<%@ Language=??????§˛%>Individual Conditions Report
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Complete Individual Health Report

 

Dear patients/reades/wellwishrs

In addition to unani and ayurveda one of the oldest system of medicineis the traditional Chinese medicine(TCM).Till now this system was limited to Chinese  territory and rich people around the world.

With the opening of china ,Chinese medicine is getting into main stream of medical  services in the world ,to offer a better care to the people.

In the interest of treating our suffering country man we feel pleasure in informing you that prophetic medicine research center has tied up with traditional Chinese medicine hospital Huaihua  china.

Because TCM system of treatment is comparatively new to us we have taken a decision to take up this collaboration for the benefit of   people of India.

We are quoting here a “few words” from the doctor of TCM hospital

        

“ You know that Western Medicine is the best solution for acute conditions. However, for treatment of chronic conditions, most modern people are preferring green and safe medicine and this tendency is becoming more and more prominent. Western medicine, which is based upon chemical materials and its side effects are sometimes stronger than the therapeutic roles, could not meet the demands of this new tendency. While traditional Chinese medicine (TCM) is based upon natural plants, and its comprehensive and flexible treatment strategies always bring about fantastic treatment result. So more and more people in the world are interested in TCM, and TCM is becoming a major medical stream in the world. It is our special honor to share this great medicine with you and other friends over the world”

 In order to seek treatment, one has to fill up the form attached to this Email and forward it to us .We will forward it to Tcm hospital with our notes. After going through your reporte they will suggest treatment and cost of medicine for 20 days or a month. You have to deposit with us and you will get medicine within 10 to 15days (shipping to be paid) and within 4to 6 week (without shipping charges).

 Send your and your friend’s Email ID to get patient detail form and also avail free service and shipping charges.

At your service

Dr aftab ahmad

Prophetic medicine research center

Bangalore

9886152789/08025498835

www.huwashshafi.com

 

This is the most important health report form for you from the viewpoints of traditional Chinese medicine. Please read carefully and tick off the items correctly, so that our professional doctors could diagnose accurately and offer effective treatment for you.

The reason why you have to fill out this form seriously is that TCM is totally different than western medicine, and it emphasizes every exact individual symptom very much. Even for the same disease, there are many different reasons to cause it from person to person. Therefore the treatment is also different from person to person. Thanks for your understanding and cooperation.

 

Your email:  

Name:

Gender: male or female 

Marriage state: married or unmarried 

Having a child or children: already or not yet 

Age: years

Country:

State:

Address:

Postal (zip) code:

Telephone:

Height:  meters

Weight:   kilograms

Disease history: how many months or years

 

What about your major complaints at present? Do you have the health problems of the heart and blood pressure? Serious or slight?   

 

Detailed Symptoms About You:

 

    headache

    great loss of hair

    slight loss of hair

    hair loss with oily scalp

    blurred vision

    blood-shot eyes

    dizziness

    tinnitus with noise of chirping of a cicada

    reduced hearing ability

    pale complexion

    swollen and painful nose

    runny nose

    thin and white nasal discharge

    thick and yellowish discharge

    blockaded sense in the nose

    a bitter taste in the mouth

    sour taste in the mouth

    dry lips

 

    slightly reddish tongue body

    slightly whitish tongue body

    deep-red tongue body

    fissured tongue body

    tooth-marks on the edges of the tongue

    I brush the tongue coating daily

    thick tongue coating

    thin tongue coating

    thin and white tongue coating

    thick and white tongue coating

    thin and yellow tongue coating

    thick and yellowish tongue coating

 

    stiff neck

    painful neck

    itching throat

    dry throat

    swollen and painful throat

    frequent throat inflammation

    spit thin and white phlegm

    spit thick and yellowish phlegm

 

    chest oppression

    shortness of breath

    slight palpitations

    severe palpitations

    stabbing pains in the heart

    distention and discomfort of the right rib-side

    having slight heart or blood pressure problem  

    having severe heart or blood pressure problem

 

    stomach pains

    stomach distention

    burning stomachache

    cold stomachache

    shrinking sense of the stomach

    stomachache likes warmth or warm drinks

    stomachache likes pressure on it

    wish to vomit

    dropping sense of the stomach

    belch with sour taste in the mouth

 

    lower abdomen pains

    lower abdomen distention

    lower abdominal pains like warmth and pressure

    painful back with inability or difficulty to stretch or bend the back

    aching pains of the shoulders and back

    stiff and painful loins due to falling or sprain or hard physical work

    dull pains of the loins

    left kidney area pains

    right kidney area pains

    cold sense on the back

 

    stiff four limbs

    general body pains

    muscle spasm of the body

    tight or spasmodic tendons of the general body

    running pains of the body joints

    heavy sense wrapping the body

    swollen and painful joints of the arms

    swollen and painful joints of the legs

    edema of the lower limbs

    edema of the general body

    numbness of the four limbs

    aversion to cold and cold limbs

    hot sense in the soles and palms in the afternoon or night often

 

