therapy
It is highly recommended for everyone explore nature, listening to music, reading and involving in the activities that help calming our mind.
- Sleep therapy
Recommend everyone to cultivate a good habitual sleeping hours, for instance sleep early and wake up early.
- Regular exercises
Regular exercises and exposure to activities underneath sun are recommended. After the heavy sweating, it will improve the blood circulation and hence reduce body ache and soothing the muscle pain.
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简体中文 (Chinese (Simplified)) 
Melayu (Malay)
