Chinese Medicine.
The integrated study of the Chinese and modern medical case record indicates an effort made to combine Chinese medicines with scientific modern science which may appeal better to the modern man. This is the integration of the eastern and western approach with special emphasis on the techniques used to combine the effectiveness of both approach for the control and cure of hypertension. The significance of maintaining the medicinal case record plays an important role in the medical consultation process. The emphasis is on proper diagnosis and penetrating analysis which records the details of the case history of the patient, in the light of which the medical case record and prescription is developed. The case record is an integral part of the medicinal practice. The ailment is recorded and the precise therapy is advised and recorded for future reference. The adherence to the Chinese medical case records have their roots in the traditional and past records through the dynasties and have played an important role in the development of the traditional medical theory. The data involves precise information, which are set of clinical records and complicated and intricate data gathered from the basis of past experience. In attempting to illuminate the plurality in Chinese medical practice, Scheid redefines-and in some cases abandons-traditional anthropological concepts such as tradition, culture, and practice in favor of approaches from disciplines such as science and technology studies, social psychology, and Chinese philosophy.(Scheid, 2002, p.345)
The Case Report The patient is a man in his forties, who lives in London and has western mindset. Hence planning of the food prescription needs to be coordinated in accordance with his need, understanding and acceptance. The patient has been suffering from hypertension for the past few years and has faith in integrated approach and wishes to modify his diet to control his symptoms of hypertension through lifestyle and dietary modifications. Hence is important address the medical issue of hypertension in harmony with Chinese medicinal approach which provides a systematic food therapy for the control and management of the symptoms of hypertension.
There should be special consideration made to keep in mind the availability of the food products in London which are in harmony with the Chinese food therapy principles. Hence it will require a certain degree of integrated approach.
Medical Case Record The medical history requires use of special forms which are in compliance with the government and the hospital regulation. The process begins with registration of the unique identification number for the patient, which is the key to the authentic documentation. The documentation involves information such as age, address, occupation. The next step is to identify the symptoms and Chinese medical diagnoses, the previous treatments proposed, and outcomes of such treatments.
The first section of the case record consists of double case history of the patient both in Western medicine and Chinese medicine. The three day record of the symptoms and the adjusted treatment is recorded for future reference. This is called da bingli and it also serves as the legal document. The case record also provides the unique historical access to the patient-physician interactions.(Hsu, 2001, p325)
In the context of the patient who is suffering from hypertension it is necessary to examine the vitals from Chinese point of view. Hypertension has been one of the most studied subjects and hence requires a thorough approach to determine an effective strategy to administer targeted food therapy based on Chinese medicinal system for the control and the management of the symptoms. The superiority of Traditional Chinese Medicine and their targeted Food therapy has been recognized in management and control of such symptoms. In recent 40 years, the Chinese medical workers have made deep studies in the treatment and prevention of hypertension.(Wangzhong, 1996)
There are some precise and specific criterias which are considered in the context of the treatment as well the effective prevention of the symptoms and the conditions of hypertension. Some of the key clinical observations which are recorded in Chinese medicinal system are
1.The pulse condition
2. The appearance of the tongue
3. The evaluation of the pathophysiological symptoms in connection with hypertension.
4. Establishing a treatment plan based on the Food therapy and dietary therapy guidelines to intervene, prevent and control the side effects of hypertension.
In the context of the present case study we have accepted the dietary and food therapy aspect of intervention which can help alleviate and control the symptoms of hypertension. This would help reduce the complications of hypertension.
The Dietary and Food Therapy The traditional Chinese medicinal treatment takes food therapy very seriously as supplemental therapeutic methodology to control and alleviate hypertension in a patient. This therapy involves the family and patient consciously takes charge of their intake and systematic management of their diet and food intake with attention to the symptoms recorded in the case history. There are some standard foods which have been observed over time and studied to have beneficial effect in the treatment of hypertension. These foods are celery, sea cucumber, jelly fish and sunflower seeds. (Wangzhong, 1996)
It is important to help build up patients health by management of the stress factors by providing proper rest and good nutrition. Food therapy plays an important role in implementing such path which leads diet therapy which has no side effects and balances the energies within the body and stimulated self healing.
