Let us know about your main health complaints and any items you do not understand below: If you need any help, please call (817) 469-8823.
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1 |
I have breast implant |
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2 |
I have tubal ligation |
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3 |
The color of urine is amber (dark yellow) |
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4 |
My urine has many bubbles. |
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5 |
My urine has sign of the blood. |
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6 |
Nasal bleeding
myo bleeding (skin purpura) with fever, anemia |
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7 |
Whites (leukorrhea) coupled with blood or bleeding after sex or vagina bleeding |
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8 |
All of sudden, stool becomes very thin; and the blood is seen in the stool |
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9 |
Black stool or black blood in the stool |
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10 |
Hemoptysis (spitting blood from the lungs or bronchial tubes) |
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11 |
Sputum / phlegm contains the blood |
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12 |
Blood in the semen |
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13 |
Blood in the urine; yet no pain |
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14 |
Always feel hot (low grade fever) or sensitive to heat and like cold weather |
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15 |
Has kidney function (immunity) or spleen (pancreas) and /or liver function problem |
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16 |
Feel sad, anxiety, frustration, anger, depression or other emotional stress |
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17 |
List the vitamins, minerals, and other food supplements taken
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18 |
Has not taken any vitamins and minerals |
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19 |
Female hormone such as estrogen, progesterone is high |
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20 |
Male hormone is high |
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21 |
Cortisol is high |
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22 |
Excessive sex desire (kidney and liver fire)
Cushing syndromes (adrenal cortical physical) |
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23 |
Prostate cancer |
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24 |
Ovary cancer |
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25 |
Breast cancer |
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26 |
Thyroid cancer |
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27 |
Immune deficiency by birth |
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28 |
Breast over development for a male (excessive female hormone) ????? |
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29 |
Blood stasis minifested on the neck, clarvicle, inguinal, along the spine |
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30 |
Persistent hiccough (related to emotion) |
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31 |
Amalgam in the tooth
root canal history |
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32 |
Has Eb toxin-lymphatic tumor,
EBV for NasoPharnygeal,
C type RNA for leukemia |
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33 |
Incline to eat high protein, spicy, greasy (fried chicken, french fries) food |
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34 |
Eat or drink the vegetables, water, fruit, or peanut, corn polluted by pestcide, herbcide |
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35 |
Love to eat peanut, corn (contain aflatoxin) |
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36 |
I smoke. |
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37 |
Consume alcohol |
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38 |
Exposed to radiation such as ultraviolet radiation, Gama, X ray, ionizing radiation |
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39 |
Has chronic ulcer, infection, scalding, or scar tissues (related to epidermal EGF) |
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40 |
Take chloromycetin or phenylbutazone |
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41 |
Expose to waster gas (amonia), chemical liquid, polluted air, chemical fertizer |
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42 |
Expose to asbestos, coal tar, coal smoke, mustard gas, asphalt, formaldehyde (lung/Leukemia) |
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43 |
Feel tumor in cervical lymph node (coming from clarvicle) |
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44 |
Feel tumor in auxillary lymph node |
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45 |
Feel tumor in submandibulla, inguinal lymph node |
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46 |
Persistent itching all over the body or nasal itching |
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47 |
I have Herpes |
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48 |
I have high tolerance of pain |
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49 |
I have marginal nevus (junctional nevus) or hemorrhoids |
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50 |
Poor appetite, feel bloated, nausea ( Pancreas, liver, stomach, colon cancer) |
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51 |
I have dysendocrinism, metabolic disorder, rheumatoid arthritis |
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52 |
Neurotrophic disorder (edema, nerve ending infection, limb numbness, myoasthenia) |
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53 |
Rapid growth of lanugo hair (fine, soft lightly pigmented fetal hair) |
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54 |
Fungus appeared on the skin |
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55 |
Leukoderm (white spots ) or black spots on the skin |
For over 4,000 years, the Chinese have traditionally used herbal formulas to aid in recovery from various diseases and to promote abundant health. These suggestions are for your education only. Any suggestions we may make to assist your recovery are based on the information you provided. They are not intended to diagnose, treat, cure or prevent any disease. The decision to take any Chinese herbal formulas is up to you. The Federal Drug Administration has not evaluated these formulas. Please provide feedback two weeks after taking the formulas.
