Case Study - GinSen Clinic London
0207 586 7348
Swiss Cottage Clinic
0207 751 5606
King's Road Clinic
0207 937 7968
Kensington Clinic

GinSen Case Study
*Case Study: Weight Loss
Condition

*The patient was very overweight. She had gained 15 kilos over the past three years and suffered from: severe bloating, tiredness, cold feet and hands, heavy legs and a craving for sugar. She also suffered from poor sleep and constipation.

Tongue Inspection

The tongue was slightly enlarged, with tooth marks on the edge and cracks on the surface.

Pulse Diagnosis

Weak, tense and thin
Note : Pulse and tongue diagnosis are two of the more important diagnostic tools in Chinese medicine.

Diagnosis

Overweight with kidney and spleen Yang deficiency

Treatment Plan

 

  • Acupuncture – twice a week, 30 minutes per session
  • Chinese herbal medicine (in powder form to be taken twice a day with water)

*Treatment Outcome

 

  • Patient *lost 3 kg* after first week of treatment
  • Weight decreased by between half *a kilo to one kilo* per week thereafter

*After 6 weeks of Herbal Treatment and 12 sessions of Acupuncture

 

  • Patient had lost a total of 6.5 kg
  • Energy levels had increased, she was relaxed, sleeping well, and her apetite was back to normal.

*Case Study: Body Rash
Condition

The patient had been suffering from a severe skin condition for the past three months. His whole body was covered in spots and he suffered from unbearable itching. Western medicine had been unable to help

Tongue Inspection

Red and swollen body with a greasy coating

Pulse

Tense, Rapid and slippery

Diagnosis

Skin Rash from Allergic

Key of pathogensis

Heat toxin with dampness in the body and blood

Treatment Plan
  • Acupuncture: twice a week, 30 minutes per session
  • Chinese herbal medicine: (brewed from raw herbs, to be taken twice a day)
  • Herbal wash: 3-4 times a week
  • Dietary Guidance:

     

    • Eat more fruit and vegetables daily
    • Concentrate on easily digestible foods such as………………
    • Avoid spicy, hot food as well as fish, prawns of sea food and dairy products
    • Refrain from drinking alcohol.

*Treatment Outcome
  • End of Week 1: *Rash had improved as had the itching*.
  • End of Week 2: The *spots had become lighter* in colour but were still somewhat itchy
  • End of Week 3: *Nearly half the body rash had disappeared*

*After two months of treatment both the rash and the itching were cured, and his skin tone was back to normal*.

*Case Study: Fallopian Tubes Obstruction
Fallopian Tubes Obstruction

Conception is the very first step towards having a baby, but for some, it isn’t as straight forward as 85% of the population. Fallopian tube obstruction is often observed in infertility cases with a number of different treatment options available; some are significantly costly, and can often be invasive. Traditional Chinese herbal medicine can be tailored to target Fallopian tube obstructions by promote and maintain consistent flows of blood circulation and the meridian network channel to remove any inconsistency in both blood and meridian channel circulation.

In this particular case study, it was thought to be impossible to conceive naturally due to blockages of both fallopian tubes, in-vitro fertilisation had also been tried and failed. Traditional Chinese herbal medicine was personalised according to the client’s health condition and specifically target to clear fallopian tube obstruction. She successfully conceived after one month of our herbal-assisted therapy, now you may enjoy the same benefit of our fertility expertise and non-invasive procedures. Please read on…

First consultation: 25th of August 2012
Female, 39 years of age
*Successful Conception: 20th of September 2012

Background Information & Observations:

The patient has suffered from fallopian tubes obstruction since 2004. Natural conception was successful in 2006 but results in miscarriage after 6 weeks; in-vitro fertilisation was also applied in March 2012 and didn’t achieve desirable effect.

Average menstrual cycle of 28-30 days with typical menstruation of only three days; menstruation volume is small with distinctive cramp pain around the pelvic area during the on first day of every menstrual cycle. Fatigued accompanied by a varieties of complications such as bloating and stress.

Tongue

Body of the tongue – red in colour covered with white moss

Pulse

Taut and thin

Diagnosis

Blood stasis due to Liver Qi Stagnation

Therapeutic principle

Promote Blood circulation to remove Blood Stasis, regulating the flow of Liver Qi and Blood.

Treatment Plan

Acupuncture: Twice a week, 30 minutes per session

Infrared heat therapy: Twice a week, 30 minutes per session

Traditional Chinese herbal medicine (brewed from raw herbs): Twice a day, 100ml each time.

