Integrated Western + TCM Care in Singapore: Relief for Chronic Conditions - Migraines/ Side-effect of Chemotherapy/ Gastric Ulcer

Migraine headaches, side of effects of chemotherapy, and stomach ulcers can severely impact your daily life— from constantly missing morning meetings due to migraine pain, vomiting through chemotherapy, to sweating from stomach ulcer pain.

You don’t have to cope with just one treatment — integrated care between licensed Western clinics and Yong Kang TCM Clinic (TCM Practitioners Board certified) can target the root cause and help reducing side effects.

Here are 3 real patient cases.

Case 1: Migraine (Qi Stagnation + Blood Stasis) — Rapid Relief + Root Treatment

Patient: Ms. Lin, 34, Singapore PR, marketing manager.

• 5-year history of menstrual migraines; right temple pain like “drilling,” nausea, blurred vision; bedridden for 2 days.

• Western painkillers caused stomach upset.

Integrated Treatment Method:

Western Clinic (symptom control):

1. Emergency relief: Zomitriptan 1 tablet per attack, max 2x/week, avoids NSAID stomach issues.

2. Trigger management: record headache diary; avoid AC drafts, durian, and pre-menstrual late nights.

3. Preventive support: Vitamin B2 daily to reduce attack frequency.

Yong Kang TCM Clinic (root treatment):

1. Diagnosis: tongue red-dark with spots, wiry pulse, dark menstrual blood → Qi Stagnation + Blood Stasis.

2. Herbs: Tong Qiao Huo Xue Tang (Carthamus 6g, Paeonia 12g, Chuanxiong 10g, Peach Kernel 6g, Acorus 9g, Earthworm 9g, Vitex 10g) daily; add Yi Mu Cao 15g during menstruation.

3. Acupuncture: Twice weekly at Taichong, Fengchi, Taiyang, 20 minutes per session.

Outcome:

• 1 week: reduced pain.

• 3 menstrual cycles: virtually no attacks; Western clinic stopped acute meds.

• 6-month follow-up: only mild discomfort after late nights.

Case 2: Postoperative Breast Cancer Chemotherapy — Tumor Control + Side-Effect Reduction

Patient: Ms. Zheng, 48, Singaporean, primary school teacher.

• Stage I breast cancer, postoperative AC chemotherapy (doxorubicin + cyclophosphamide).

• Severe nausea, hair loss, peripheral neuropathy, WBC 2.3×10⁹/L.

Integrated Treatment Method:

Western Clinic (symptom control):

1. Side-effect relief: Granisetron antiemetic, G-CSF for WBC boost, Vitamin B12 for neuropathy.

2. Chemotherapy adjustment: doxorubicin dose reduced 15%, cycle extended to 3 weeks.

3. Monitoring: weekly blood tests, liver/kidney function, cardiac enzymes.

Yong Kang TCM Clinic (supportive care):

1. Diagnosis: pale, weak pulse, low mood → Qi & Blood Deficiency + Liver Qi Stagnation.

2. Herbs: Ba Zhen Tang with adjustments (Dang Shen 15g, Bai Zhu 12g, Fu Ling 15g, Dang Gui 12g, Shu Di Huang 15g, Huang Qi 20g, Gan Cao 6g, Yu Jin 10g). Add Chen Pi 10g, Ban Xia 6g for nausea.

3. Diet guidance: mild fish congee, steamed eggs, yam-pork soup; avoid coconut rice, spicy dishes; sesame and walnut porridge to reduce hair loss.

Outcome:

• 1 week: nausea improved, could eat normally.

• 2 weeks: WBC 4.1×10⁹/L, neuropathy reduced.

• All 6 chemo cycles completed successfully; hair regrowth began.

• 1-year follow-up: no recurrence.

Case 3: Gastric Ulcer (Spleen-Stomach Damp-Heat Type) — Bacteria Eradication + Digestive Support

Patient: Mr. Wang, 42, Singapore PR, truck driver.

• 2-year history of fasting stomach pain, worse with spicy food or cold drinks.

• Endoscopy: gastric ulcer with H. pylori positive, relapsed after incomplete eradication.

Integrated Treatment Method:

Western Clinic (symptom control):

1. Eradication therapy: Omeprazole + Amoxicillin + Clarithromycin + Bismuth for 2 weeks.

2. Mucosal protection: Aluminum-Magnesium compounds 4 weeks, Domperidone for reflux.

3. Follow-up: 6 weeks post-treatment, endoscopy + breath test.

Yong Kang TCM Clinic (root treatment):

1. Diagnosis: burning epigastric pain, red-yellow tongue, slippery rapid pulse → Spleen-Stomach Damp-Heat.

2. Herbs: Tong You Tang (Peach Kernel 6g, Carthamus 6g, Dang Gui 12g, Shu Di Huang 15g, Sheng Ma 6g, Sha Ren 6g, Areca 9g) daily; add Hai Piao Xiao 12g for reflux.

3. Habit adjustment: daily warm ginger-jujube tea; avoid curry rice, fried noodles; keep soda crackers for work trips.

Outcome:

• 2 weeks: pain and reflux resolved.

• 6 weeks: ulcer healed, H. pylori negative.

• 3 months TCM maintenance; no recurrence for 6 months.

Key Takeaways: Core Value of Integrated Care

Condition	Western Clinic	Yong Kang TCM Clinic	Benefit
Migraine	Acute meds for pain, trigger management	Blood-activating herbs, acupuncture	Reduces frequency, prevents recurrent “splitting” headaches
Breast Cancer Chemo	Tumor control, dose adjustment, monitoring	Qi & blood tonics, liver-soothing herbs	Minimizes side effects, completes chemo safely
Gastric Ulcer	H. pylori eradication, mucosal protection	Damp-heat clearing, digestive support	Prevents relapse, improves gut health

⚠️ Important Reminder: All treatments in licensed Singapore clinics (Yong Kang TCM certified; Western clinic fully registered). Do not stop prescribed Western medication on your own. Consult a physician or doctor before starting any medication and/or treatments. Do not self medicate.

Keywords: Singapore migraine integrated care, Western clinic breast cancer chemotherapy, Yong Kang TCM gastric ulcer, H. pylori TCM support, post-chemotherapy side-effect management Singapore