{"id":22648,"date":"2024-03-09T11:17:37","date_gmt":"2024-03-09T03:17:37","guid":{"rendered":"https:\/\/vstcm.com\/coughing-up-blood\/"},"modified":"2024-03-09T11:17:39","modified_gmt":"2024-03-09T03:17:39","slug":"coughing-up-blood","status":"publish","type":"post","link":"https:\/\/vstcm.com\/en\/coughing-up-blood\/","title":{"rendered":"Coughing up blood"},"content":{"rendered":"<p><img fetchpriority=\"high\" fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-22375\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/3603187-1024x1024.jpg\" alt=\"\" width=\"356\" height=\"356\"><\/p>\n<p><span style=\"color: #800000; font-size: 22px;\"><strong>Patient: 53 years old<br \/>\nDate: 3rd April 2023, First visit<br \/>\nMain Issue: Hemoptysis (coughing up blood) for three years, getting worse for past one month.<\/strong><\/span><\/p>\n<hr>\n<p><img decoding=\"async\" class=\"alignnone wp-image-22387\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/cough-1024x683.jpg\" alt=\"\" width=\"438\" height=\"292\"><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><strong><span style=\"color: #008000;\">Patient: <\/span><br \/>\n<\/strong><\/span><span style=\"font-size: 20px; color: #000000;\">\u201cHi TCM (Traditional Chinese Medicine) Practitioner, good morning! My problem is coughing and the blood-stained mucus seen.\u201d <\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><strong><span style=\"color: #008000;\">Prac. Liau: <\/span><br \/>\n<\/strong>\u201cMay I know this sickness has last for how long?\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><strong><span style=\"color: #008000;\">Patient: <\/span><br \/>\n<\/strong>\u201cThree years.\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><strong><span style=\"color: #008000;\">Prac. Liau: <\/span><br \/>\n<\/strong>\u201cAh! Do you mean you spit out the blood-stained mucus for the past three years?\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><strong><span style=\"color: #008000;\">Patient: <\/span><br \/>\n<\/strong>\u201cI 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.\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><strong><span style=\"color: #008000;\">Prac. Liau: <\/span><br \/>\n<\/strong> \u201cDo you still encounter other issue?\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><strong><span style=\"color: #008000;\">Patient: <\/span><br \/>\n<\/strong>\u201cToday 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.\u201d<\/span><\/p>\n<p><strong><span style=\"font-size: 20px; color: #000000;\">The patient has good appetite and good sleep if not coughing.<br \/>\n<\/span><span style=\"font-size: 20px; color: #000000;\">The tongue diagnosis shown redness with white coating on top of the tongue. Purple red clot underneath the tongue. <\/span><\/strong><\/p>\n<hr>\n<p><img decoding=\"async\" class=\"alignnone wp-image-22378\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/1-3.4.2023.png\" alt=\"\" width=\"504\" height=\"373\" srcset=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/1-3.4.2023.png 504w, https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/1-3.4.2023-480x355.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 504px, 100vw\" \/><\/p>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-22381\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/2-9.4.2023.png\" alt=\"\" width=\"503\" height=\"370\" srcset=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/2-9.4.2023.png 503w, https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/2-9.4.2023-480x353.png 480w\" sizes=\"auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 503px, 100vw\" \/><\/p>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-22384\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/3-16.4.2023.png\" alt=\"\" width=\"507\" height=\"372\" srcset=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/3-16.4.2023.png 507w, https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/3-16.4.2023-480x352.png 480w\" sizes=\"auto, (min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 507px, 100vw\" \/><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">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.<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">Prescibed Chinese herbal medication for the patient.<\/span><\/p>\n<hr>\n<p><span style=\"text-decoration: underline;\"><span style=\"font-size: 22px; color: #800000; text-decoration: underline;\"><strong>2023 <\/strong><strong>May <\/strong><strong>7 <\/strong><strong>fifth visit: <\/strong><\/span><\/span><\/p>\n<p> <span style=\"font-size: 20px; color: #000000;\"><strong><span style=\"color: #008000;\"> Prac. Liau: <\/span><br \/>\n<\/strong><\/span><span style=\"font-size: 20px; color: #000000;\">\u201cHi, how are you recently?\u201d <\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><span style=\"color: #008000;\"><strong>Patient:<\/strong><\/span><br \/>\n\u201cThe 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.\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><span style=\"color: #008000;\"><strong>Prac. Liau:<\/strong><\/span><br \/>\n\u201cDo you see any other symptoms?\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><span style=\"color: #008000;\"><strong>Patient:<\/strong><\/span><br \/>\n\u201cMy sleep quality is not well. Hence, I tend to sleep in the daytime.\u201d<\/span><\/p>\n<p><strong><span style=\"font-size: 20px; color: #000000;\">Due to the symptoms are relieved much, we decided to meet 3 weeks later. We continue prescribing the herbal medicine for her.<\/span><\/strong><\/p>\n<hr>\n<p><span style=\"font-size: 22px; color: #800000;\"><strong><u>2023 <\/u><\/strong><strong><u>May <\/u><\/strong><strong><u>27 <\/u><\/strong><strong><u>sixth visit: <\/u><\/strong><\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><span style=\"color: #008000;\"><strong>Prac. Liau:<\/strong><\/span><br \/>\n\u201cHi how are you?\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><span style=\"color: #008000;\"><strong>Patient:<\/strong><\/span><br \/>\n\u201cPast two weeks the discharge of blood-stained mucus has stopped. However, it resumes in the past few days.