Qi and Blood Deficiency: Insights for Chronic Pain Relief

Continuation of questions regarding Qi deficiency or Blood deficiency?

Dr.
Hsu: Hello, thank you very much for your patient response.
I would like to ask a follow-up question regarding my long-term neck, shoulder, and back pain, which becomes severe every winter.
I have tried several months of rehabilitation treatments, including heat therapy, electrotherapy, infrared therapy, cervical traction, acupuncture, massage, and even trigger point injections, all without any effect.
I am currently 43 years old, live a simple life, and live alone.
I work during the day (using a computer and phone) and read various books at night.
I do not watch television and have very little social interaction.
My menstrual periods are irregular and very light.
I appear pale and thin, just as you mentioned, and I experience frequent bowel sounds, shallow sleep, and racing thoughts.
For the past three years, I have lost 2-3 kg every winter; I originally weighed about 49 kg, and now I weigh 41-42 kg.
My appetite has been declining, and I find it increasingly difficult to concentrate on my reading.
The long-term medical treatment without resolution has led me to question whether I actually have no physical illness and that perhaps the issue is mental.
I would appreciate your thoughts on this.
Best wishes, Xin Yi.
Thank you.

Dengdeng, 40~49 year old female. Ask Date: 2008/03/18

Dr. Xu Weihong reply Traditional Chinese Medicine

According to your description, this should fall under the category of emotional disorders in Traditional Chinese Medicine, which is also a manifestation of weakened brain nerves.
I recommend the following: engage in aerobic exercise for more than 30 minutes, 3 to 4 times a week; perform stretching exercises at irregular intervals throughout the day (after 30 minutes of computer work or reading); consider herbal medicine suitable for your constitution (to nourish the heart, calm the mind, boost energy, and replenish blood).
The weather has been nice lately, so it would be good to go outside for a walk.
Wishing you good health.

Reply Date: 2008/03/18

More Info

Dear 心怡,
Thank you for your detailed inquiry regarding your chronic pain and overall health concerns. It sounds like you have been experiencing a complex interplay of physical and possibly psychological symptoms that have significantly impacted your quality of life. Let’s delve into the concepts of Qi and Blood deficiency from a traditional Chinese medicine (TCM) perspective, and how they may relate to your situation.

In TCM, Qi (pronounced "chee") is often described as the vital life force that flows through the body, while Blood is considered a nourishing substance that supports the organs and tissues. A deficiency in either Qi or Blood can lead to various symptoms, including chronic pain, fatigue, and emotional disturbances. Your symptoms of chronic neck and shoulder pain, along with feelings of weakness, pale complexion, and difficulty concentrating, may suggest a deficiency in both Qi and Blood.

Understanding Qi and Blood Deficiency
1. Symptoms of Qi Deficiency: This may manifest as fatigue, shortness of breath, spontaneous sweating, and a weak pulse. In your case, the chronic pain and lack of energy could be indicative of Qi stagnation or deficiency, particularly if you feel worse during the winter months when your body may be more susceptible to cold and dampness.

2. Symptoms of Blood Deficiency: This often includes pale skin, dizziness, insomnia, and difficulty concentrating. Your experiences of shallow sleep, difficulty focusing on reading, and weight loss could be signs of Blood deficiency. The fact that you have lost weight and have a decreased appetite further supports this possibility.

Potential Approaches to Relief
1. Dietary Adjustments: Incorporating foods that nourish Blood and Qi can be beneficial. Consider adding more iron-rich foods (like leafy greens, red meat, and legumes) and foods that promote Qi, such as whole grains, nuts, and seeds. Additionally, warm, cooked foods are generally easier to digest and can help strengthen your body during the colder months.

2. Herbal Remedies: In TCM, certain herbs are known to tonify Qi and Blood. For example, herbs like ginseng (for Qi) and goji berries (for Blood) may be helpful. However, it’s essential to consult with a qualified herbalist or TCM practitioner to find the right formulation for your specific needs.

3. Mind-Body Practices: Given your mention of difficulty concentrating and feelings of anxiety, practices such as Tai Chi, Qigong, or meditation can be beneficial. These practices not only promote relaxation but also help in the circulation of Qi throughout the body.

4. Acupuncture: Since you have tried various treatments without success, acupuncture may be worth exploring further. It can help to balance Qi and Blood, alleviate pain, and address emotional well-being.

5. Psychological Support: Considering your feelings of isolation and the impact of stress on your health, seeking support from a mental health professional may also be beneficial. Cognitive-behavioral therapy (CBT) or mindfulness-based stress reduction (MBSR) could help in managing anxiety and improving your overall mental health.

6. Regular Check-ups: Since you have been experiencing these symptoms for an extended period, it’s crucial to continue consulting with healthcare professionals. Regular check-ups can help rule out any underlying medical conditions and ensure that you are receiving appropriate care.

Conclusion
Your symptoms suggest a multifaceted issue that may involve both physical and emotional components. Addressing Qi and Blood deficiency through dietary changes, herbal remedies, mind-body practices, and psychological support may provide a holistic approach to managing your chronic pain and improving your overall well-being. It’s essential to work closely with healthcare providers who understand both Western and Eastern medicine to create a comprehensive treatment plan tailored to your needs.

I hope this information provides you with some insights and potential pathways for relief. Please take care of yourself, and I wish you the best on your journey to better health.

Warm regards,
Doctor Q&A Teams

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