I. Chronic diarrhea XX Male 21 years old Date of first consultation: July 20, 2008 Current medical history: The patient went to Canada to study in 2005. At that time, the change of study and living environment and the pressure of study led to pain in the stomach and epigastrium, which evolved into a duodenal ulcer over time. Since then, he has been feeling physically fatigued, has poor appetite, and has diarrhea two to three times a day, sometimes thin and sometimes watery, with diarrhea immediately after eating greasy or cold food, accompanied by vague abdominal pain. Carve down syndrome: look at his body wasting, face thin s white, under the eyes showing greenish black. The tip of the tongue is red, the moss is thin and greasy, and the pulse is moist and smooth. Western medical diagnosis: duodenal ulcer Chinese medical diagnosis: congenital deficiency of middle qi, postoperative loss of spleen yang, deficiency of cold in the middle jiao, internal stagnation of water and dampness, and inability to transport and transform. Treatment: Tonify the middle jiao, benefit the qi, warm the spleen-yang, and dispel cold and dampness. Take acupuncture points Tianshu, Qihai, Sansili, Zhangmen and Gongsun, and moxibustion through heat at Guangyuan point after acupuncture, once every other day. The diarrhea stopped after three times and the weight increased by 3 kg after ten times, which was cured and has not occurred since. Polycystic ovary syndrome XX Female 21 years old Date of first consultation: November 14, 2008 History: Since the beginning of menstruation at the age of 12, the patient has been suffering from irregular periods, sometimes before and sometimes after, sometimes less and sometimes more menstrual flow, purple blood color, with blood clots, accompanied by lumbago and lower abdominal pain, without any treatment. In the past two years, her menstruation often did not come as scheduled, or once every two months or three months, and she had taken Chinese medicine to regulate it. During the period of taking herbal medicine, she had a letter every month, but once she stopped taking it, she had amenorrhea. I had taken Western medicine, but was unsuccessful, and stopped taking it for fear of its side effects. When I came to Korea to study, my diet and lifestyle changed drastically, and I did not take herbal medicine, so I did not receive a letter for two months. In China, she had an ultrasound examination and had small cysts on both ovaries, about 2cm in size. (Specific data not available) Western medical diagnosis: polycystic ovary syndrome. She was slightly obese and had black hair on her lips. She is cold in body and limbs, fatigued and sore in back. She feels breast swelling and pain at regular intervals every month, and her abdomen is swollen and uncomfortable, as if her menstruation has not yet arrived. The tongue is light, the coating is thin, the pulse is thin, and the ruler is sunken and weak. Chinese medicine diagnosis: congenital deficiency of Bingfu, liver qi stagnation, cold condensation in the uterus Treatment: dredge liver qi, activate blood circulation, remove blood stasis, tonify kidney and warm the uterus Points: Zhonggui, Guanyuan, Zhongji, Sanyinjiao, Hegu, Taichong, etc., after acupuncture Zhongji moxibustion nine strong, once every other day, a total of seven times, the onset of menstruation. At this time, the amount of low black, lumbar acidity is particularly heavy, and then take the waist kidney Yu, lumbar eye, secondary s, needle once after the lumbar acidity stop, menstrual flow increased, five days stop. The next month, the monthly letter as scheduled, the amount can be, no lumbar pain, but the time is prolonged, ten days still spotting more than, that is, to qihai mild moxibustion twice after the blood stopped. After that, the original method of treatment was given ten times, and later the electricity informed that the menstruation was as scheduled, no other discomfort, and the lip hair had become thin and light. Due to the condition, the blood was not reviewed by ultrasound. The patient has clinical features of menstrual disorder, amenorrhea, anovulation, hirsutism, obesity, infertility, and bilateral ovarian enlargement with polycystic changes. It is currently believed to be mainly related to the disorder of the hypothalamic-pituitary-ovarian axis. In Chinese medicine, it is believed to be caused by the deregulation of the kidney-tendue-chongren-uterine reproductive axis. The origin of the disease is kidney deficiency, while the symptoms are stagnant blood, phlegm and liver fire. According to the ancients, the Kidney Qi is abundant, the Yin and Yang are balanced, the Tian