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Book Title: Selected Medical Discussions from Futai Caotang Chapter: Main Text (40/56) Category: Medical Discussion

Panghuang
August 30, 2004, 9:19 PM
Hello Teacher, I have finished taking the three doses of medicine.
The abnormal indicators in today's complete blood count are as follows:
White Blood Cell (WBC) count: 18,000; Reference range: 4,000–10,000; High
Hematocrit (HCT): 0.337; Reference range: 0.36–0.47; Low
Neutrophil segmented percentage: 80%; Reference range: 50–70%; High
Lymphocyte percentage: 10%; Reference range: 20–40%; Low
Absolute Neutrophil Count: 14.05; Reference range: 2.0–7.5; High
Myelocytes: 0.18
Metamyelocytes: 0.35
All immature granulocytes are cancer cells.
Feedback provided above. Please prescribe a formula, Teacher.

Sanqisheng
August 30, 2004, 11:51 PM
Do not test blood too frequently. It is not concerning if the blood picture is temporarily unstable; as long as symptoms improve, the blood picture will also gradually normalize. Take the following prescription:
Hongshen (Red Ginseng Radix et Rhizoma Rubra) 9g, Maidong (Ophiopogonis Tuber) 4g, Ganjiang (Zingiberis Rhizoma) 5g, Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 10g, Rougui (Cinnamomi Cortex) 3g, Shanzhuyu (Corni Fructus) 8g, Zaoren (Ziziphi Spinosae Semen) 2g, Danggui (Angelicae Sinensis Radix) 7g, Heifuzi (Aconiti Lateralis Radix Preparata) 1g, Tusizi (Cuscutae Semen) 6g.
Decoct four bowls of water until two bowls remain. Take one bowl at 9:00 AM and one bowl at 5:00 PM. Continue for ten doses.

Panghuang
September 12, 2004, 2:53 PM
Teacher Sanqi, apart from pregnancy reactions, I have had no other abnormal symptoms recently. My attending physician focuses only on the following indicators: White Blood Cells, Hemoglobin, Platelets, whether the liver and spleen are enlarged, and whether there is sternal tenderness. These are also the most important criteria for determining whether leukemia is worsening.
Current status:
WBC: 20.1; Reference range: 4.0–10.0; High
Hb (Hemoglobin): 116; Reference range: 110–150; Normal
PLT (Platelets): 257; Reference range: 100–300; Normal
PE (Physical Examination): No sternal tenderness; Liver and spleen not enlarged.
Feedback provided above. Please prescribe a formula, Teacher.

Panghuang
September 12, 2004, 3:12 PM
Life has many obstacles. If you cannot overcome them, they are merely disasters to you; if you do overcome them, they become wealth.

Sanqisheng
September 12, 2004, 7:01 PM
Good. Do not change the formula for now. Continue taking this formula for another ten doses.

Meizi
September 16, 2004, 8:26 AM
Panghuang, I truly admire your courage, and I also respect Teacher Sanqi's exquisite medical skills. I deeply wish you both peace and safety throughout your lives!

Panghuang
September 23, 2004, 1:18 PM
Teacher Sanqi, how are you?
Current status:
WBC: 19,800; Reference range: 4,000–10,000;
Hb: 88; Reference range: 110–150; Low
PLT: 228; Reference range: 100–300; Normal
PE: No sternal tenderness; Liver and spleen not enlarged.
Feedback provided above. Please prescribe a formula, Teacher.

Panghuang
September 23, 2004, 1:20 PM
Thank you very much!

Panghuang
September 23, 2004, 1:36 PM
Additionally, I would like to supplement that immature granulocytes accounted for up to 6% in this blood test, mostly metamyelocytes. They grow and distribute within the bone marrow and have no relation to the blood itself. They do not belong to cancer cells, nor are they normal cells; healthy individuals should not have them.