The Food Therapy is targeted to consider that hypertension has close link with the liver function and hence the disease is associated with irrational selection of food intake which depletes the inner energy. The statistics gathered from ages indicate that such people have preference for fatty and rich food which plays a key role in determining the emergence of the symptoms and if this be controlled and the symptoms would naturally get corrected.
It is very important to advise patient to plan out a proper diet which involves 1. Taking less alcohol and more tea infusions.
2. Take light food which is low in salt.
3. Include in the diet good combination of vegetables and use of vegetable oils .
4. Have sufficient protein in the diet.
5. Include staple foods like corn porridge, lotus leaf porridge and celery porridge.
6. Have ample fruits, like water melon, which serves as natural diuretic. Include bananas which has capacity to lower chronic symptoms and dysfunctions within the body. And also include Haw, which has effective blood pressure lowering potential.
7. The role of aquatic products is also very beneficial in management of hypertension. These aquatic foods must be included lotus seed pistil, kelp, mussels, Jelly Fish .
8. The role of honey is known to have very positive results. There are also some instant drinks which need to be included in the part of the food therapy program.
9. The meal should include stews, soups, tea and inclusion of garlic, vinegar and peanuts with their blood pressure lowering properties.
Three day menu for control and prevention of Hypertension
Day one
Breakfast Before breakfast - eat one or two garlic segments which have been soaked in vinegar.
1 cup chrysanthemum tea
Corn porridge
Watermelon
Lunch Honey in luke warm water
Vegetables cooked in vegetable oil
Rice
Broccoli with oyster sauce
Chinese cole slaw
Mid Snack 1cup green tea
Bananas
Dinner Crystal sugar and vinegar Soup
Steamed jellyfish with steamed vegetables
Chinese Noodles
One Persimmon
Day Two
Breakfast Before breakfast eat one or two garlic segments which have been soaked in vinegar.
1 cup green tea
Lotus leaf porridge
Bananas
Lunch Honey in luke warm water
Jellyfish preparation in vegetable oil
Rice
Glazed carrots
Cucumber salad
Mid Snack 1cup chrysanthemum tea
Bananas
Persimmon
Dinner cream corn soup
Stir fry Gai Lan and bean sprouts
Chinese Noodles
Watermelon
Day Three
Breakfast Before breakfast eat one or two garlic segments which have been soaked in vinegar.
1 cup chrysanthemum tea
Celery porridge
Haw drink
Lunch Honey in luke warm water
Vegetables cooked in vegetable oil
Rice
Asparagus stir fry
Steamed eggplant
Mid Snack 1cup green tea
Sunflower seeds
Peanuts celery
Dinner Corn soup with crabmeat
Shanghai vegetable Rice
Stewed Beef with tomatoes
Chrysanthemum and cassia tora drink
Function Garlic soaked in vinegar has effective results in lowering blood pressure the vinegar in which it has been soaked can also be taken. The results can be seen in two weeks time. The use of honey in lukewarm water enhances the results in the reduction of blood pressure and is more effective with persistent implementation. The consumption of corn porridge helps in prevention of constipation and expelling cholic acid which lowers the levels of cholesterol in the bloodstream. The lotus leaf porridge helps secretion of saliva and the body fluids. This helps in the reduction of the blood pressure. Celery porridge is an ideal breakfast which has been confirmed by laboratory tests to have high blood pressure lowering capacity along with tranquilizing function. It also helps control overexcitement and headache in the patients suffering from high blood pressure.
Fruits like watermelon along with its rind have diuretic function which helps in management of high blood pressure. It should be noted that people with weak stomach should take this in moderation. Bananas are great for lowering the chronic dysfunction of the internal organs, and patients suffering from blood pressure cab have five bananas a day. Haw is highly effective in lowering blood pressure and so is persimmon.