Dietary Guidance:
Regular dietary intake with more nutritious and balanced diet; concentrate on easily digestible foods and avoid spicy, bitter and unheated (cold) foods. Refrain from smoking & ingestion of food containing alcohol and alcoholic beverages.

Lifestyle Recommendations:
Keep up with a good mood and regular exercise, giving yourself plenty of time to rest during the day, avoid long hours of continuous work and pressurised environment; promote calmness and meditate where possible. Sleep at regular hours and avoid working late or overnight, environments / chemicals/ foods containing endocrine disrupting compounds must also be avoided.

Traditional Chinese Herbal-Assisted Treatment

Classic Prescription Recipes: 血府逐瘀湯 Xuefu Zhuyu Decoction

Xuefu Zhuyu Decoction has angiogenesis effects that not only increase the quantity of blood vessels (Gao et al, 2005), but also mobilize marrow endothelial progenitor cell (Gao et al, 2007), promoting endothelial progenitor cell differentiation (Gao et al, 2009) and tube formation (Gao et al, 2010). The mechanism of its pro-angiogenesis remained unclear. The fine balance between angiogenesis promoting factors and inhibitors allow healthy angiogenesis to occur only in embryonic development, wound healing and the female reproductive cycle is immensely important as any imbalance will lead to pro-angiogenesis or anti-angiogenesis (Song et al, 2012).

Acupuncture

內關 (Nei Guan),血海 (Xue Hai),足三里 (Zu San Li),關元 (Guan Yuan),氣海 (Qi Hai),合谷 (Ho Gu),三陰交(San Yin Qao),歸來 (Gui Lai),天樞 (Tian Su)。

*Result

*Conception was successful* after 5 weeks of acupuncture and herbal-assisted fertility treatment. *A healthy boy was successfully delivered* in May 2013.

Reference

Gao D, Song J, Hu J, Lin JM, Zheng LP, Cai J, et al. (2005) Angiogenesis Promoting Effects of Chinese Herbal Medicine for Activating Blood Circulation to Remove Stasis on Chick Embryo Chorio-allantoic Membrane. Chinese Journal of Integrated Traditional and Western Medicine. 25(10):912–915.

Gao D, Lin W, Zhen LP, Lin JM, Chen XZ, Song J, et al. (2007) Effect of Xuefu zhuyu Decoction on Endothelial Progenitor Cells Migrating from Rat Marrow. Chinese Journal of Integrated Medicine on Cardio-/Cerebrovascular Disease. 5(9):829–831.

Gao D, Wu LY, Jiao YH, Chen WY, Song J, Chen KJ. (2009)The Experimental Study of effect on EPCs differentiation function by Xuefu Zhuyu Decoction. Chinese Journal of Basic Medicine in Traditional Chinese Medicine. 15(12):917–919.

Gao D, Wu LY, Jiao YH, Chen WY, Chen Y, Kaptchuk TJ, et al. (2010) The Effect of Xuefu Zhuyu Decoction on in vitro Endothelial Progenitor Cell Tube Formation. Chin J Integr Med. 16(1):50–53.

Song J, Chen WY, Wu LY, Zheng LP, Lin W, Gao D, Kaptchuk TJ, Chen KJ. (2012) A microarray analysis of angiogenesis modulation effect of Xuefu Zhuyu Decoction on endothelial cells. Chin J Integr Med. 18(7):502-6.

*Case Study: She attempted but failed to conceive after two years of marriage
Phlegm- Dampness & Blood Stasis

Formation of Phlegm-Dampness and Blood Stasis cause deficiencies of the Spleen, of which directly impacts the formation and circulation of Blood and Qi. In the world of traditional Chinese medicine, Spleen plays an enormously important part in female reproductive health; its function ability directly determines healthy circulation of Blood. In relation to fertility issues, replenishment and blood and provide uninterrupted supply of nutrients through blood circulation is vital in maintaining healthy reproductive organs.

In this particular case, we had identified the pattern of Spleen Deficiency directly impacted by Phlegm-Dampness; it was also noted that Blood Stasis causing disruptions towards normal function of the Spleen. Acupuncture was performed to improve the condition of Blood Stasis and maintain consistent flow of the Meridian channels. Traditional Chinese medicine was initially prescribed with aim to restore normal Spleen function, replenishment of Qi and improve Blood Stasis. She was re-assessed after one week of treatment with much improvements observed in relation to Spleen Deficiency; replenishment progress of Qi was relatively slow, we reflected on this issue by tweaking the quantities in selected herbs to priorities towards strengthening Qi replenishment. After two weeks of acupuncture and herbal-assisted treatments she was conceived and successfully delivered a healthy baby.