Sanqisheng
September 23, 2004, 9:23 PM
Immature cells have not yet been completely eliminated, and the white blood cell count remains somewhat high, indicating that the pathogenic factors in the bone marrow have not been fully expelled. You may switch to the following prescription for three doses to expel the pathogenic qi, and then resume the original tonifying method:
Mahuang (Ephedrae Herba) 3g, Xixin (Asari Radix et Rhizoma) 1g, Heifuzi 6g, Guizhi (Cinnamomi Ramulus) 9g, Zhigancao 5g, Shengjiang (Zingiberis Rhizoma Recens) 3 slices, Dazao (Jujubae Fructus) 3 pieces (split), Huangqi (Astragali Radix) 9g, Danggui 7g, Hongshen 7g, Xuduan (Dipsaci Radix) 6g, Gouji (Cibotii Rhizoma) 6g, Gusuibu (Drynariae Rhizoma) 6g, Duzhong (Eucommiae Cortex) 6g, Shanzhuyu 8g.
Decoct five bowls of water until two bowls remain. Take one bowl at 4:00 PM and one bowl before going to bed at night. Three doses. Provide feedback immediately after taking them so that the formula can be adjusted as needed.

Panghuang
September 26, 2004, 6:57 PM
Hello Teacher Sanqi, I have taken the third dose according to this prescription. The reaction these past two days has been heavy gum bleeding while brushing teeth; everything else is normal. Additionally, do I need to undergo a blood test after finishing these three doses?

Sanqisheng
September 26, 2004, 7:40 PM
Continue taking the previous ten-herb formula for five more doses, and then get tested.

Panghuang
September 27, 2004, 10:37 AM
Teacher Sanqi, was the prescription written on August 30th or September 23rd?

Sanqisheng
September 27, 2004, 4:33 PM
The prescription from August 30th.

Panghuang
October 3, 2004, 2:07 PM
Hello Teacher Sanqi!
Current test results:
WBC: 27,000; Reference range: 4,000–10,000; High
Hb: 116; Reference range: 110–150; Normal
PLT: 269; Reference range: 100–300; Normal
Immature granulocytes have increased significantly, now reaching up to 6%;
PE: No sternal tenderness; Liver and spleen not enlarged.
Feedback provided above. Please prescribe a formula, Teacher.

Sanqisheng
October 3, 2004, 3:33 PM
Good. Currently, the residual immature granulocytes in the bone marrow may be dispersing into the peripheral blood. With continuous medication, these immature cells will finally be completely expelled. Next, proceed as last time: take the previous formula for three doses, then the earlier formula for five doses, then the previous formula for three doses again, and then the earlier formula for five doses again. Afterward, get tested again to see if the immature granulocytes continue to increase or begin to decrease.

Panghuang
October 24, 2004, 11:59 AM
Hello Teacher Sanqi!
Current test results:
WBC: 22,000; Reference range: 4,000–10,000; High
Hb: 116; Reference range: 110–150; Normal
PLT: 314; Reference range: 100–300; High
Immature granulocytes: 2%;
PE: No sternal tenderness; Liver and spleen normal.
Feedback provided above. Please prescribe a formula, Teacher.

Sanqisheng
October 24, 2004, 12:37 PM
Good. The reduction in immature granulocytes suggests that our previous hypothesis may be correct. You may alternate between the two previous formulas once more: the first formula for three doses, the second formula for five doses. Then check the blood picture again to observe changes in immature granulocytes and white blood cells.

Panghuang
October 29, 2004, 9:02 PM
Okay, thank you!

Panghuang
October 31, 2004, 4:24 PM
Hello Teacher Sanqi!
Current test results:
WBC: 23,000; Reference range: 4,000–10,000; High
Hb: 121; Reference range: 110–150; Normal
PLT: 314; Reference range: 100–300; High
Immature granulocytes: 2%;
PE: No sternal tenderness; Liver and spleen normal;
Additionally, I would like to supplement that recently my gums occasionally bleed when brushing teeth. For the past week, upon waking from sleep, I always feel heat in the head and heart, fatigue, nausea, and profuse sweating. Insomnia at night has occurred almost daily for the past week. Feedback provided above. Please instruct, Teacher.