\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><span style=\"color: #008000;\"><strong>Prac. Liau:<\/strong><\/span><br \/>\n\u201cPlease elaborate.\u201d<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><strong><span style=\"color: #008000;\">Patient:<\/span><\/strong><br \/>\n\u201cMidnight suddenly Qi risen to the head and felt burping. If I cough with some energy, then it causes bleeding.\u201d<\/span><\/p>\n<p><strong><span style=\"font-size: 20px; color: #000000;\">We advise the patient to rest well. To feel relax. We continue prescribing the herbal medicines for the next two months.<br \/>\n<\/span><\/strong><\/p>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\" wp-image-22390\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/burp-1024x683.jpg\" alt=\"\" width=\"363\" height=\"242\"><\/p>\n<hr>\n<p><span style=\"font-size: 22px; color: #800000;\"><strong><u>2023 <\/u><\/strong><strong><u>August <\/u><\/strong><strong><u>20 <\/u><\/strong><strong><u>tenth visit: <\/u><\/strong><\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">Patient feedback to us that her hemoptysis issue has almost recovered. She will only cough when the environment is cold.<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">She continued the diagnoses for body maintenance purpose.<\/span><\/p>\n<hr>\n<p><span style=\"font-size: 22px; color: #800000;\"><strong>Case Study Analysis:<\/strong><\/span><\/p>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\" wp-image-22393\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/young-vietnamese-woman-with-short-hair-purple-wall-making-sleep-gesture-1024x683.jpg\" alt=\"\" width=\"301\" height=\"200\"><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">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.<\/span><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">After the long period of 3 years, her body\u2019s 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.<\/span><\/p>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\" wp-image-20548\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2023\/09\/cough1-1024x683.jpg\" alt=\"\" width=\"365\" height=\"243\"><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\"><strong>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. <\/strong>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.<\/span><\/p>\n<hr>\n<p><span style=\"font-size: 22px; color: #800000;\"><strong>Tips for daily care:<\/strong><\/span><\/p>\n<ol>\n<li><span style=\"font-size: 20px; color: #000000;\">Diet therapy<\/span><\/li>\n<\/ol>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-22397\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/COLD-1024x466.png\" alt=\"\" width=\"418\" height=\"190\"><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">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.<\/span><\/p>\n<ol start=\"2\">\n<li><span style=\"font-size: 20px; color: #000000;\">Emotion therapy<\/span><\/li>\n<\/ol>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-22403\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/MOOD.png\" alt=\"\" width=\"408\" height=\"222\"><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">It is highly recommended for everyone explore nature, listening to music, reading and involving in the activities that help calming our mind.<\/span><\/p>\n<ol start=\"3\">\n<li><span style=\"font-size: 20px; color: #000000;\">Sleep therapy<\/span><\/li>\n<\/ol>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\" wp-image-22406\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/wakeup-stretch-1024x692.jpg\" alt=\"\" width=\"400\" height=\"270\"><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">Recommend everyone to cultivate a good habitual sleeping hours, for instance sleep early and wake up early.<\/span><\/p>\n<ol start=\"4\">\n<li><span style=\"font-size: 20px; color: #000000;\">Regular exercises<\/span><\/li>\n<\/ol>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-22409\" src=\"https:\/\/vstcm.com\/wp-content\/uploads\/2024\/02\/EXERCISE-1024x343.png\" alt=\"\" width=\"630\" height=\"211\"><\/p>\n<p><span style=\"font-size: 20px; color: #000000;\">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.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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: \u201cHi TCM (Traditional Chinese Medicine) Practitioner, good morning! My problem is coughing and the blood-stained mucus seen.\u201d Prac. Liau: \u201cMay I know this sickness has last for how long?\u201d [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":22439,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[435,426],"tags":[1479,1478,444,707,590,705,711,446,710,709,451,452,701,712,693,694,708,456,458,700,467,704,703,1477,469,717],"class_list":["post-22648","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-cases-sharing-en","category-doc-tcm-liau-en","tag-batuk-berdarah-en","tag-coughing-blood-en","tag-selangor-en","tag-subang--en","tag-tcm-en","tag-tcm-knowledge-en","tag-tcm-subang-en","tag-tcm-usj-en","tag-tradisional-chinese-medicine-subang-en","tag-usj-en","tag-usj-tcm-en","tag-usj--en","tag-visions-tcm-branch-en","tag-visions-tcm-usj-en","tag--en","tag--selangor-en","tag--subang-en","tag--usj-en","tag---en"],"_links":{"self":[{"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/posts\/22648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/comments?post=22648"}],"version-history":[{"count":1,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/posts\/22648\/revisions"}],"predecessor-version":[{"id":22649,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/posts\/22648\/revisions\/22649"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/media\/22439"}],"wp:attachment":[{"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/media?parent=22648"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/categories?post=22648"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vstcm.com\/en\/wp-json\/wp\/v2\/tags?post=22648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}