Kuei is mature, the Qi and Blood are harmonized, the uterus is full, and the menstruation is regular, so that conception and childbirth can occur. Sheng Ji Zong Lu: “Women are childless because of the lack of the punching point and the weakness of the kidney qi.” Kidney Yang deficiency is the root cause of the disease. When the kidney yang is deficient, the five internal organs and six bowels lose their warmth and nourishment, and the internal agitation is weak and the blood is prone to stagnation; externally, the body is prone to cold and blood stagnation. Loss of nourishment of the five viscera, qi deficiency and blood weakness, weak pulse flow, slow blood flow, easy to cause bruising. Kidney deficiency is not conducive to gasification, water and dampness are stagnant and coalesce into phlegm, kidney yang deficiency cannot warm the spleen and earth, the spleen is not healthy, and water also gathers into phlegm, phlegm and dampness stagnate the uterus, the qi is not smooth, the flushing is not regulated, and no child is born. Ling Shu? Five sounds and five flavors” cloud: “Women’s birth, surplus in the gas, deficient in blood, because of its number off blood. Blood deficiency is prone to liver and kidney yin deficiency, internal fire blazing, burning fluid, the symptoms are formed.” In this treatment, the fundamental treatment is to tonify the kidneys, taking Guan Yuan to cultivate Yuan Yang, which is taken from Zhang Jinyue “those who are good at tonifying Yin should seek Yin in Yang, and those who are good at tonifying Yang should seek Yang from Yin.” This is equivalent to Cistanche and Cuscuta. Qihai and Sanli tonify Qi, strengthen the spleen and resolve phlegm, equivalent to Citrus aurantium and Sharen. Sanyinjiao to invigorate blood and dispel blood stasis is equivalent to Sanyinghuang, Radix Angelicae Sinensis and Salviae Sinensis. Kidney Yu, the second s, is equivalent to Shu Di, Cornu Cervi Pantotrichum and Shan Yao. Fenglong, Hegu, and Taichong to dredge the liver and regulate qi, resolve phlegm and open the orifices, equivalent to Calamus and Yujin. The combined use of all these methods can play a role in tonifying the kidney, activating blood, regulating qi and dispelling phlegm. Pregnancy pain in the stomach and epigastrium XX Female 33 years old Date of first consultation: October 3, 2008 History: pain in the stomach and epigastrium starting 40 days after pregnancy, with burning sensation, nausea and vomiting when the pain is intense, especially intense when fasting. The pain decreases after food intake. The pain is accompanied by belching, acidity, dullness, distress and depression. I need to eat porridge every two hours, otherwise the pain worsens and seriously affects my sleep. He used to take herbal medicine to dredge the liver and regulate the qi and stomach, which was effective at first, but then gradually failed. He had no choice but to be referred to us. The symptoms were: yellowish face, painful face, mental atrophy, low speech, pain in the stomach and epigastrium, fat and dark tongue, white and greasy roots, string pulse. On examination, the pain was obvious in the middle and lower epigastrium, the right tianshu, the right foot sanli, the right hepatic yu and zhangmen. The pain was relieved by moxibustion of the above acupuncture points. The next day, the pain stopped immediately after the moxibustion, but after stopping the moxibustion, the pain started again. The pain stopped immediately with three strokes of moxibustion each at the central epigastrium, right tianshu and right foot sanli. On the next day, he moxibutated Hatsuo, Epigastric, Zhangmen, and Right Liver Yu again, and the stomach pain was completely cured. Only vomiting and acidity were apparent. Then moxibustion of Zhongshang, Chengman, Wu, Tianshu, and Sansili. After 4 times of moxibustion, the stomach pain was cured, appetite increased, sleep became fragrant, and the fetus was well in gynecological examination. D. Cough XX Female 43 years old Date of first consultation: April 19, 2008 Current medical history: 3 months ago, cough and headache caused by a cold were relieved after taking medicine, except for itchy throat, cough, sputum with little white color, cough is intense at night and relieved during the day, which seriously affects sleep. Western medicine diagnosis: bronchitis. The following symptoms were noted: calm spirit, slightly pale face, acceptable appetite, two bowel movements, pale tongue with thin white fur and thin pulse, which is attributed to the retention of cold and weakness of lung qi. The patient was given three strokes of moxibustion each for DaZhi and Lung Yu. Once a day, healed twice.