Sanqisheng
October 31, 2004, 5:59 PM
Stop the later formula and switch to the following:
Hongshen 9g, Maidong 4g, Danggui 7g, Huanglian (Coptidis Rhizoma) 2g, Ganjiang 5g, Zhigancao 10g, Guizhi 3g, Baishao (Paeoniae Radix Alba) 8g, Heifuzi 1g, Shudi (Rehmanniae Radix Preparata) 6g.
Decoct four bowls of water until two bowls remain. Take one bowl at 11:00 AM and one bowl at 5:00 PM. Continue for ten doses.

Panghuang
October 31, 2004, 6:19 PM
Okay, thank you!

Panghuang
November 8, 2004, 6:14 PM
Hello Teacher Sanqi!
Current test results:
WBC: 30,000; Reference range: 4,000–10,000; High
Hb: 113; Reference range: 110–150; Normal
PLT: 252; Reference range: 100–300; Normal
Metamyelocytes: 2.07%;
Myelocytes: 1.18%;
PE: No sternal tenderness; Liver and spleen not enlarged;
Most adverse reactions from last time have disappeared, but the overall quality of the blood is poor. Feedback provided above. Please prescribe a formula, Teacher.

Sanqisheng
November 8, 2004, 9:13 PM
Switch to the following prescription:
Huangqi 20g, Danggui 10g, Zisu (Perillae Folium) 10g, Guizhi 10g, Baizhu (Atractylodis Macrocephalae Rhizoma) 15g, Dangshen (Codonopsis Radix) 15g, Zhigancao 15g, Ganjiang 15g, Heifuzi 10g.
Decoct five bowls of water until two bowls remain. Take one bowl at 7:00 AM and one bowl at 4:00 PM. Five doses. Alternate with the following five doses (changing daily):
Hongshen 9g, Maidong 4g, Danggui 7g, Huanglian 2g, Ganjiang 5g, Zhigancao 10g, Guizhi 3g, Baishao 8g, Heifuzi 1g, Shudi 6g.
Usage as before.

Panghuang
November 17, 2004, 6:23 PM
Hello Teacher, I caught a cold in the last two days. Main symptoms include nasal congestion, dry mouth and throat, dry cough, and pain in the throat pouch when coughing. The doctor prescribed some penicillin-like medications. Afraid of affecting the baby, I took it only once, but saw no improvement. Can I continue taking it?

Panghuang
November 17, 2004, 6:37 PM
Hello Teacher, I am now nine months pregnant. I may need to be hospitalized for observation this Friday, and a cesarean section is highly likely. Can I use Chinese patent medicines during hospitalization? Thank you!

Qingre Jiedu
November 17, 2004, 6:48 PM
Congratulations!
Your medical skills are truly excellent.
Hehe, I hope you and your child stay healthy.

Sanqisheng
November 17, 2004, 11:03 PM
I hope you can avoid a cesarean section as much as possible. A cesarean section causes significant damage to the mother's Qi and Blood, especially in your condition. You can discuss this with your doctor, hoping they will consider the patient's life safety rather than just profit issues. Avoid surgery if possible. If there is truly no other choice, you may continue taking Chinese medicine without interruption. Absolutely do not use antibiotics. Additionally, you can chant "Namo Avalokitesvara Bodhisattva" during labor; chanting with utmost sincerity will eliminate pain. Prayers are answered, and sincerity makes it effective. Remember! Remember! (Do not stop the Chinese medicine; take the ten-herb formula, and do not casually take other medicines.)

Panghuang
November 18, 2004, 10:54 AM
Hello Teacher, before thirty-four weeks, the baby was fine. Afterwards, the head turned upward, which is malpresentation, medically known as dystocia, meaning vaginal delivery is impossible, requiring a cesarean section. As the due date approaches, the baby's head is still up. Therefore, a cesarean section is the only option.

