Dr. Huang’s Clinical Reflections | Learn Clinical Reasoning with Dr. Huang Facial Sensitivity to Wind, a “Swollen” Tongue: A Clinical Sign I Almost Overlooked What makes this case truly interesting is not the final conclusion,but the fact that for a long time, I treated two symptoms as two separate problems. In reality, they originated from […]

“TMJ Discomfort” with a Cervical Origin: A Reverse Diagnosis Involving the Great Auricular Nerve This type of patient can easily lead a clinician off track.He arrives with a “diagnosis” already formed — temporomandibular joint disorder (TMJ). But in clinical reality, the diagnosis brought by the patient is often unreliable.The clinician’s job is not to follow […]

Pain in the Buttock, Problem in the Abdomen: A Counter-Intuitive Diagnosis of Iliacus Strain This case is not complicated, but it is highly instructive. It challenges a common clinical misconception: The location of pain is not equal to the location of the lesion. If you focus only on “buttock pain,” your treatment direction will drift […]

This young dancer had heel pain for 8 months. In India, she received 6 months of physiotherapy. All of them diagnosed plantar fasciitis and treated the bottom of her foot. But the pain never truly improved. When she came to my clinic in New Zealand, I found something very different during the examination. She had […]

A Case of Imaging-Confirmed Delayed-Onset Olfactory–Gustatory Disturbance Following Traumatic Brain Injury (Record dated 06-01-2026) 1. Patient Information Patient: MaleAge: Approximately 30 yearsBackground: KiwiPast Medical History:No history of upper respiratory tract infection.No prior smell or taste disturbance related to common cold or infection. 2. Injury History (Clearly Identified Primary Event) Approximately three months prior, the patient […]

Case 4 | Paroxysmal Epigastric Pain for 2 Years From an Acute Gastrointestinal Event to a Body–Mind–Society–Spirit System Imbalance ① Case Background Patient:Male, 30 years old, Kiwi, solid build, carpenter. Timeline of the Condition Approximately 2 years ago (initial event)During overseas travel, the patient developed sudden nausea, vomiting, diarrhea, and abdominal pain, a presentation consistent […]

Case 3 | Left Foot Pain (2 Weeks): Peripheral Nerve Entrapment in the Context of Obesity and Prolonged Standing 1. Case Background The patient is a 30-year-old Chinese female, working as a chef, with a body weight of 95 kg. She presented with left foot pain lasting for approximately two weeks. Pain characteristics: Pain occurs […]

She was a 17-year-old Kiwi girl, recently graduated from high school.Over the past year, her condition had gradually deteriorated. She felt exhausted every day, often going straight to bed after school.She experienced daily abdominal pain and diarrhea, frequently needing to use the bathroom.Her facial acne worsened significantly, and she became reluctant to see people.She felt […]

Case 1｜Acute Right Thoracolumbar Pain: From Sharp Back Pain to Cough Pain — A Four-Tier Diagnostic Pathway ① Case Background A 46-year-old female developed sudden, severe right thoracolumbar pain one week ago while bending forward to pick up an item in the kitchen.The pain extended from the right costal margin down to the iliac crest. […]

Case 2｜Left Testicular Pain: A Psoas Chain–Induced Neural Traction Trap ① Case Background The patient is a Kiwi male.He has experienced left testicular discomfort for approximately 13 years, with significant worsening over the past two years. Main symptoms: Dull ache and aching sensation in the left testicle A feeling of scrotal heaviness or “dragging” Mild […]

Case 1｜Acute Right Thoracolumbar Pain: From Sharp Back Pain to Cough Pain — A Four-Tier Diagnostic Pathway ① Case Background A 46-year-old female developed sudden, severe right thoracolumbar pain one week ago while bending forward to pick up an item in the kitchen.The pain extended from the right costal margin down to the iliac crest. […]

Western Medicine Keeps You Alive, Chinese Medicine Helps You Live Well（ No. 100） All the diseases we encounter in clinical practice can be re-examined through the lens of the “Four-Level Thinking Framework.”Level One and Level Two diseases determine whether a person can stay alive.Level Three and Level Four diseases determine whether a person can live well. […]

Preface to Four-Level Thinking: Rethinking Chinese and Western Medicine — How Four-Level Thinking Gives Chinese and Western Medicine a Shared Language for the First Time For many years, “Chinese medicine versus Western medicine” has been an endless debate.Some insist that Chinese medicine is true holistic medicine;others believe that Western medicine is the only real science.Some […]

This patient has experienced period pain possibly related to endometriosis for around ten years. She underwent surgery in May 2024, with improvement lasting for about six months, but the pain gradually returned. During her period, her pain level reaches 8–9/10 and she needs painkillers for one to two days each month. She also has had […]

My 7-Year Headache and Neck Pain Journey Hi everyone. I want to share my personal experience dealing with a chronic issue that had been affecting my life for seven years: a problem with my neck that caused very severe headaches. Before I found the right help, I was constantly relying on pain relievers—taking Tramadol, Ibuprofen, […]

This case highlights how a patient with persistent forefoot pain, described as “walking on a pebble,” was initially diagnosed with a plantar plate tear based on MRI. Careful clinical examination, however, revealed that the true source of pain was interdigital nerve entrapment — Morton’s neuroma. This report underscores the importance of correlating imaging findings with […]

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Steve, a plumber in Auckland, had suffered from headaches for three years. It wasn’t stabbing pain or migraine attacks. It felt like a thick towel was tightly wrapped around his head all day, making it hard to breathe. “I’m like an old ox pulling a broken cart—no choice in the matter. Parents to care for, […]