Clinical Placement Reflection: Bell’s Palsy and TCM Perspective

Kit Li

During my first day of clinical placement, I shadowed Prof Yang Lu at the Acupuncture Department of Nanfang Hospital (1). His specialised areas include bloodletting therapy, auricular acupuncture, and embedding needle therapy for the treatment of neck, shoulder, lower back, and leg pain, Bell’s palsy, stroke rehabilitation, neurological disorders, and internal conditions such as asthma, vertigo, stomach pain, constipation, and obesity. Although the time was limited, the knowledge I gained from him was extremely valuable.

The Acupuncture Clinic was always fully packed and busy. I remember one morning when around 20 patients were queuing outside the treatment room waiting to be seen. The room contained 10 treatment beds, six electroacupuncture devices, TDP lamps, and three fully equipped trolleys containing various TCM tools. It was a simple medical setting, yet it consistently delivered effective care, as each professor had unique techniques and approaches to treating patients efficiently and successfully.

During my clinical practice, I encountered a wide range of conditions, including Cervical Spondylosis, Sciatica, Bell’s Palsy (BP), post-stroke symptoms, Parkinson’s Disease, cataracts, and emotional disorders. However, the most unforgettable case was a four year-old girl suffering from Bell’s Palsy. She was not the only patient with this condition; even among the adults, around six out of fifteen patients that morning were receiving treatment for Bell’s Palsy.

Honestly, I had never imagined that Bell’s Palsy could occur at such a young age. During the case discussion, Professor Yang explained that in younger patients, the condition is often associated with flu-like infections affecting the ear region.

From a TCM perspective, Bell’s Palsy is often categorised under 'Wind-Stroke' or 'Deviation of the Mouth and Eye'. When it appears after a viral illness, such as herpes simplex, shingles/Ramsay Hunt syndrome, flu-like infections, or an immune flare-up, TCM does not describe the virus in biomedical terms. Instead, it interprets the condition as an external pathogenic factor disrupting the body’s internal balance.

How Does TCM View Virus-Associated Bell’s Palsy?

1. Wind-Heat Toxin

Signs and symptoms: Cold or flu symptoms, sore throat, fever, swollen glands, ear pain, and facial inflammation.

Treatment principle: Expel Wind, clear Heat, resolve toxicity, and open the channels.

TCM interpretation: External Wind combined with Heat or Toxic Heat invades the channels, causing inflammation and obstructing the flow of Qi and Blood within the facial meridians.

2. Damp-Heat or Toxic Heat

Signs and symptoms: Heaviness, swelling, redness, ear vesicles (such as shingles), yellow phlegm, and digestive sluggishness.

Treatment principle: Clear Damp-Heat, detoxify, and transform Phlegm.

TCM interpretation: Dampness and Heat combine with toxin, obstructing circulation within the channels and collaterals.

3. Zheng-Qi Deficiency

Signs and symptoms: Stress, exhaustion, poor sleep, and overwork.

Treatment principle: Strengthen Wei-Qi (defensive Qi), support Spleen and Lung function, and prevent recurrence.

TCM interpretation: Wei-Qi becomes weakened, leaving the body more vulnerable to external pathogenic invasion.

4. Blood Deficiency with Channel Malnourishment

Signs and symptoms: Fatigue, pale complexion, dizziness, dry skin, numbness, muscle weakness, poor circulation, pale tongue, and thready pulse.

Treatment principle: Nourish Blood, regulate Qi and Blood circulation, and nourish the channels and sinews.

TCM interpretation:
When Blood is deficient, the channels and facial muscles become undernourished, weakening the body’s ability to support normal movement and tissue recovery. As a result, residual pathogenic factors may remain within the meridians, delaying healing and prolonging facial weakness or stiffness.

Once the patient’s condition has stabilised, acupuncture treatment (2, 3) should be considered as early as possible. The first seven days are especially crucial for recovery. Shallow needling is generally preferred, particularly on the affected side of the face. Daily treatment is considered ideal, although treatment three to four times per week may still be effective.

However, electroacupuncture is usually avoided during the first seven days, as the facial nerves are already inflamed and damaged, and excessive stimulation is not recommended during the acute stage.

I spoke with the little girl’s mother to better understand the onset of her condition. The child had suffered from a fever for three days in April, and on the fourth day, the left side of her face became paralysed. She was unable to blink her left eye, and the muscles around her mouth became difficult to control.

The recovery process may take approximately 20 days if daily treatment is provided, although outcomes vary depending on the patient’s condition and constitution. During my placement, I witnessed encouraging improvement by her sixth treatment on the fifteenth day. The facial muscles on the affected side had become more relaxed, especially around her left eye and mouth, which were beginning to move more naturally.

According to her mother, the only remaining noticeable issue was that her mouth would still deviate slightly when smiling or crying. She had initially started treatment twice a week from the end of April until mid-May.

On my last day of placement, I saw the little girl again. She was noticeably more cheerful, talkative, and relaxed than when I first met her at the Acupuncture Department.

