Case study of Zhang Xiang-Fu (张祥福)

5 thoughts on “Case study of Zhang Xiang-Fu (张祥福)

  1. The key to the grand chessboard of Chinese medicine is, of course, to treat the pattern/presentation, and not be pressured to symptomatically resolve a disease/pathocondition. Of course, this is just what students and recent graduates feel pressured to do, treat Western disease names, and as a result the presenting pattern(s) is ignored largely. Case histories such as these are brilliant in their zen-like simplicity, and is a great illustration of how Shang Han Lun-style medicine works, by restoring normal function to the body/mind, then the symptoms or disease resolve. . .

  2. Well said Z'ev. I think that feeling pressured to treat according to disease name as opposed to pattern/presentation goes against everything that Chinese medicine is, which kind of scares me, as this does seem to be the way it is being taught and practiced these days by so many. As long as we have teachers like you, Sharon, Arnaud, etc, we stand a chance at preserving classic thought and practice. The reason I feel so compelled to post these 'zen-like simple' cases, is to preserve this thought methodology and expose more readers to the old 'Chinese-style' cases that don't get too boggled down by the 'disease' at hand, and only care about the patient's presentation.

  3. Eran,Nice case, I can't say I would have come up with that one on my own. So I personally find it quite enlightening thanks! However, maybe you could explain how you see that he came to this formula. I see no urinary symptoms, no mention of thirst despite fluid intake, floating pulse, edema, A sensation of heaviness or fuzziness in the head, Up-flushing of heat into the face and upper body or other signs that we often see associated with this formula. The only real clincher is spitting up of frothy saliva. How do you make sense for example, of \”beads of sweat emanating from the head\”?

  4. Jason,The bizarre use of Wu Ling San is what drew me to this case in the first place. I wasn't too sure initially why he would use it, and really my only assumptions are that maybe the fact that she was overweight, had an enlarged tongue with a greasy coat, and spat up frothy phlegm were enough for Dr. Zhang to justify the use of WLS? Maybe the beads of sweat on the forehead are another clue to the presence of damp-phlegm. Or, maybe he just loves Wu Ling San and used it whenever he could 🙂 I know it most certainly is not a typical case for using WLS, but this is exactly why I (and I'm sure you as well)love learning from case studies.

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