Traditional Chinese Medicine combines the patient’s detailed history, a thorough subjective questionnaire, a physical examination, include tongue and pulse assessment, to determine the patient’s pattern of disharmony.
Patient complains of stomach bloating and pain, and diarrhea. Her bloating and stomach pain are worse after drinking an ice coffee, or eating a salad. Her pain can sometimes be extreme, and only finds relief by lying in the fetal position. Sometimes she see food particles in her stools. She also has urgency.
Palpation: Her abdomen is cold
Tongue: Thick white coating
Pulse: Deep, slow and tight
Diagnosis: Cold in the stomach causing stagnation
Treatment: Avoid cold drinks and foods. Cook foods. Far infrared, moxa, and/or massage to the abdomen. An herbal formulation that warms and regulates the digestion.
Lets use the same symptoms, but a different presentation:
Patient complains of stomach bloating and pain, and diarrhea. Her stomach bloating and pain are worse after eating bread or having desert, and often causes nausea. Her diarrhea is slightly sticky.
Palpation: No notable temperature variance. Notable epigastric stagnation with aversion to pressure
Tongue: Body is puffy, with a thick white coating
Diagnosis: Damp accumulation in the middle (Stomach and Spleen)
Treatment: Drain dampness, regulate the middle