Seven Key Lifestyle Suggestions for Patients

1. Consume more vegetables and fibre-rich foods in your diet, including tofu, bean products, sweetcorn, lean meat, onions, seaweed, red dates, hawthorn (Shanzha), bitter melon, winter melon, bananas, aubergines, pumpkins, and blackberries.
2. Avoid spicy and overly sour foods, hot-natured foods, strong tea, alcoholic drinks, lamb, and animal organs such as liver and kidneys.
3. Soak your feet in warm water before bedtime for 10–20 minutes to promote circulation and relaxation.
4. Minimise overstimulation from activities such as excessive phone use, television, and laptop screen time.
5. Moderate exercise is beneficial for recovery. Listening to calming music, maintaining a regular sleeping pattern, and keeping emotions stable may also support healing.
6. Perform gentle facial muscle exercises regularly, such as raising the eyebrows, tightly closing the eyes, puffing the cheeks, opening the mouth, wrinkling the nose, and smiling gently. Applying a warm damp towel to the neck and facial area may help relax the muscles. Avoid washing the face with icy cold water, as cold stimulation may aggravate the condition. During windy or cold weather, keep the face and neck well protected.
7. When facial muscles feel weak or difficult to control, practise gently closing the eyes and mouth tightly to improve muscle coordination and awareness.

This placement experience deepened my understanding not only of Bell’s Palsy from both biomedical and TCM perspectives, but also of the importance of early intervention, patient reassurance, and consistent treatment. Most importantly, it reminded me that healing is not only about restoring physical movement, but also about rebuilding confidence, comfort, and hope in the patient’s daily life.

References: 

1) Nanfang Hospital: https://www.smu.edu.cn/english/info/1026/1068.htm

2) Cochrane Review: 'Acupuncture for Bell’s Palsy': 

https://www.cochrane.org/evidence/CD002914_acupuncture-bells-palsy

3) Compare the efficacy of acupuncture with drugs in the treatment of Bell's palsy: A systematic review and meta-analysis of RCTs: https://pubmed.ncbi.nlm.nih.gov/31083225/

More Than Acupuncture: A Journey of Growth and Connection

Kit Li

May is a month of connection, connection with family, with learning, and with the path I continue to walk. Once again, I returned to Guangzhou, continuing a journey that first began last year.

My deepest gratitude goes to Professor Tang and Director Huang, Head of the Acupuncture Department, whose thoughtful arrangements gave me the invaluable opportunity to continue shadowing the masters at the Acupuncture Department of Nanfang Hospital (1). During this visit, I had the privilege of learning directly from Director Huang, Professor Wang, Director Yang, Professor Li, and Professor Zhao throughout their clinical sessions. Each of these remarkable teachers guided me with patience and generosity, sharing not only their techniques, but also the wisdom and spirit behind their practice.

Although I am already a qualified Chinese Medicine practitioner, this experience reminded me that true learning has no end. The deeper one enters this field, the more one realises how much there still is to understand.

What moved me most profoundly was not only the exquisite needling techniques I observed, but the essence that animated them. In every consultation and every gesture, there was calmness, precision, compassion, and quiet confidence. These masters transformed each clinic day into something far beyond technical instruction, it became a living lesson in humanity, presence, and healing. Their way of practicing wove together rigour and gentleness, discipline and warmth, inspiring not only the mind, but also the heart.

I am equally grateful to Director Huang for trusting me with the opportunity to share my own knowledge and experience with a group of bright young interns. Teaching them became a meaningful reminder that learning is never one-sided. In guiding others, I found myself learning again, with renewed humility, reflection, and joy. That exchange of knowledge, and the passing forward of experience, became a gift for all of us.

This journey was never solely about acupuncture. It was also about humility, connection, and becoming a little wiser, not only as a practitioner, but as a person.

To everyone who guided, supported, and inspired me during this time, thank you from the bottom of my heart.

Reference:

1) Nanfang Hospital: 

https://www.blogger.com/blog/post/edit/625877704656314609/7543424818091866262?hl=en-GB#

A Return to Guangzhou: Clinical Placement and Anatomical Exploration at Nanfang Hospital

Kit Li

Last autumn, I had my first clinical placement at the Integrated Hospital of Traditional Chinese and Western Medicine of Southern Medical University in Guangzhou. Seven months later, I revisited Guangzhou for my second clinical placement, this time at the Acupuncture Department of Nanfang Hospital (NH) (1).

Founded in 1941 as the Rear Hospital of the Third Division of the New Fourth Army, NH has a long and distinguished history. In 2018, it was selected as a national pilot hospital for multidisciplinary tumour treatment. In 2004, the hospital transitioned from military to provincial management, aligning with its university, formerly the First Military Medical University, now known as Southern Medical University. Today, NH is recognised as one of the leading general hospitals in South China, with a strong emphasis on both medical service and education.

NH directly hosts, manages, and trains more than 2,500 full-time undergraduate students and over 1,000 full-time postgraduate students each year. The university also welcomes approximately 1,000 to 1,200 international students from more than 90 countries. Student accommodation is provided on campus, with over 8,000 students living in shared dormitories, typically with two or three students per room. Academic studies at NH and Southern Medical University focus primarily on medical and clinical disciplines, including Clinical Medicine, Advanced Clinical Technologies, Traditional Chinese Medicine (TCM), and postgraduate research fields.

During this trip, I also visited the anatomical museum affiliated with NH, officially known as the Southern Medical University Human Science Museum (2), located on the main university campus. The museum is particularly renowned for its world-class corrosion casting specimens, created by injecting coloured polymers into blood vessels to produce intricate, coral-like three-dimensional displays. One of its most treasured exhibits is a cardiovascular cast created in 1978, recognised as the first successful specimen of its kind in China.

The museum houses more than 2,200 specimens and also features a “Digital Human” dissection table, allowing virtual three-dimensional exploration of human anatomy, alongside a memorial area honouring body donors. Observing the real three-dimensional structures of nerves and blood vessels deepened my understanding of acupuncture points and needle insertion techniques.