    day time sweat

    sweat at night

    insomnia

    dreaminess

    frequent waking up during sleep

 

    thirst and like drinks

    like cold drinks

    like hot drinks

    reduced appetite

    easy hunger and excessive food-intake

    hunger without desire to eat

    eat much cold foods

    eat much fast foods

    irregular food intake

 

    frequent daytime urination

    urgency in urination

    white urine

    yellowish urine

    dark yellow urine

    painful urination

    frequent night urination

    dribbling urine after urination

 

    constipation

    diarrhea with burning sense at the anus

    diarrhea with clear undigested foods

    diarrhea worsened by emotional frustration or distress

    diarrhea every 5 O'clock (AM) with abdominal pains

 

Thanks so much for your patience that you are still working carefully on this form.

 

If you are a male, please thick off here:

    reduced sexual ability

    impotence

    premature ejaculation

    weak erection

    seminal emission in the daytime

    seminal emission at night

    reduced desire of sex

    frequent masturbation one to two years

    frequent masturbation two to four years

    frequent masturbation more than four years

    testicle pains one side

    testicle pains two sides

    swollen scrotum

    cold damp scrotum

    itching scrotum

    damp heat scrotum

    private part with strong smell

    pains of the perineum

    burning sense in the urethra

    excretion from the opening of the urethra

    dropping sense of the anus

    too strong sexual desire

    sterility

 

If you a female, please tick off here:

    reduced sexual desire

    irregular menstruation

    advanced menstruation

    delayed menstruation

    painful menstruation

    too much amount of menstrual blood

    too little amount of menstrual blood

    burning sense in the womb

    the womb like warmth and pressure

    cold sense in the womb

    thin color of the menstrual blood

    deep red color of the menstrual blood

    purplish color of the menstrual blood

    menstrual blood clots

    profuse and sudden uterine bleeding

    gradual uterine bleeding

    amenorrhea (stop of menstruation)

    profuse and thin leucorrhoea 

    profuse, thick and yellow leucorrhoea

    infertility

    strong sexual desire

 

Wrist Pulse:

    powerful pulse

    weak pulse

    50 to 60 wrist beats per minute

    60 to 80 wrist beats per minute

    80 to 100 wrist beats per minute

    100 to 120 wrist beats per minute

    thin pulse body like a thread

    deep pulse

    string-like pulse (touching the wrist pulse like touching a tight string of a musical instrument)

    abnormal rhythm of pulse

 

Living Environment:

    always a cold and windy living environment

    damp living environment

    dry living environment

 

Temperament and Emotions:

    optimistic, open-minded and happy

    pessimistic

    melancholic

    always worrisome

    nervous often

    overthinking often

    lone and close-minded

    easy to be angry always

    depressed often

    irritability often

 

Spirit and work:

    fatigued

    stressful work

    too much stressful work

 

 

What kind of  foods do you like? What are your daily foods? Do you smoke? What are your private hobby? Do your family members suffer the similar health problems?

If you have some clinical laboratory examinations, please offer the results. Also you could fax the documents of your laboratory check to our 86 745 2390037. Thanks.

What about current or past prescribed medications, and their effects? Any past hospitalizations for this or other diseases? Do you suffer from other internal diseases? If you do, please describe the degree of seriousness. 

Do you wish to come to China to our hospital for better help? Let us know the approximate date of arrival, the approximate period of time to stay here. Please seek an official invitation letter from us now so that you could get a three months visa for you and your accompanying persons.

 

If you are not able to be here, commonly there are three ways that we could help you.

 

The first choice is the prepared herbal products produced by hundreds different herbal companies in China. We have four hundreds different perfect herbal products for various commonly encountered diseases. Check Here.

 

The second choice is that we could prescribe a special herbal formula for you, then make the herbs into fine powder. Please decoct the herbal powder to make herbal tea, drink the tea twice a day, adult dosage is 200 milliliters each time. The first treatment course will be 20 days. The weight for 20 days supply will be 4 kilograms or so. We will air ship to you. The general cost for 20 days supply will be US$140.00 for you.

 

The third choice is that we could make the herbal powder into capsules for you. You could first order 20 days supply as the first treatment course. It is about 500 capsules for you, 0.4 to 0.5 gram each capsule. The adult dosage is 4 to 6 capsules each time, three times a day. We will air ship the capsules to you. The general cost for 20 days will be US$80.00 for you.

 

For the commonly encountered health problems, we always make the suggestion of the Choice One, prepared herbal product. For the chronic and difficult conditions, we always advice herbal tea or herbal capsule. The advantage of herbal tea is that it is relatively more effective. The advantage of the herbal capsule is that it is convenient to use. Please let us know if you prefer herbal product, or herbal tea, or herbal capsule. Thanks.

 

Kindly, download this form, complete it and send it to sanjeevni_r@rediffmail.com