Q: Hello doctor, my loved one is anxious and burdened with thoughts, and has been treated with antibiotics for a long time due to chronic inflammation in the respiratory tract and other areas. I feel that I have pain in all my internal organs, but my work is not affected. The last time I had a consultation with you, I had a prescription for herbal treatment. First of all, thank you very much for prescribing the medicine to my beloved. After he took it for a period of time, I obviously felt that his mind burden and physical discomfort had improved. However, last night, when I looked at his tongue, I found a burnt black dry moss in the middle and back of his tongue, just like the tongue of the patient with multiple intracranial tumors in your book “Complete Manual of Tongue Diagnosis in Chinese Medicine”, P110. The explanation in the original book is: “Evil heat enters the internal organs and is contained in the internal organs; this tongue image is mostly of solid heat in the liver and gallbladder.” He did have a fatty liver and gallbladder polyps, and had symptoms of bitter mouth, yellow urine, and dry stools. According to his own description, this black dry moss partially disappeared half a month after he stopped taking continuous antibiotics. I used to think that he was psychologically saying that his internal organs were hurting, but now I know it is not, because this pain is slowly disappearing with the recent regimen. I am now worried if he will have any major illness? Can I go to Beijing again and ask you to treat him? A: Here are a few questions: a. Should I take antibiotics for chronic inflammation for a long time? Chronic inflammation, for most people, will be encountered or experienced during their lifetime. Overall, chronic inflammation develops from acute inflammation. Why does acute inflammation progress to the stage of chronic inflammation? In addition to untimely treatment or improper treatment methods, failure to terminate the course of the disease in the acute phase of inflammation, more importantly, involves three aspects: 1, the frequent application of antibiotics. Many inflammatory diseases, without the frequent application of antibiotics. The long-term application of antibiotics, will make their own antibacterial anti-inflammatory ability to decline, that is, their own immune system and the ability to resist external germs invasion can not effectively produce and function. 2, the antibiotics as a preventive medicine for inflammation. That is a great misconception or medical practice. The result of this is not only that chronic inflammation cannot be eliminated, but also that the more serious inflammation can not be helped, or cure and ineffective, with its serious side effects endanger health. The misuse of antibiotics has become a problem in the global medical community, especially this aspect of the problem is particularly serious in the country. This case is an example of the fact. 3, failure to improve their own antibacterial and anti-disease ability as the fundamental cure to eliminate chronic inflammation. Is self-conscious pain in the internal and external organs an organic or functional disease? Self-perceived pain inside and outside the body is only a feeling, a discomfort or a pathological reaction, and does not mean that there is a serious qualitative disease, let alone a life-threatening serious illness. Of course, when the symptoms persist and are obvious, you can go to the hospital for appropriate tests to both exclude or diagnose certain diseases and to eliminate psychological fears. At present, it seems to be a functional disease, i.e., a disease with abnormal function as the main clinical manifestation. The current work as usual condition can also be confirmed. Third, how to evaluate the high anxiety and thought burden? From the description of the complaints and symptoms, the more the pain is not fixed and the more extensive the site is, the closer its connection with emotion and psychology. Adding to the first proposed anxiety condition and its symptoms, it indicates that it is still accompanied by some anxiety now. Anxiety or depression itself, can also be accompanied by pain and general discomfort of one kind or another. Fourth, the most focused question is how to recognize the so-called “black moss”? The tongue is an important organ of the human body. Chinese medicine uses tongue diagnosis as an important part of diagnosis, which has a high medical value. Looking at the tongue includes looking at the quality of the tongue and looking at the color of the tongue. The tongue is not affected by the external environment and emotions, but can truly reflect the internal functional status and the progress and decline of evil and positive. Therefore, from this point of view, the tongue is an important information window of the body’s health, and the tongue can speak medical language and health reports. In this case, what kind of medical information does the tongue reflect in terms of its color and texture? What kind of disease content can be expressed? In fact, the family’s speculation, only the appearance, more partial, after all, not a doctor, so you can see and not guess. If the tongue is red and the moss is yellowish-black and dry, then there is internal damp-heat and heat is heavier than damp; if the tongue is red and the moss is not dry, but greasy and smooth, then dampness is heavier than heat; if the tongue is not red or even dull, then cold dampness is the main cause. According to the foregoing, and combined with other clinical symptoms, the diagnosis can be made. Now he is not in person, so we will discuss again with the later diagnosis. V. How do I look at the efficacy of the treatment? Is there a follow-up and adherence to treatment? How to treat? Initially, I congratulate him, and I saw the effect at the first consultation. According to the treatment protocol, if the medicine is effective, we should persist. The current efficacy is still preliminary. From the long-term treatment of this disease and the clinical symptoms, it is not a short-term treatment. This disease involves mental, psychological, disease, drug dependence and other aspects. In addition to the long-term treatment of chronic diseases, the mental and emotional aspects of the disease add to the difficulty and complexity of treatment. The multiplicity of systemic symptoms indicates the need for holistic treatment, rather than treating each symptom one by one, so as to prevent leakage, or to treat both the symptoms and the root cause. It is recommended that the comprehensive treatment of Chinese medicine, acupuncture and moxibustion, Chinese herbal medicine, acupuncture and medicine, in order to improve the efficacy. The basic treatment principles should be: dredging the liver and strengthening the spleen, tranquilizing the mind and calming the spirit, resolving phlegm and relieving depression, and activating the meridians. VI. Should I come to Beijing for retreatment? Treatment, in line with the principle of near rather than far, if the local can be solved that is the best, no need to come back to Beijing long-distance labor. Of course, if the local solution is not very good, you can also come to Beijing again for follow-up treatment. I wish you a pain-free body and a light heart!