As a scalp acupuncturist, I have always been fascinated by the structure of the spinal cord and its relationship with brain function. Exploring the intricate connections between the brain and the gut, and understanding how neurological pathways influence the body, continues to inspire my curiosity. These reflections remind me how extraordinary the human body truly is and how much there is still to discover through both modern medicine and TCM.

References:

1) Nanfang Hospital: https://www.smu.edu.cn/english/info/1026/1068.htm

2) Human Science Museum: 

https://www.smu.edu.cn/english/Campus_Life/Human_Science_Museum.htm

The Beginning of Summer (Lixia)

Kit Li

The beginning of the Summer (LiXia 立夏) has quietly arrived, starting on Monday, 5th of May, according to the 24 Solar Terms in the Chinese Lunar Calendar.

In Traditional Chinese Medicine (TCM), Summer is the season when Yang energy reaches its peak, a time of expression, warmth, growth and activity.  The Heart becomes especially active and also more vulnerable.  Emotional excess, such as over-excitement, stress, or restlessness can disturb the Shen (Spirit), leading to insomnia, anxiety or palpitations.  

Additionally, dampness and heat can burden the Spleen, often leading to loss of appetite, bloating, fatigue, and even eczema.  To support digestion and balance internal damp-heat, dietary adjustments are crucial.

Here are some practical and inspired tips for the Beginning of Summer to help you transition smoothly into the warmer months, both physically and emotionally:

- Sleep early, wake early.  Rise with the sun to align with the surge in Yang energy.

- Take a nap (20 mins) after lunch to nourish the heart and counter Summer fatigue.

- Avoid staying up late, which depletes Heart-yang and disrupts sleep quality.

- Keep your emotions balanced, avoid over-excitement, anger or sadness.

- Gentle activities like meditation, calligraphy, nature walks, journaling, or gently breathing exercises help calming the mind and regulate emotions.

- Strengthen the Spleen and dispel dampness with: Soups made with winter melon, barley, and lentils; a daily "ChenPi FuLing tea" (Dried tangerine peels and poria); "Four Gentlemen’s Porridge" which replenishes qi, and support weak digestion.

- If experiencing insomnia, dry mouth, irritability, or blood pressure fluctuations, try massaging the Neiguan  (PC-6) or ShenMen (HT-7), it  helps to calm the Shen and relieve palpitations.

- Make a porridge with Tai Zi Shen 15g (Pseudostellaria root), Lian Zi 15g (Lotus Seeds) and Suanzao Ren 10g (Wild Jujube Kernel) to nourish Heart and promote Qi and Yin.

- Exercise during cooler times (early morning or evening).  Choose gentle movements such as  Taichi, yogo, or brisk walking.

- Avoid excessive sweating, which can weaken Heart-Yang.  Rehydrate with lightly salted water or cooling herbal teas like chrysanthemum or honeysuckle.

-After sweating, avoid chilly breeze.  Carry a light scarf or shawl to cover your neck when entering air-conditioned spaces.

- Reconnect with nature.  Spend time under trees, near rivers, or in gardens, tune in to the seasonal rhythms.

Living in harmony with the seasons is a fundamental principle of TCM.  By aligning your lifestyle with nature's shifts, you can cultivate inner balance, resilience, and well-being, not just through Summer, but all year round.

Link:

Lunar Chinese Calendar:

https://www.yourchineseastrology.com/calendar/24-solar-terms.htm

Modified Bian Que Yin: A Balanced TCM-Inspired Wellness Drink for Dampness, Humid Fatigue, and Digestive Support

Kit Li

After a long working day combined with humid weather and lingering low heat, I felt completely worn out on my journey home. In TCM, late afternoon fatigue can often reflect dampness obstructing the body, particularly when the Spleen's transforming function is burdened. In humid conditions, feelings of heaviness and late afternoon fatigue may suggest dampness affecting the Spleen, especially when accompanied by sluggish digestion, bloating, or a heavy body sensation.

Without hesitation, I prepared a modified BianQueYin for myself to ease this heaviness and restore energy.

BianQueYin (San Dou Yin) (1)  is a classic formula traditionally composed of Mung Beans (Vigna radiata) (2), Black Beans (3), Chi Xiao Dou (Red adzuki beans), and raw Gan Cao. Its primary functions are to clear heat, relieve toxicity, promote urination, guide Qi from the Middle-Jiao to the Lower-Jiao, and help resolve damp-heat.

Because the original formula is quite cooling, I modified the ingredients and preparation to better suit dampness with underlying deficiency. In this version, Fu Ling (Poria) (4) replaces Chi Xiao Dou, while Mung Beans and Yiyiren (Coix Seed) are dry-roasted for about 10 minutes before cooking. This helps reduce excessive coldness, protect the Spleen and Stomach, gently support the Middle-Jiao, and improve dampness transformation without overly cooling or weakening Yang-Qi.

This TCM-inspired daily wellness drink is designed to support digestion, reduce dampness, clear heat, detoxify, and promote healthy fluid balance, making it especially suitable for humid weather, summer, or periods of fatigue, bloating, heaviness, and sluggish digestion.

Made with Chenpi (aged tangerine peel), roasted Yiyiren, roasted Mung Beans, Black Beans, and Fu Ling, this balanced formula helps strengthen the Spleen and Stomach, support digestion, reduce water retention, and ease damp-heat while remaining gentler and more suitable for regular use.