There are some very effective aquatic products which serve as an aid in reduction of blood pressure like lotus seed pistil, which should be taken in the form of broth every day. Kelp which contains ammonia acid also has blood pressure lowering power which is further enhanced with combination of cassia tora and kelp. Jellyfish has potent blood pressure lowering power and its use should be reduced when conditions become normal and symptoms are under control. The combination of mussels and celery is also very effective in controlling the symptoms of high blood pressure.
It is also important to limit the intake of liquor, as it tends to lower the systolic function of the heart and hence affects the functioning of the internal organs and blood vessels which causes blood pressure. The consumption of tea is benefical for high blood pressure patients as the tannin which is the main ingredient in the tea has an effect of vitamin E which strengthens the capillary walls. The constant consumption of tea helps in weight reduction and controlling blood lipids. Strong tea should be avoided as it causes overexcitement and leads to faster heart beat.
Special consideration should be made to eat food which is light and less in salt. Too much consumption of salt has a tendency to stagnate the blood circulation and it also changes the colour of the blood. People with high blood pressure or hypertension should take low fat, low cholesterol and low calorie food . One should also avoid animal fat, as it causes deposits in the blood vessels.
There is tremendous role of vegetables, vegetable oils and protein foods such as fish, egg whites, beans. Vegetable oil also plays an important role in promoting oxidization of cholesterol into cholic acid which tends to get expelled from the body and resulting in lowering the blood pressure and enhancing the function of capillaries.
Asparagus has the potential to regulate the cholesterol and hence helps to maintain proper working of the kidneys, which play an important role in maintaining blood pressure by its effective diuretic action. (Hude Xingcho)
Analysis The Chinese Food Therapy focuses on treating the symptoms of hypertension with a more holistic approach which takes into account eh whole body rather than just an individual symptom. The development of hypertension in the view of medical science is a result of combined dysfunctioning of various organs such as heart, brain and kidney not in harmonious balance. Thus the pathological state of hypertension requires an approach which can balance the blood supply in the above mentioned organs. The food therapy addresses this very effectively.
Conclusion The role of clinical case record plays an important part in the traditional Chinese medicinal treatment. Making the right diagnosis based on the pulse and tongue evaluation is the foundation for the therapeutic treatment. The control of alcohol intake, generous intake of herbal teas and green tea and modified food structure can be highly effective in controlling the symptoms of hypertension. It will also help alleviate the symptoms and lead to reduced blood pressure which can controlled through healthy eating habits. Consideration of the subjective phenomena is important in the treatment process.
The Case Report The patient is a man in his forties, who lives in London and has western mindset. Hence planning of the food prescription needs to be coordinated in accordance with his need, understanding and acceptance. The patient has been suffering from hypertension for the past few years and has faith in integrated approach and wishes to modify his diet to control his symptoms of hypertension through lifestyle and dietary modifications. Hence is important address the medical issue of hypertension in harmony with Chinese medicinal approach which provides a systematic food therapy for the control and management of the symptoms of hypertension.
There should be special consideration made to keep in mind the availability of the food products in London which are in harmony with the Chinese food therapy principles. Hence it will require a certain degree of integrated approach.
Medical Case Record The medical history requires use of special forms which are in compliance with the government and the hospital regulation. The process begins with registration of the unique identification number for the patient, which is the key to the authentic documentation. The documentation involves information such as age, address, occupation. The next step is to identify the symptoms and Chinese medical diagnoses, the previous treatments proposed, and outcomes of such treatments.
