Introduction: This study aims to elucidate the mechanism of action and therapeutic efficacy of Mchin tang, a decoction from Chapter 59 of the “Man Ngag Lhanthab,” for treating alcohol-induced liver toxicity in patients. Methods: Conducted as a rigorous single-center randomized controlled trial in 2024 and 2025 at Sindura-med Hospital and Borjigon Otoch Hospital, involving 38 carefully selected alcohol-dependent patients who provided informed consent. Conclusion The findings demonstrate that the Mchin tang drug group showed notable improvement in treating liver toxicity symptoms, which may encourage healthcare professionals to consider traditional medicine as a viable option. Compared with the Silymarin treatment group, the physical and neurological symptoms associated with the alcohol liver disease were significantly reduced in the Mchin tang traditional medicine treatment group, and the headache, hypertension, and numbness were also significantly reduced in the Mchin tang traditional medicine treatment group. A questionnaire clarified the differential diagnosis of headache and hypertension.
The findings suggest that traditional Mchin tang medicine can effectively reduce liver heat disease symptoms and related neurological issues, encouraging further exploration and application in clinical practice.

Background: According to the Health Indicators 2023, diseases of the genitourinary system have ranked fourth among the causes of diseases of the population over the past 10 years, accounting for 10.2% of all diseases. The incidence of genitourinary tract infections by age group compared with 2014 increased by 997 cases in 2023 for all ages, and the highest increase by 2455.9 cases in those over 65 years of age. Therefore, early detection, diagnosis, and prevention of kidney disease are important. Material and method: The study included 40 adult persons who were hospitalized with chronic kidney disease at Sindura-med hospital in 2023-2024. We studied the clinical observation in chronic kidney disease using the pulse palpation, point palpation method of traditional medicine, and Pasternatsky’s symptom palpation of Western medicine. Result: At Sindura-med hospital, all patients diagnosed with chronic kidney disease had cold character pulse reading symptoms and pain on the kidney points of traditional medicine. Eye swelling is a common symptom in chronic kidney disease, but 17,5 percent of the study participants experienced eye swelling.
The majority, 52.5% of all inpatients, and 57.1% of women inpatients had on both sides plus Pasternatsky’s sign, which is a painful sensation when palpating the kidney area, but 45.5% of men inpatients had positive Pasternatsky sign on the right side. Conclusion According to traditional medical theory, when a disease has been going on for a long time, a cold pulse will be detected through pulse reading diagnosis. In kidney disease, a positive Pasteur’s sign, which is pain felt on palpation in the area, is a key diagnostic indicator.