Benefits for:

Strengthens digestion and reduces dampness: Roasted Yiyiren helps drain excess moisture and support digestive function, while Chenpi regulates Qi and helps with bloating, fatigue, poor appetite, and heaviness caused by dampness affecting the Spleen.

Clears heat and detoxifies: Mung Beans are traditionally used to cool the body, reduce summer heat, and ease internal heat symptoms. In this modified version, roasting helps reduce their cooling nature, making the formula gentler on digestion.

Supports Kidneys and circulation: Black Beans are considered nourishing for Kidney energy and blood circulation, and when combined with Yiyiren and Mung Beans may help with edema related to water retention or deficiency.

Dries dampness and transforms phlegm: Chenpi promotes fluid metabolism and can help reduce mucus, damp accumulation, or sluggish digestion.

For optimal results, twice weekly during humid or heavy seasons is often a balanced rhythm.

Cooking method:

Ingredients:

• Roasted Mung Beans: 20g
• Roasted Yiyiren: 20g
• Fu Ling: 10g
• Black Beans: 20g (soaked for 1 hour before cooking)
• Chenpi: 1 small piece

Preparation:

• Roast Mung Beans and Yiyiren in a dry hot pan for about 10 minutes, then allow them to cool before cooking.
• Soak Chenpi until soft, then scrape off some of the white inner pith.

Cooking:

• Add all ingredients to a pot with water.
• Bring to a boil over high heat and skim off foam.
• Reduce to low heat and simmer for about 45 minutes until the beans soften.
• Allow it to cool slightly before drinking.

Cautions:

• Frequent cold limbs or Yang-deficiency
• Chronic loose stools or very weak digestion
• Pregnancy (especially medicinal-dose herbs without practitioner guidance)
• Kidney disease or prescribed fluid restrictions
• Yin-deficiency with dryness

Conclusion:

In essence, this modified Bian Que Yin became more than just a drink after a draining day, it served as a gentle way to lighten dampness, restore clarity, and support the body’s natural rhythm without overcooling or depletion. Thoughtfully adapted, it can be a practical seasonal wellness formula for navigating humid, heavy days with greater balance, energy, and digestive ease. 

References:

1) Bian Que Yin: https://www.academia.edu/50001943/Active_substances_and_in_vitro_anti_diabetic_effects_of_a_traditional_folk_remedy_Bian_Que_Triple_Bean_Soup_as_affected_by_the_boiling_time

2) Mung Beans (Vigna radiata): https://www.mdpi.com/2304-8158/13/21/3427

3) Black Beans: https://www.researchgate.net/publication/370546250_New_insights_into_chemical_compositions_and_health-promoting_effects_of_black_beans_Phaseolus_vulgaris_L

4) Fuling (Poria): https://pubmed.ncbi.nlm.nih.gov/34911003

A Gentle Guide to Early Pregnancy with Traditional Chinese Medicine

Kit Li

A patient recently shared the wonderful news of her pregnancy. This is an exciting milestone, and it is also a crucial time to support both maternal health and early fetal development. Here, I would like to share some TCM perspectives, dietary suggestions, and practical guidance for the first trimester.

The first trimester is the most critical stage of pregnancy. During this time, the major organs begin to form, including the heart, brain, spine, and limbs. The neural tube develops early into the brain and spinal cord, and the placenta begins establishing the baby’s supply of nutrients and oxygen. The heart may start beating as early as weeks 5 to 6.

Because these systems are still developing, this stage is particularly sensitive. Exposure to toxins, poor diet, or environmental stressors may affect normal development. Maintaining a clean environment and supporting overall maternal well-being is therefore essential.

From a TCM perspective, the focus in early pregnancy is to stabilise the Kidneys, calm the fetus, strengthen the Spleen, relieve nausea.

There are three common patterns as early pregnancy symptoms (especially nausea):

1. Spleen and Stomach-Deficiency with Rebellious Chong Qi

Symptoms: Nausea, vomiting clear fluids or saliva, fatigue, poor appetite
Dietary support: Ginger and red date tea and Chenpi roasted rice tea (1)
Benefits: Warms the middle jiao, strengthens digestion, relieves nausea

Acupressure support:

Press PC-6 (Neiguan) (2, 3), located on the inner forearm, about three finger-widths above the wrist crease between two tendons. This point is commonly used to relieve nausea.

2. Liver-Qi Attacking the Stomach

Symptoms: Sour regurgitation, chest tightness, irritability, bitter taste
Dietary support: Perilla plum tea
Benefits: Regulates Qi, soothes the Liver, relieves nausea

Acupressure support:

Press ST-36 (Zusanli) (3), located about four finger-widths below the kneecap and one finger-width lateral to the shinbone. This helps strengthen digestion and reduce fatigue.

3. Kidney- and Qi-Deficiency

Symptoms: Lower back pain, frequent urination, fatigue
Dietary support: Chestnut and Chinese yam pork soup
Benefits: Tonifies the Kidneys, strengthens Qi, nourishes Blood, and helps stabilise pregnancy

Recipes:

1. Ginger (4) & Red Date Tea

Ingredients: 3 - 4 slices fresh ginger, 3 pitted red dates (split open)

Method: Steep in 500 ml boiling water for 15 minutes and sip slowly

Suitable for: Nausea, poor appetite

2. Zi Su Ye (Perilla Leaf) (5), Chenpi (Aged Tangerine Peel) & Ginger Drink

Ingredients: Zisuye, chenpi, ginger

Method: Simmer in water for 15 to 20 minutes and drink as tea

Suitable for: Nausea, bloating

3. Chestnut & Chinese Yam Pork Soup

Ingredients: Fresh chestnuts, dried Chinese yam, corn, lean pork (lotus seeds or carrots can be added)

Method: Blanch pork, then combine all ingredients and cook in a pressure cooker for 30 minutes

Suitable for: Weak digestion, fatigue

Key Points on TCM precautions: In early pregnancy, it is important to avoid strong tonics and blood-activating herbs. Herbs such as Dang Gui (Angelica root), Chuan Xiong (Szechuan lovage), Hong Hua (safflower), and Dan Shen (red sage) may stimulate blood circulation and should only be used under professional guidance.