The first section of the case record consists of double case history of the patient both in Western medicine and Chinese medicine. The three day record of the symptoms and the adjusted treatment is recorded for future reference. This is called da bingli and it also serves as the legal document. The case record also provides the unique historical access to the patient-physician interactions.(Hsu, 2001, p325)
In the context of the patient who is suffering from hypertension it is necessary to examine the vitals from Chinese point of view. Hypertension has been one of the most studied subjects and hence requires a thorough approach to determine an effective strategy to administer targeted food therapy based on Chinese medicinal system for the control and the management of the symptoms. The superiority of Traditional Chinese Medicine and their targeted Food therapy has been recognized in management and control of such symptoms. In recent 40 years, the Chinese medical workers have made deep studies in the treatment and prevention of hypertension.(Wangzhong, 1996)
There are some precise and specific criterias which are considered in the context of the treatment as well the effective prevention of the symptoms and the conditions of hypertension. Some of the key clinical observations which are recorded in Chinese medicinal system are
1.The pulse condition
2. The appearance of the tongue
3. The evaluation of the pathophysiological symptoms in connection with hypertension.
4. Establishing a treatment plan based on the Food therapy and dietary therapy guidelines to intervene, prevent and control the side effects of hypertension.
In the context of the present case study we have accepted the dietary and food therapy aspect of intervention which can help alleviate and control the symptoms of hypertension. This would help reduce the complications of hypertension.
The Dietary and Food Therapy The traditional Chinese medicinal treatment takes food therapy very seriously as supplemental therapeutic methodology to control and alleviate hypertension in a patient. This therapy involves the family and patient consciously takes charge of their intake and systematic management of their diet and food intake with attention to the symptoms recorded in the case history. There are some standard foods which have been observed over time and studied to have beneficial effect in the treatment of hypertension. These foods are celery, sea cucumber, jelly fish and sunflower seeds. (Wangzhong, 1996)
It is important to help build up patients health by management of the stress factors by providing proper rest and good nutrition. Food therapy plays an important role in implementing such path which leads diet therapy which has no side effects and balances the energies within the body and stimulated self healing.
The Food Therapy is targeted to consider that hypertension has close link with the liver function and hence the disease is associated with irrational selection of food intake which depletes the inner energy. The statistics gathered from ages indicate that such people have preference for fatty and rich food which plays a key role in determining the emergence of the symptoms and if this be controlled and the symptoms would naturally get corrected.
It is very important to advise patient to plan out a proper diet which involves 1. Taking less alcohol and more tea infusions.
2. Take light food which is low in salt.
3. Include in the diet good combination of vegetables and use of vegetable oils .
4. Have sufficient protein in the diet.
5. Include staple foods like corn porridge, lotus leaf porridge and celery porridge.
6. Have ample fruits, like water melon, which serves as natural diuretic. Include bananas which has capacity to lower chronic symptoms and dysfunctions within the body. And also include Haw, which has effective blood pressure lowering potential.
7. The role of aquatic products is also very beneficial in management of hypertension. These aquatic foods must be included lotus seed pistil, kelp, mussels, Jelly Fish .
8. The role of honey is known to have very positive results. There are also some instant drinks which need to be included in the part of the food therapy program.
9. The meal should include stews, soups, tea and inclusion of garlic, vinegar and peanuts with their blood pressure lowering properties.
Three day menu for control and prevention of Hypertension
Day one
Breakfast Before breakfast - eat one or two garlic segments which have been soaked in vinegar.
1 cup chrysanthemum tea
Corn porridge
Watermelon
Lunch Honey in luke warm water
Vegetables cooked in vegetable oil
Rice
Broccoli with oyster sauce
Chinese cole slaw
Mid Snack 1cup green tea
Bananas
Dinner Crystal sugar and vinegar Soup
Steamed jellyfish with steamed vegetables
Chinese Noodles
One Persimmon
Day Two
Breakfast Before breakfast eat one or two garlic segments which have been soaked in vinegar.
1 cup green tea
Lotus leaf porridge
Bananas
Lunch Honey in luke warm water
Jellyfish preparation in vegetable oil
Rice
Glazed carrots
Cucumber salad
Mid Snack 1cup chrysanthemum tea
Bananas
Persimmon
Dinner cream corn soup
Stir fry Gai Lan and bean sprouts
Chinese Noodles
Watermelon
Day Three
Breakfast Before breakfast eat one or two garlic segments which have been soaked in vinegar.
1 cup chrysanthemum tea
Celery porridge
Haw drink
Lunch Honey in luke warm water
Vegetables cooked in vegetable oil
Rice
Asparagus stir fry
Steamed eggplant
Mid Snack 1cup green tea
Sunflower seeds
Peanuts celery
Dinner Corn soup with crabmeat
Shanghai vegetable Rice
Stewed Beef with tomatoes
Chrysanthemum and cassia tora drink
Function Garlic soaked in vinegar has effective results in lowering blood pressure the vinegar in which it has been soaked can also be taken. The results can be seen in two weeks time. The use of honey in lukewarm water enhances the results in the reduction of blood pressure and is more effective with persistent implementation. The consumption of corn porridge helps in prevention of constipation and expelling cholic acid which lowers the levels of cholesterol in the bloodstream. The lotus leaf porridge helps secretion of saliva and the body fluids. This helps in the reduction of the blood pressure. Celery porridge is an ideal breakfast which has been confirmed by laboratory tests to have high blood pressure lowering capacity along with tranquilizing function. It also helps control overexcitement and headache in the patients suffering from high blood pressure.
Fruits like watermelon along with its rind have diuretic function which helps in management of high blood pressure. It should be noted that people with weak stomach should take this in moderation. Bananas are great for lowering the chronic dysfunction of the internal organs, and patients suffering from blood pressure cab have five bananas a day. Haw is highly effective in lowering blood pressure and so is persimmon.
There are some very effective aquatic products which serve as an aid in reduction of blood pressure like lotus seed pistil, which should be taken in the form of broth every day. Kelp which contains ammonia acid also has blood pressure lowering power which is further enhanced with combination of cassia tora and kelp. Jellyfish has potent blood pressure lowering power and its use should be reduced when conditions become normal and symptoms are under control. The combination of mussels and celery is also very effective in controlling the symptoms of high blood pressure.
It is also important to limit the intake of liquor, as it tends to lower the systolic function of the heart and hence affects the functioning of the internal organs and blood vessels which causes blood pressure. The consumption of tea is benefical for high blood pressure patients as the tannin which is the main ingredient in the tea has an effect of vitamin E which strengthens the capillary walls. The constant consumption of tea helps in weight reduction and controlling blood lipids. Strong tea should be avoided as it causes overexcitement and leads to faster heart beat.
Special consideration should be made to eat food which is light and less in salt. Too much consumption of salt has a tendency to stagnate the blood circulation and it also changes the colour of the blood. People with high blood pressure or hypertension should take low fat, low cholesterol and low calorie food . One should also avoid animal fat, as it causes deposits in the blood vessels.
There is tremendous role of vegetables, vegetable oils and protein foods such as fish, egg whites, beans. Vegetable oil also plays an important role in promoting oxidization of cholesterol into cholic acid which tends to get expelled from the body and resulting in lowering the blood pressure and enhancing the function of capillaries.
Asparagus has the potential to regulate the cholesterol and hence helps to maintain proper working of the kidneys, which play an important role in maintaining blood pressure by its effective diuretic action. (Hude Xingcho)
Analysis The Chinese Food Therapy focuses on treating the symptoms of hypertension with a more holistic approach which takes into account eh whole body rather than just an individual symptom. The development of hypertension in the view of medical science is a result of combined dysfunctioning of various organs such as heart, brain and kidney not in harmonious balance. Thus the pathological state of hypertension requires an approach which can balance the blood supply in the above mentioned organs. The food therapy addresses this very effectively.
Conclusion The role of clinical case record plays an important part in the traditional Chinese medicinal treatment. Making the right diagnosis based on the pulse and tongue evaluation is the foundation for the therapeutic treatment. The control of alcohol intake, generous intake of herbal teas and green tea and modified food structure can be highly effective in controlling the symptoms of hypertension. It will also help alleviate the symptoms and lead to reduced blood pressure which can controlled through healthy eating habits. Consideration of the subjective phenomena is important in the treatment process.
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