Loading... Please wait...

A Case Study

A CASE STUDY; idiopathic burning stomach

Let us see how dualistic thinking and nondualistic thinking play out differently in the ways of approaching a patient:

fotolia-51286214-subscription-monthly-m.jpgA young lady comes in complaining of burning epigastric pain for weeks. She also has thirst for cold drinks, dry mouth, bitter taste, swollen bleeding gums, and irritability. Her main complaint has not responded to over the counter drugs such as Maalox,Zantac, Prilosec,etc.. Her internist performs a physical and detects only mild epigastric tenderness, but no other abnormalities. The internist is thinking that most likely she has severe gastritis or ulcer but needs to rule out other serious diseases such as stomach cancer or pancreatic cancer,etc.

fotolia-6346979-subscription-monthly-m.jpg The patient had red tongue body with yellow dry coating, but this finding does not enter the head of the internist, because tongue colors and coating appearance are not meaningful signs in the language of biomedical medicine, where as in Chinese/Eastern medicine, such a tongue signifies active heat or fire. The complete laboratory works comes back positive for antibody to Helicobacter pylori. The blood sugar level and her chemistry are normal, and does not explain her thirst or dry mouth. The patient is refered to a gastroenterologist, who finds only mild inflammation in the upper endoscopy, and the normal results on ultrasound of abdomen.

So the patient is prescribed 2 weeks course of Nexium, amoxicillin, and biaxin to decrease stomach acid and to eradicate Helicobacter pylori, but develops diarrhea with nausea , and her burning epigastric pain does not respond. Her dentist finds swollen gums but no active gingivitis or dental caries. Now the patient is thinking that she is suffering from a “PSYCHOSOMATIC” disorder, and her symptoms are all inside her head,and is about to see a psychiatrist.

fotolia-40056443-subscription-monthly-m.jpgBut, Hesitatingly, she consults an Oriental medical doctor, who gives out a diagnosis of “ stomach fire” resulting from liver qi stagnation, and gives her decoction of “Xie Xin Tang” variation, which clears stomach and heart fire. After 3 weeks of taking it, her burning epigastric pain are gone, along with thirst, dry mouth , and bleeding gums, and her irritability. So her symptoms weren’t inside her head after all, but were manifestations of the imbalances of Qi ( stagnation), and Yang ( excess) of the stomach..

Our herbal formulas are based upon the nondualistic theories of Qi, Blood, Yin, and Yang., which are the beautiful languages of Chinese/ Eastern medicine, as therapeutically powerful as biomedical languages of modern medicine.