Downward-moving or laxative herbs should also be avoided. Examples include Yi Yi Ren (coix seed / Job’s tears) and Da Huang (rhubarb root), as they may disrupt the stability needed during this stage.

Cold and raw foods, such as watermelon, bitter melon, sashimi, and cold drinks, should be limited as they can weaken digestion and worsen nausea or diarrhoea.

Greasy and overly rich foods should also be reduced. Sugary and fatty foods may create “dampness,” which can aggravate nausea and digestive discomfort.

A final note: if you are unable to eat for 24 hours, have very little or dark urine, or notice weight loss, this may be a sign of severe pregnancy vomiting (hyperemesis) and dehydration. You should seek medical care immediately for fluids and electrolyte support.

If you have spotting that continues for more than 12 hours, it should also be checked. Light spotting can be normal, but ongoing bleeding may need assessment. Contact a healthcare provider, especially if it becomes heavier or is accompanied by pain, cramping, dizziness, or weakness.

References:

1) Chenpi roasted rice tea: https://kitli-vitaqiholistic.blogspot.com/2025/06/a-rebirth-of-body-wisdom-of-postpartum.html

2) Effect of Nei-Guan point (P6) acupressure on ketonuria levels, nausea and vomiting in women with hyperemesis gravidarum: https://pubmed.ncbi.nlm.nih.gov/17645494/

3) The effectiveness of acupressure combination Neiguan and Zuzanli points to decrease emesis gravidarum in the first trimester of pregnancy:    https://pdfs.semanticscholar.org/1738/0d70ac4f6a88d52fec0b5bada5cdd2a49ee2.pdf

4) Ginger tea significantly reduced nausea levels in pregnant women:  https://jptcp.com/index.php/jptcp/article/view/7641

5)Perilla is useful during pregnancy to alleviate nausea and for calming a restless fetus: https://christopherhobbs.com/herbal-therapeutics-database/herb/perilla

From Awareness to Action: Refreshing My First Aid and CPR Skills

Kit Li

No matter what your occupation is, accidents can happen anywhere.

If you have the opportunity, I’d recommend learning some basic First Aid and CPR in your own time.  Why? It’s not just about public awareness, it’s also about being prepared to protect yourself and the people around you. You never know when you might be in a position to save a life, whether it’s a stranger or someone close to you.

About a month ago, I experienced a first aid emergency on my way home on the train (1). That incident motivated me to refresh my training, especially since I used to work as a cabin crew years ago. Fortunately, I had never encountered any serious situations during my flying career, apart from one case where an elderly male passenger died from internal haemorrhage mid-flight. However, he wasn’t in my cabin, so I didn’t have the opportunity to assist.

This January, I participated in a CPR training course (2) and refreshed my knowledge of how to perform CPR using a training mannequin (Annie). The procedure has been simplified compared to what I learned previously.

In the past, we were taught to give two rescue breaths to an unconscious person before starting CPR. However, current guidance is more straightforward and emphasises acting quickly. For an unresponsive person who is not breathing normally, the priority is to start chest compressions immediately and call for help. Rescue breaths are still included in full CPR (typically in a 30:2 ratio), but for untrained bystanders, hands-only CPR, continuous chest compressions, is encouraged to avoid delays.

The hands-on practice with my classmates was very engaging. We asked lots of questions and gained valuable insights into these updated first aid approaches, particularly the importance of quick decision-making and early action.

Three months later, I attended another First Aid training (2) with my classmates. This basic course covered a range of topics, including recovery position, bleeding, choking, bone fractures, stroke, and heart attacks...etc.  Damian, the experienced instructor, was extremely knowledgeable, and the session was highly informative. We had many engaging discussions related to the topics covered.

We also discussed the recovery position for a pregnant woman. I hadn’t realised that positioning her incorrectly for an extended period, especially lying on her back or on the wrong side, could actually put both her and the baby at risk rather than help (3).

At the end of the session, we discussed what really matters in a first aid kit. It’s not just about how many items you have, but how practical and useful they are in real situations.

Damian emphasised that choosing the right tools, and knowing how to use them, is far more important than simply having a fully stocked kit. He also suggested adding a pulse oximeter as an extra item, which can be helpful for checking oxygen levels if you encounter someone with potential heart or brain-related issues.

This experience reminded me that first aid is not just a skill, it’s a responsibility we carry in everyday life. Staying updated, thinking clearly, and acting quickly can truly make a difference when it matters most.