Panghuang
November 18, 2004, 11:03 AM
Also: Today, the cold has improved significantly. Nasal congestion is gone, but there is still slight pain in the throat when coughing.

Ziji Xiansheng
November 18, 2004, 11:41 AM
Moxibustion at Zhiyin (BL67) will turn the fetal position!

Sanqisheng
November 18, 2004, 8:25 PM
Please follow the method provided by Mr. Ziji: Light a moxa stick and apply heat to Zhiyin (BL67) (the longer you can endure the heat, the better). Moxa for half an hour daily from 4:30 PM to 5:00 PM, for six consecutive days. Then get an ultrasound examination. If the fetal position is corrected, avoid a cesarean section. Zhiyin (BL67) is located approximately two millimeters lateral to the outer corner of the toenail on the little toe.

Panghuang
November 19, 2004, 10:51 PM
Hello Teacher, I went to the hospital today. The doctor informed me that the placenta is not yet mature, probably needing until next week. Whether to take measures depends on placental maturity. Also, does the time 4:30–5:00 refer to AM or PM? Please instruct, Teacher. On behalf of the child and myself, I express deep gratitude to both teachers for your care and meticulous treatment of me and the child!

Sanqisheng
November 19, 2004, 11:08 PM
PM.

Panghuang
November 24, 2004, 5:16 PM
Hello Teacher Sanqi!
Current test results:
WBC: 30,000; Reference range: 4,000–10,000; High
Hb: 120; Reference range: 110–150; Normal
PLT: 248; Reference range: 100–300; Normal
Metamyelocytes: 10%;
Myelocytes: 8%;
PE: Sternum, liver, and spleen all normal;
Tongue body: Red;
However, the overall quality of the blood is not high. Note: Cold cured. Feedback provided above. Please prescribe a formula!

Sanqisheng
November 24, 2004, 7:53 PM
Switch to the following prescription:
Guizhi 9g, Danggui 9g, Baishao 6g, Hongshen 12g, Maidong 6g, Wuweizi (Schisandrae Chinensis Fructus) 3g, Ganjiang 15g, Baizhu 10g, Fuling (Poria) 9g, Shudi 9g, Zhigancao 6g, Dazao 5 pieces (split), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) 12g, Yuanzhi (Polygalae Radix) 9g, Heifuzi 18g.
Decoct five bowls of water slowly over low heat until two bowls remain. Take one bowl at 11:00 AM and one bowl at 5:00 PM. Continue for five doses.

Panghuang
November 29, 2004, 8:40 AM
Hello Sir. I am a friend of the patient.
First, I thank you for your selfless and enthusiastic help!
After several days of moxibustion, the baby's position did not turn. The patient was admitted for surgery today. The doctors were reluctant to perform a cesarean section, but it is the only option we have. We are all praying for the patient!
We will provide feedback promptly. We earnestly request that the teacher continue to help her get through this hurdle!

Sanqisheng
November 29, 2004, 10:12 PM
Good. I also send my best wishes from afar for everything to go smoothly! Prepare the ten-herb formula for her to take as needed. Try to avoid using antibiotics; hormonal drugs must especially be avoided.

Panghuang
November 30, 2004, 8:14 AM
Hello Sir.
The surgery time has been postponed, and we are currently waiting for the notification. I will post her situation here promptly.
May I ask if the ten-herb formula is the following:
Hongshen 9g, Maidong 4g, Danggui 7g, Huanglian 2g, Ganjiang 5g, Zhigancao 10g, Guizhi 3g, Baishao 8g, Heifuzi 1g, Shudi 6g.
Are the administration method and time still as before:
Decoct four bowls of water until two bowls remain. Take one bowl at 11:00 AM and one bowl at 5:00 PM. Continue for ten doses.
Thank you, Sir!

Sanqisheng
November 30, 2004, 8:53 PM
Yes.