TCM Treatment for Melena (London)
Patient Info:
Name: Michael (Alias), 48, Chef
Chief Complaint:
Melena for 5 days, mild abdominal pain, bloating, belching, occasional acid reflux.
Medical History:
Irregular lifestyle, heavy alcohol intake, spicy/greasy diet. Diagnosed with a gastric ulcer 3 years ago, symptoms recurring. Recent stress, late meals, and excess alcohol triggered melena.
TCM Diagnosis:
Liver-Stomach Disharmony, Damp-Heat, Stomach Collateral Damage
Likely upper GI bleeding due to ulcer recurrence and mucosal injury.
Treatment:
Principle: Soothe liver, strengthen spleen, clear heat, resolve dampness, nourish stomach, stop bleeding.
Herbs:
Chaihu Shugan San + Zuo Jin Wan (Regulate Qi, clear stomach fire)
Bai Ji, San Qi, Sheng Di Huang, Shi Hu, Sha Shen (Stop bleeding, nourish stomach)
Fu Ling, Yi Yi Ren, Chen Pi (Improve digestion, reduce bloating)
Acupuncture (2x/week): ST36, CV12, LR3, PC6, BL21, BL20
Diet & Lifestyle:
Avoid alcohol, spicy/greasy foods, late meals. Improve sleep and stress management.
Outcome:
2 Weeks: Melena resolved, symptoms improved.
1 Month: Endoscopy showed healing. Continued herbal treatment for prevention.
Conclusion:
TCM effectively treated melena by addressing the root causes, restoring balance, and promoting a healthier lifestyle.