References:

1) From Panic to Recovery: The Life-Saving Renzhong Point in Action: https://kitli-vitaqiholistic.blogspot.com/2026/03/from-panic-to-recovery-life-saving.html

2) Learn CPR in 15 minutes for free with RevivR: https://www.bhf.org.uk/how-you-can-help/how-to-save-a-life/how-to-do-cpr/learn-cpr-in-15-minutes (virtual)

British Red Cross: https://www.redcross.org.uk/ (in-person)

First Aid Training: https://constellationtraining.co.uk/

3) In first aid, a pregnant woman (particularly in later stages of pregnancy) should ideally be placed on her left side. This helps prevent the uterus from pressing on major blood vessels, which can reduce blood flow and cause dizziness, low blood pressure, or even compromise circulation to the baby. Keeping her on the wrong side or flat on her back for too long, around 20 minutes or more, can therefore become dangerous instead of beneficial.

Exploring Integrative Medicine: Clinical Reflections from the King’s CICM Research Meeting (April 2026)

Kit Li

Yesterday, I had the privilege of attending the 3rd King’s CICM Research Meeting, themed “Integrative Medicine: Quality of Clinical Evidence is the Key,” organised by Professor Xu Qihe, alongside my mentors Dr Tang and Dr Wang, and several LACA professors at King’s College.

In the morning, we visited Dimbleby Cancer Care at Guy’s Hospital, where patients are supported through a holistic model incorporating complementary therapies, psychological services, and welfare advice. During our visit, we had an in-depth discussion with Mandy Brass, Lead Acupuncturist, exchanging perspectives on our clinical work. She provided valuable insights into the centre’s operational framework, including the distinctions between individual and group acupuncture, patient pathways and waiting times, and the clinical use of traditional Chinese medicine equipment such as acupuncture needles, moxibustion, and TDP heat lamps.

The meeting continued with a series of research presentations divided into two sessions.

The first session, “High-quality clinical studies underpin integrative medicine,” addressed topics including the acupuncture service at Guy’s Cancer Centre, the role of Chinese herbal medicine (CHM) in cancer care, international standards and best practice guidelines, and target trial emulation. Presentations were delivered by Mandy Brass, Dr TieJun Tang, Dr Qihe Xu, and Professor Yanzhong Wang.

The second session, “Shining a light on acupuncture in integrative medicine,” explored acupuncture practice at King’s College Health Centre, a scoping review of traditional, complementary, and integrative medicine content on the NICE website, pulse-based acupuncture, and applications in stroke rehabilitation. This session featured Ms Titta M. Laattala, Mr Safin Hossain, Dr Jun Xu, and Dr TianJun Wang.

The event concluded with a panel discussion, where several professors offered insightful reflections on the future of integrative medicine. Following the meeting, we gathered for tea at the King’s College café, providing a valuable opportunity for further informal discussion. I was particularly grateful to continue exchanging ideas on Chinese herbal medicine with Professor Xu and Dr Tang, an inspiring and intellectually enriching conversation that deepened my perspective on integrative clinical practice.

My thoughts:

The discussion with Mandy was fascinating. Her role closely mirrors aspects of my own, although our professional backgrounds differ. Alongside my private practice, I volunteer as a neuro-acupuncturist at Florence Nightingale Hospice Charity (FNHC), supporting patients undergoing or recovering from chemotherapy. My work focuses on scalp acupuncture and Chinese herbal medicine to support recovery and enhance quality of life. Notably, FNCH receives only around 3% of its funding from the NHS, relying predominantly on charitable contributions and legacy donations to sustain its services.

In this context, her suggestion of group acupuncture is particularly compelling. It not only benefits patients by creating a supportive environment where they can connect with others facing similar experiences, but also offers clinical efficiency by optimising practitioner time and increasing accessibility to care.

Another topic that particularly intrigued me was the role of traditional Chinese medicine (TCM) in cancer management. (1) This is especially relevant for patients undergoing or recovering from chemotherapy. In such cases, red blood cells, white blood cells, and platelet levels are often significantly reduced. From a TCM perspective, herbal strategies can be applied both to support the body’s recovery and to complement anti-cancer care. 

For example, herbs such as:

• Baihuasheshecao (Oldenlandia Herb) (1): anti-inflammatory, pro-apoptotic, immune-enhancing
• Banzhilian (Barbed Skullcap Herb) (2): Often paired with Baihuasheshecao
• Fuling (Poria): gut, immunity, damp resolution
• Yiyiren (Coix seed): expels dampness

These are commonly used for their anti-cancer and damp-resolving properties, while others such as: 

• Huangqi (Astragalus Root) (3): commonly used for promoting Qi
• Danggui (Chinese Angelica Root): nourishing Blood
• Shudihuang  (Prepared Rehmannia Root): nourishing Yin and Blood

These are frequently prescribed to tonify Qi and nourish Blood.

As a TCM practitioner, I have observed in my private practice that the combination of Chinese herbal medicine and scalp acupuncture is highly valuable. The therapeutic synergy between these approaches often leads to improved clinical outcomes and may shorten recovery time, particularly when patients adhere to prescribed treatment plans and dietary recommendations.

Overall, the day was both inspiring and thought-provoking (5). It not only deepened my understanding of integrative medicine in a clinical setting but also strengthened my commitment to supporting patients through a holistic and compassionate approach. I left with a renewed sense of purpose and motivation to continue growing as a practitioner in this field.

