My father has a poor appetite, is underweight, and experiences chills or fever?
Hello: My father is in his seventies and has recently lost his appetite, resulting in being underweight (165 cm, 49 kg).
He often feels cold or has feverish sensations, but his health check results are normal, and his blood pressure is also normal.
What could be the reason for this? Can he take traditional Chinese medicine to improve his appetite? If so, what kind of Chinese medicine should he take? Thank you!
meme, 30~39 year old female. Ask Date: 2006/06/03
Dr. Lin Qingzhong reply Traditional Chinese Medicine
Hello, meme user:
1.
There are many potential causes for a decrease in appetite and weight loss in individuals over 70 years old.
Various diseases can lead to anorexia, such as gastritis, severe cancer, or metabolic disorders.
It is essential to visit a hospital to identify the underlying causes of these symptoms and provide targeted treatment.
For instance, gastritis would require treatment for the stomach, while certain types of gastric cancer may necessitate chemotherapy or surgery.
Therefore, it is crucial to determine the true cause of the loss of appetite for effective treatment.
2.
Traditional Chinese medicine offers various prescriptions that can help improve appetite, such as Liu Jun Zi Tang, Xiao Jian Zhong Tang, Li Zhong Tang, and Shen Ling Bai Zhu San, among others.
The key is to differentiate the syndrome and provide appropriate treatment for better efficacy.
It is advisable to prescribe medication based on symptoms during outpatient visits to align with the patient's condition.
Wishing you good health!
Dr.
Lin Qingzhong, Director of the Traditional Chinese Medicine Department, Fengyuan Hospital
Reply Date: 2006/06/03
More Info
Improving appetite in the elderly can be a complex issue, often influenced by various physical, psychological, and social factors. In your father's case, at over seventy years old, his lack of appetite and weight loss (49 kg at 165 cm) can be concerning, especially since he experiences sensations of cold and heat but has normal health check results and blood pressure. This situation may indicate underlying issues that need to be addressed.
In Traditional Chinese Medicine (TCM), appetite loss in the elderly is often associated with "Spleen Qi deficiency" or "Yin deficiency." The Spleen is considered crucial for digestion and nutrient absorption in TCM, and its deficiency can lead to symptoms such as fatigue, poor appetite, and weight loss. Additionally, the sensation of feeling cold or hot may suggest an imbalance in the body's internal environment, possibly related to Yin and Yang.
To enhance appetite and improve overall health, TCM offers several herbal remedies that can be beneficial. Here are some commonly used herbs and formulas:
1. Ren Shen (Ginseng): Known for its ability to tonify Qi, Ginseng can help improve energy levels and stimulate appetite. It is often used in combination with other herbs to enhance its effects.
2. Bai Zhu (Atractylodes macrocephala): This herb strengthens the Spleen and helps with digestion. It is particularly useful for those who experience bloating or discomfort after eating.
3. Dang Shen (Codonopsis pilosula): Similar to Ginseng, Dang Shen is used to tonify Qi and can help improve appetite and energy levels.
4. Shan Yao (Chinese Yam): This herb nourishes the Spleen and Stomach, helping to improve digestion and increase appetite.
5. Si Jun Zi Tang (Four Gentlemen Decoction): This classic formula is used to strengthen the Spleen and Qi, making it effective for improving appetite and energy levels.
6. Sheng Jiang (Fresh Ginger): Ginger is often used to stimulate digestion and can help alleviate feelings of nausea, which may contribute to a lack of appetite.
7. Wu Mei Wan (Mume Fruit Pill): This formula is traditionally used to treat digestive issues and can help improve appetite.
Before starting any herbal treatment, it is essential to consult a qualified TCM practitioner who can assess your father's specific condition and tailor a treatment plan accordingly. They will consider his overall health, tongue and pulse diagnosis, and any other symptoms he may be experiencing.
In addition to herbal remedies, lifestyle changes can also support appetite improvement. Encouraging small, frequent meals rather than large ones can help. Including nutrient-dense foods that are easy to digest, such as soups, smoothies, and soft foods, may also be beneficial. Ensuring that meals are appealing and served in a pleasant environment can stimulate appetite as well.
Lastly, it is crucial to monitor your father's overall health and well-being. If his appetite does not improve or if he continues to lose weight, further medical evaluation may be necessary to rule out any underlying health issues. Regular follow-ups with healthcare providers can help ensure that he receives the appropriate care and support.
In summary, TCM offers various solutions for improving appetite in the elderly, focusing on restoring balance and enhancing digestive health. Consulting with a qualified practitioner is vital to ensure safe and effective treatment tailored to your father's needs.
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