First Consultation: 12/06/2012
Female, 30 years of age
*Conception date: 26/06/2012

Background Information & Observations

The patient wishes to have a second child by using acupuncture and traditional Chinese herbal medicine from our clinic again; her first pregnancy was made possible by our treatments in previous occasion. Having visited our clinics initially for infertility treatment on the 24th of June 2010, her primary concern at the time was she attempted but failed to conceive after two years of marriage. She received acupuncture and herbal-assisted treatments for several weeks then successfully conceived on the 27th of August 2010; a healthy baby was successfully delivered in March 2011. Irregularities of her menstrual cycle were observed, ranging from 5-6 weeks to occasional 3 months gap between each cycle. Menstrual blood was dark in colour and in excessive quantity for at least 8-9 days, accompanied by distinctive abdominal pain.

No abnormality observed in dietary intake, sleep pattern was irregular with occasional bloating; bowel movement and urination was normal. Signs of chronic fatigue syndrome were observed since her first birth, often accompanied by migraine of distinctive pattern. Informed by the patient that she encountered a large volume of blood loss during her first birth, but she refused blood transfusion due to her allergenic nature.

Medical History

Pervious experienced in Polycystic Ovary Syndrome

Tongue

Body of the tongue – pale and swollen

Pulse

Weak & deep

Diagnosis

Phlegm & Blood Stasis with obstructed Meridian Channel due to Spleen Qi Deficiency.

Therapeutic principle

Eliminating dampness and resolving phlegm.
Promote Blood circulation and resolve Blood Stasis.
Tonify Qi & Blood.

Treatment Plan

Acupuncture : Twice a week, 30 minutes per session

Infrared heat therapy : Twice a week, 30 minutes per session

Traditional Chinese herbal medicine (brewed from raw herbs) : Twice a day, 100ml each time, 30-60 minutes after meal.

Dietary Guidance :
Regular dietary intake with more nutritious and balanced diet; concentrate on easily digestible foods and avoid spicy, bitter and unheated (cold) foods. Refrain from smoking & ingestion of food containing alcohol and alcoholic beverages.

Lifestyle Recommendations :
Keep up with a good mood and regular exercise, giving yourself plenty of time to rest during the day, avoid long hours of continuous work and pressurised environment; promote calmness and meditate where possible. Sleep at regular hours and avoid working late or overnight, environments / chemicals/ foods containing endocrine disrupting compounds must also be avoided.

Traditional Chinese Herbal-Assisted Treatment

Classic Prescription Recipes: 蔘苓白朮散Shenling Baizhu Powder

This combination of herbal ingredients is chosen to target Spleen Qi Deficiency in conjunction with Phlegm removal. Strengthening Spleen functionality is the first step in curing complications such as accumulated dampness and phlegm directly derived via Spleen Qi Deficiency, Semen Brassicae is specifically added to increase the efficacy of phlegm reduction in this case. Once the root of the issue is cured, any derived complications should also be resolved. Menstrual issues such as irregular and/or delayed menstrual cycle and abnormal menstrual volume are restored to normal state with this application.

Acupuncture Treatment

Classic Prescription Recipes: 蔘苓白朮散Shenling Baizhu Powder

This combination of herbal ingredients is chosen to target Spleen Qi Deficiency in conjunction with Phlegm removal. Strengthening Spleen functionality is the first step in curing complications such as accumulated dampness and phlegm directly derived via Spleen Qi Deficiency, Semen Brassicae is specifically added to increase the efficacy of phlegm reduction in this case. Once the root of the issue is cured, any derived complications should also be resolved. Menstrual issues such as irregular and/or delayed menstrual cycle and abnormal menstrual volume are restored to normal state with this application.

*Results

*The patient successfully conceived* after 4 sessions of acupuncture and 14 days of herbal-assisted fertility treatment. A healthy boy was successfully delivered in February 2013.

References

McCulloch M, Broffman M, van der Laan M, Hubbard A, Kushi L, Kramer A, Gao J, Colford JM Jr. (2011) Lung cancer survival with herbal medicine and vitamins in a whole-systems approach: ten-year follow-up data analyzed with marginal structural models and propensity score methods. Integr Cancer Ther.10(3):260-79.

Li YL. (1991) Clinical and experimental study on the treatment of children diarrhea by granule of children-diarrhea fast-stopping. Zhong Xi Yi Jie He Za Zhi. 11(2):79-82, 67.

Wei L, Chen B, Ye R, Li H. (1999) Treatment of complications due to peritoneal dialysis for chronic renal failure with traditional Chinese medicine. J Tradit Chin Med.19(1):3-9.

Wu B, Zhang SS. (2008) Effect of TCM therapy for invigorating Pi, soothing Gan, eliminating dampness and resolving blood stasis on the short-term quality of life in patients with diarrhea type irritable bowel syndrome. Zhongguo Zhong Xi Yi Jie He Za Zhi. 28(10):894-6.

Wu, P. (2003) The combined use of tonification and purgation in treatment of fatty liver. Journal of Traditional Chinese Medicine v. 23(1): p. 7-9

Case Study: Her reproductive organs were also normal….
Liver Qi Stagnation & Spleen Deficiency
Her reproductive organs were also normal…
Liver Qi Stagnation & Spleen Deficiency

You may have come across the terms of Yin, Yang, Qi and Blood previously but when it comes to Liver Qi Stagnation & Spleen Yang Deficiency it may sound completely new to you. In simple terms of traditional Chinese medicine, we believe that insufficient hepatic clearance will impact the balance of Spleen function, causing reduced absorption in nutrition. When nutrition is inadequately supplied, Blood and Qi are subsequently impacted causing deficiency; insufficient Blood & Qi will then directly disrupt normal menstrual cycle causing complications in fertility such as abnormal quantity of menstruation and observation of excessive quantity of coagulated blood.

Multiple complications were observed with during the first consultation with a history of ovarian cyst but the cause of infertility remained unknown by Western analytic methods. In this particular case study we used acupuncture in conjunction with herbal-assisted treatments to directly rectify the primary issues of Liver Qi Stagnation & Spleen Deficiency. Over the course of three weeks her conditions were much improved and conceived successfully.
Please read on…
First Consultation: 23/07/2011
Female, 31 years of age
*Conception date: 10/08/2011

Background Information & Observations

The patient had attempted to conceive naturally since 2009 but did not meet any success. No significant issue identified via Western analytic methods in 2011 and suggested that functionality of her reproductive organs were also normal. She as previously diagnosed with polycystic ovary syndrome in 2003 but her ovaries were later found to be normal in a 2011 test.
Reoccurrences of her menstrual cycle ranges between 28-42 days with at least 5-7 days of menstrual bleeding; excessive volume was observed with a large amount of blood coagulation. Complaints of pain noted from her lower abdomen, she was able to ease of such complaint by warming up the abdominal area. Emotional and moody with notable white discharge during menstrual cycle; restless, bloating, fatigued, and elevated temperature of hands and feet were also observed.

Tongue

A purple tongue with a thin moss

Pulse

Rapid, thin

Diagnosis

Stagnation of the liver-Qi and Deficiency of the Spleen.

Therapeutic principle

Relieving the depressed liver-Qi and invigorating the spleen, promoting blood circulation to remove blood stasis.

Treatment Plan

Acupuncture : Twice a week, 30 minutes per session

Infrared heat therapy : Twice a week, 30 minutes per session

Traditional Chinese herbal medicine (brewed from raw herbs) : Twice a day, 100ml each time, after dinner 30 minutes

Diet guidance :

1.Always eat warm food. Eat plenty of protein or meat as enough, eat fresh food as possible.
2.No spicy or cold food, less potato and wheat food.
3.Avoid the junk and fast food, less alcohol and no smoking as possible.

Life style change :

1.Reduce the stress level, keep relax
2.Eliminate harmful foreign substances and natural concurrency waste products.
3.Keep sleep well and go to bed on time.
4.Regular to do exercise and do the meditation regularly if you can.
5.Avoid the overloading and have a good rest

Traditional Chinese Herbal-Assisted Treatment

Classic Prescription Recipes: 蔘苓白朮散Shenling Baizhu Powder

This combination of herbal ingredients is chosen to target Spleen Qi Deficiency in conjunction with Phlegm removal. Strengthening Spleen functionality is the first step in curing complications such as accumulated dampness and phlegm directly derived via Spleen Qi Deficiency, Semen Brassicae is specifically added to increase the efficacy of phlegm reduction in this case. Once the root of the issue is cured, any derived complications should also be resolved. Menstrual issues such as irregular and/or delayed menstrual cycle and abnormal menstrual volume are restored to normal state with this application.