References:

1) Summarises multiple herbs including your list and their mechanisms: Review of commonly used Chinese herbs in cancer treatment

2) Baihuasheshecao shows anti-proliferative and apoptosis-inducing effects in cancer cells: Anticancer activities of Oldenlandia diffusa

3) Banzhilian, evidence for anti-tumour, anti-inflammatory, and immune-regulating effect: Clinical and pharmacological review of Scutellaria barbata

4) Huangqi shows improved survival and treatment outcomes when combined with chemo: Meta-analysis of Astragalus with chemotherapy

5) King's CICM Research Meeting Puts the Spotlight on Clinical Evidence: King’s CICM Research Meeting Puts the Spotlight on Clinical Evidence – The King’s Centre for Integrative Chinese Medicine

Evaluating Traditional Chinese Medicine Interventions in Polycystic Ovary Syndrome (PCOS)

Kit Li

Polycystic ovary syndrome (PCOS) (1) is a complex condition that affects both reproductive and metabolic health in women. Its exact cause is not fully understood, but it is widely recognised as a multifactorial disorder.

Diagnosis is usually based on a combination of:

• Irregular or absent ovulation
• Elevated androgen (male hormone) levels
• Polycystic ovarian appearance on ultrasound

Cases with higher androgen levels tend to be more severe. The condition can vary across different ethnic groups, is often more difficult to diagnose during adolescence and around menopause, and is commonly worsened by obesity. (2)

How do PCOS affect the ovulation?

In PCOS, ovulation does not occur regularly, which leads to low progesterone levels.  Under normal circumstances, after an egg is released, the follicle transforms into the corpus luteum. This structure produces progesterone during the second half of the menstrual cycle (the luteal phase).

However, in PCOS, hormonal imbalances, including elevated androgens, disruption of the LH/FSH ratio, and often insulin resistance, prevent follicles from fully maturing and ovulating.

As a result:

• Ovulation may be delayed or may not occur
• The corpus luteum does not form
• The body does not enter the progesterone-producing phase

This is why progesterone levels remain consistently low in many women with PCOS.

How do TCM approach in PCOS (3)?

From TCM perspective, PCOS is not described in terms of hormones. Instead, it is understood as a pattern of internal imbalance affecting the body’s systems.  What biomedicine describes as 'low progesterone' is seen in TCM as a failure to properly support the second half of the menstrual cycle, due to underlying organ disharmony.

The common patterns include:

Kidney deficiency: weak reproductive foundation (root imbalance)

In TCM, the Kidneys govern reproduction, growth, and transformation. When Kidney function is weak, the body lacks the necessary energy to support ovulation and the transition into the luteal phase.

Spleen deficiency with Dampness/Phlegm: obstruction (impaired ovulation)

A weakened Spleen can lead to the accumulation of Dampness and Phlegm. This creates internal obstruction, which can interfere with the proper development and release of follicles, reflecting anovulation.

Liver-Qi stagnation: irregular cycle regulation (cycle disruption)

Liver-Qi stagnation disrupts the smooth flow of Qi and blood, affecting cycle timing, ovulation, and overall regularity.

Is it difficult to conceive with PCOS?

It can be more challenging for women with PCOS to conceive, but it depends on the individual.

The main difficulty lies in irregular or delayed ovulation.  In a typical menstrual cycle, ovulation occurs around the middle of the cycle (often around day 14 in a 28-day cycle, though this varies). In women with PCOS, ovulation may be delayed or may not occur regularly at all.

Because ovulation is unpredictable:

• The fertile window is harder to identify
• Conception may take longer

However, many women with PCOS do successfully conceive. With appropriate support, including lifestyle changes, cycle tracking, and medical or holistic approaches, fertility outcomes can improve significantly.

Case Sharing

Miss A, a 30 year-old female, has been experiencing PCOS for several years. She has been using a mobile application to track her ovulation in order to improve her chances of conception. However, due to delayed ovulation (occurring around day 31 of her menstrual cycle), she has found it difficult to become pregnant. This ongoing challenge has also led to feelings of frustration.

Her initial treatment

She reported severe cramping over the past four days during her menstrual period, accompanied by heavy bleeding with  blood clots. She also described persistent fatigue and had recently developed symptoms of a cold with clear phlegm. Emotionally, she has been feeling low and increasingly distressed due to her ongoing health concerns and difficulty conceiving.

Tongue: Swollen body with central dry cracks, red 'strawberry-like' spots near the tip

Pulse: Guan position wiry on the left, Chi  and Guan position are thready on the right

Treatment Principle: 

• Soothe Liver-Qi, regulate the menstruation and calm her Shen
• Invigorate Blood and remove stasis
• Tonify Spleen-Qi and also nourish Kidney-Yin

Acupoints:

Scalp acupuncture: Central Area, Foot Motor Sensory Area, Spirit-Emotions Area, Reproduction Area

Body acupoints:

REN-12 (Renzhong) with Dao-Qi technique: Harmonises the Stomach and strengthens the Spleen, supports transformation and transportation (helps fatigue, dampness).

LU-7 (Liequ): Releases the exterior and strengthens Wei Qi, regulates Lung Qi and fluid pathways.

ST36 (Zusanli): a key point to strengthen the immune system, tonify the Spleen and Stomach, and support overall vitality.

SP-10(Xuehai): Invigorates Blood and dispels Blood stasis, important for menstrual disorders (clots, pain).

SP-6 (Sanyinjiao): Tonifies Spleen, Liver, and Kidney, regulates menstruation and benefits the uterus.

KI-3 (Taixi): Nourishes Kidney Yin and strengthens Kidney function, benefits reproductive system and fertility.

LV-3 (Taichong): Spreads and soothes Liver Qi, helps relieve pain due to Qi stagnation.

