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Chronic constitution adjustment for middle-aged and elderly people

Appropriate TCM technical services · Provided within the approved scope of TCM department

What is the health maintenance for middle-aged and elderly chronic constitution?

Traditional Chinese Medicine (TCM) clinic provides comprehensive health care for common chronic conditions in middle-aged and elderly populations, such as high blood pressure, osteoarthritis, insomnia, forgetfulness, and fatigue. TCM believes that after middle age, kidney Qi and spleen and stomach function decline, which is the underlying basis for various chronic health problems.

Applicable Population and Common Symptoms

  • High Blood Pressure Tendency: Slightly elevated blood pressure, slightly elevated blood sugar, slightly elevated blood lipids (not reaching the standard for drug intervention or the auxiliary management period)
  • Osteoarthritis: Knee pain, lumbar degeneration, cervical degeneration, tendency of osteoporosis
  • Sleep Disorders: Difficulty falling asleep, early awakening, shallow sleep, frequent dreams
  • Memory Decline: Forgetfulness, lack of concentration, slow thinking
  • Physical Weakness: Lack of energy, shortness of breath, fatigue
  • Weakened Gastrointestinal Function: Decreased appetite, poor digestion, constipation
  • Benign Prostatic Hyperplasia: Increased nocturia, difficulty urinating (mildly)

Mechanism of Action

Traditional Chinese medicine believes that the basic direction for the adjustment of middle-aged and elderly physical constitution is to tonify the kidney and fill essence, strengthen the spleen and invigorate the Qi, and activate blood and unblock the collaterals. The kidney is the root of congenital essence, governing the bones and producing marrow; the spleen is the root of acquired essence, the source of Qi and blood. Through the internal administration of traditional Chinese medicine, combined with external treatments such as acupuncture, moxibustion, and massage, a multi-dimensional constitution nourishment is carried out from an overall perspective.

Treatment Method

  • Internal medicine: Prescribe formulas based on constitution differentiation, often with warming and tonifying as the main approach
  • Acupuncture/Moxibustion: Select vital points such as Zusanli, Guanyuan, and Shenshu
  • Massage: Relieve discomfort in the neck, shoulders, waist, and legs
  • Specific follow-up frequency is determined by the licensed TCM practitioner based on individual circumstances, and the plan is dynamically adjusted.

Precautions

  • TCM treatment is performed within the scope of diagnosis and treatment by licensed TCM practitioners in the TCM department
  • TCM nourishment is carried out in parallel with regular physical examinations and does not replace necessary medical examinations
  • Elderly and middle-aged individuals who are taking Western medicine should not discontinue Western medicine on their own
  • In case of acute symptoms (such as chest pain, severe headache, unilateral limb weakness, etc.), seek medical attention immediately.

The content above is for reference only, the specific treatment plan needs to be formulated after the TCM practitioner makes a diagnosis

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Common Questions

Compiled based on real medical consultation scenarios, please take the face-to-face diagnosis of a practicing Chinese medicine physician as the standard.

My father is almost 70 years old, with high blood pressure, slightly high blood sugar, and bad knees. He has been taking a lot of Western medicine. Will it conflict with Chinese medicine?

Not only is there no conflict, but it can also synergistically enhance——Western medicine controls the indicators, and traditional Chinese medicine nourishes the overall constitution. Here are some important tips: ① Never stop taking Western medicine on your own, especially antihypertensive and antidiabetic drugs ② When visiting the doctor, please carry your recent physical examination report and a list of all Western medicines you are taking. A licensed TCM practitioner will adjust the Chinese medicine formula based on this information (to avoid contraindications such as the "Eight Evils and Nineteen taboos") ③ TCM nourishment focuses on kidney tonification, spleen Qi supplementation, and blood circulation to nourish collaterals, starting from improving the systemic degeneration caused by natural aging in the elderly, rather than directly lowering blood pressure and blood sugar.

My mother's memory has been getting worse recently. Sometimes she forgets to turn off the gas when she goes out. Is this a sign of Alzheimer's disease? Can TCM delay it?

Memory loss after middle age can have various causes——some are due to deficiency of kidney essence and malnourishment of the brain marrow (TCM believes that the kidney governs the bones and generates marrow, and the brain is the sea of marrow), which can be improved through kidney tonification and essence supplementation; some are due to phlegm turbidity blocking the orifices (related to vascular health), which can beAuxiliaryimproved through blood circulation and phlegm dissipation. However, if it has affected daily life safety (such as forgetting to turn off the gas, getting lost when going out), it is strongly recommended to go to the neurology department for a professional evaluation first, and then decide whether to need TCMAuxiliarynourishment after a clear diagnosis. TCM nourishment does not replace specialized treatment for dementia.

Both of my parents have poor sleep, getting up 3-4 times a night, and can't sleep soundly. Are there any ways to improve this?

Midlife nocturia is often related to deficiency of kidney Qi and malfunction of bladder Qi transformation——men need to screen for benign prostatic hyperplasia, and women need to screen for pelvic floor function. TCM nourishment starts with kidney Qi supplementation and urine reduction: warming kidney Yang with Chinese medicine, moxibustion at Guanyuan and Shenshu points to warm the bladder. At the same time, it is recommended to drink water appropriately during the day and perform pelvic floor muscle exercises (the doctor will teach specific movements), comprehensively improving nocturia. The specific effect varies from person to person and requires a certain period of continuous nourishment.

I am 60 years old and want to reduce or stop taking antihypertensive medicine. Can I replace it with TCM nourishment?

Do not stop or reduce the dose of medication on your own——this is a principle. Antihypertensive drugs have been verified by a large amount of evidence-based medical research, and self-medication can lead to a rebound of blood pressure or even higher, posing risks. TCM nourishment can assist in improving theConstitutionenvironment that causes hypertension (such as liver and kidney Yin deficiency, liver Yang hyperactivity), but it needs to be carried out under the premise that the blood pressure is stabilized by Western medicine. Only when your blood pressure is long-term stable and ideal through comprehensive nourishment, can the doctor who prescribed the medicine evaluate whether it can be reduced——not a decision we make.

My eyes are nearsighted, my ears are a bit deaf, and my legs and feet are sore. TCM says that people age first in the kidney. Can it be adjusted?

"The kidney opens the orifices of the ears, its luster is in the hair, and it governs the bones and generates marrow." TCM believes that with the increase of age, the natural decline of kidney Qi is a normal physiological process, but nourishment can significantly delay the speed and degree of degeneration. The dizziness, vision decline, and soreness in the legs and feet you described are related to "deficiency of kidney essence" in TCM. Through kidney essence supplementation with Chinese medicine (such as modified formula of Zuogui Wan, Yougui Wan) + moxibustion at strong acupoints + moderate exercise (Tai Chi, Ba Duan Jin), it can help improve the quality of life.

The above Q&A is compiled based on common medical consultation scenarios.