Traditional Chinese Herbal-Assisted Treatment

Classic Prescription Recipe:
開郁種玉湯 Kai Yu Zhong Yu Decoction

the primary part of the recipe derived from one of the most famous classical recipe Xiao Yao Powder in targeting Liver Qi Stagnation. Due to the fact that chronic Liver Qi Stagnation is likely to result in Spleen Qi Deficiency, gastrointestinal complications derived by Spleen Qi Deficiency such as stomach ache (Huang, Ren & Yang, 1992) and functional dyspepsia (Qin, Huang & Ren, 2009) can be solved by targeting the root of the cause directly (Huang et al, 2006).
In traditional Chinese medicine, maintaining healthy liver function is crucial as abnormalities cause disruption to Spleen functions and may subsequently impact Kidney functions; in another words, rectifying Liver complication is critical in treating infertility as it directly affect the menstrual cycle of which determines conceivability and general reproductive health. It is still widely used either solely or modified in conjunction with other combinations in Chinese medical orientated and Western medical treatments today (Huang et al, 2006).

The four ingredients shown above are selected to target Liver Qi Stagnation of which we believe is the root of the main infertility issue. Solving this issue will potentially resolve many underlying complications subsequently caused by Liver Qi Stagnation such as Spleen Qi Deficiency.

This combination of herbal ingredients is specifically selected to target Spleen Qi Deficiency. We feel it is critically important to strengthen Spleen functionality as the first priority due to the fact that complications such as accumulated dampness and phlegm are directly caused by Spleen Qi Deficiency. Any complications derived from Spleen Qi Deficiency should also be resolved once the Spleen restored to normal state; Qi is further regulated in this case to contribute towards maintaining healthy reproductive organs. Menstrual issues such as irregular and/or delayed menstrual cycle and abnormal menstrual volume are restored to normal state with this application.

Acupuncture Treatment

Acu-Points Selection:
內關 (Nei Guan),陰陵泉 (Yin Ling Quan),太沖 (Tai Chung),氣海 (Qi Hai),血海 (Xue Hai),三陰交 (San Yin Qao),合谷 (Ho Gu),歸來 (Gui Lai),足三里 (Zu San Li)

Treatment Records

26/07/2011
Sleep pattern and colour of the tongue returned to normal, noted improvement of bloating; felt generally more energetic, fatigue wasn’t as intense but persisted.
黃耆 Radix Astragali and生地 Rehmannia Glutinosa libosch. were added to the recipe in order to replenish Qi and Ying in conjunction with the current treatment.

01/08/2011
Due to the patient approaching her menstrual cycle, we decided to double the prescribed amount of當歸Radix Angelicae sinensis and益母草 Herba Leonuri to improve Blood circulation and replenishment of Blood. Previously added 黃耆 Radix Astragali and生地 Rehmannia Glutinosa libosch. were also continued to be included in this week’s combination.
Note: Functionality of合歡皮 Cortex Albiziae in this case served as a calming element to ease the mind towards a conception-ready state.

*Results

*Informed by the patient that conception was successful* on the 10th of August 2011, *a healthy baby girl was successfully delivered* on the 21st of April 2012 St. Mary’s Hospital.

References

Huang LP, Ling JH, Lv JY, Yan M. (2006) The effect of Xiaoyao wan combined with western medicine on the treatment of functional dyspepsia patients. J. Tradit. Chin. Med. 47:267

Huang X, Ren P, Yang SW et al. (1992) Relation between syndrome type, electrogastrography and stomachoscopy of stomachache and the effect of Xiaoyao Powder. Shanxi J. Tradit. Chin. Med. 13:337–339
Qin F., Huang X., Ren P. (2009) Chinese herbal medicine modified xiaoyao san for functional dyspepsia: Meta-analysis of randomized controlled trials. Journal of Gastroenterology and Hepatology 24(8) p1320-1325

*Disclaimer & Important Information: Treatment result varies as the symptoms of conditions are un predictable and vary greatly from person to person. The treatment length and recovery time also varies for individual. GinSen's acupuncturist will discuss your care before carrying out the treatment, and the treatment will be designed to meet your individual needs.

 

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