Prescription: 

• Yu Ping Feng San modification （玉屏风散) (4) is considered the best immune tonic herb in stabilizing and strengthening the protective 'Qi', it is also for invigorating Qi and boost up her immunity.  There are 8 ingredients in the modification formula and the core ingredients are HuangQi (Astragalus Root) (5), Baizhu (Atractylodes Rhizome) and Fangfeng (Siler Root /            Saposhnikovia Root).

• Liu Wei Di Huang Wan (六味地黄丸) (6)  is commonly used for Kidney-yin deficiency, irregular menstruation, and infertility (including PCOS patterns).  The ingredients are Shu Di Huang (Rehmannia Root, prepared), Shan Zhu Yu (Cornelian Cherry Fruit), Shan Yao (Chinese Yam), Ze Xie (Water Plantain Rhizome),  Mu Dan Pi (Moutan Cortex / Tree Peony Bark), Fu Ling (Poria / Hoelen).

Feedbacks: Cold symptoms resolved, with the patient reporting increased calmness and improved sleep quality.

Conclusion: Following this intervention, six sessions of scalp acupuncture were provided alongside modified herbal  prescriptions. Progesterone levels increased significantly, from 8.7 to 23.1. Ovulation also occurred earlier, shifting from day 31 to day 25, suggesting improved cycle regulation. Treatment will continue on a weekly basis to maintain these outcomes.

As a final note, it is always advisable to consult with a qualified TCM practitioner who can tailor herbal remedies and acupuncture treatments to your specific needs, as individual constitutions vary.

References:

1) Polycystic Ovary Syndrome: https://www.nhs.uk/conditions/polycystic-ovary-syndrome-pcos/

2) Scientific Statement on the Diagnostic Criteria, Epidemiology, Pathophysiology, and Molecular Genetics of Polycystic Ovary Syndrome: https://pubmed.ncbi.nlm.nih.gov/26426951/

3) Combined TCM therapies improve ovulation: https://pubmed.ncbi.nlm.nih.gov/38996123/

4) Yu Ping Feng San: https://pmc.ncbi.nlm.nih.gov/articles/PMC3823765/

5) Research state of the herbal medicine Huangqi (Radix Astragali): A global and bibliometric study: https://pubmed.ncbi.nlm.nih.gov/38394541/

6) Liuwei Dihuang Pills alleviate the polycystic ovary syndrome with improved insulin sensitivity through PI3K/Akt signaling pathway: https://chatgpt.com/c/69d4fa06-47d4-832d-b966-e74ddda42fa9

Bridging Tradition & Innovation: Transformative TCM & Scalp Acupuncture with Kit Li

Kit Li

I am a Traditional Chinese Medicine Practitioner and Scalp Acupuncturist based in London and Buckinghamshire, passionate about helping patients restore vitality, balance, and confidence through integrative care. Since graduating in 2025 from the London Academy of Chinese Acupuncture and the Academy of Scalp Acupuncture, I have dedicated myself to blending time-honoured TCM practices with modern insights to support patients facing a wide range of physical and emotional challenges.

Since July 2025, I have volunteered as a Neuro-Acupuncturist at Florence Nightingale Hospice Charity, working with patients recovering from neurological disorders, cancer, and chemotherapy - particularly breast cancer. Guiding patients as they rebuild strength, regain mobility, and reconnect with daily life has been profoundly rewarding. Through personalised acupuncture and herbal therapy, I have witnessed not only physical healing but also emotional transformation, reaffirming my commitment to patient-centred care.

Mentorship has played a pivotal role in my journey. Since 2023, I have trained under Dr TieJun Tang, an esteemed expert in Chinese Herbal Medicine and part of the inaugural cohort recognised as an “Overseas Grand Master of Traditional Chinese Medicine.” Under his guidance, I have deepened my knowledge of safe, effective herbal therapy and discovered the remarkable outcomes possible when Eastern and Western medicine are combined. Seeing patients with complex conditions, such as T-cell lymphoma, regain vitality through this integrative approach has strengthened my conviction that I am on the right path.

I am also mentored by Dr TianJun Wang, founder of the Academy of Scalp Acupuncture and an “Overseas Grand Master of Traditional Chinese Medicine.” In January 2026, I was honoured to be selected for Dr Wang's Teaching Assistant programme, where I support practitioner training, mentor members within the TJ Scalp Acupuncture community, and assist in clinical education and events. This role continues to refine both my teaching and clinical expertise while allowing me to contribute to the development of fellow practitioners.

I believe true healing happens when science meets tradition, and when patients feel truly seen and empowered. By integrating advanced therapies with TCM, I strive to deliver care that transforms lives, supports resilience, and restores vitality.

Treatments & Specialities

Acupuncture

• Scalp Acupuncture
• Auricular (Ear) Acupuncture
• Cosmetic Facial Acupuncture

Traditional Therapies

• Chinese Herbal Medicine
• Cupping
• Moxibustion

Clinical Specialties

• Women’s Health & Hormones: Fertility, Menopause, Menstrual & Gynaecological Care
• Aesthetic & Hair Health: Facial Rejuvenation, Hair Loss, Anti-Ageing
• Digestive & Internal Health: Digestive, Cardiovascular, Respiratory (including Asthma)
• Emotional & Neurological Wellbeing: Emotional Health, Addiction Support, Fatigue & Insomnia
• Musculoskeletal Health: Back Pain and Other Musculoskeletal Conditions

Specialist Care

• Supportive Care During & After Chemotherapy
• Neurological Rehabilitation
• Personalised Wellness Programmes

For more insights into TCM and integrative therapies, visit my blog: 

http://kitli-vitaqiholistic.blogspot.com or scan my QR Code: