Traditional Asian Medicine for Back and Neck Pain

Musculo-Skeletal

Chief Complaint: back and neck pain

Western Diagnosis: myofascial pain syndrome, “herniated and bulging discs”

Medical History: The patient came for treatment in 2001.
The patient is female, 25yrs old.
5′ 6″ 160lbs
2 children ages 3 and 6
Employed in Customer service fora Medical Clinic
Severe pain began following MVA in 1987. Subsequent MVAs in 97, 98, 99, 00, and 01. Surgery on RS knee 3X.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture Treatment of Ankle Pain

Musculo-Skeletal

Chief Complaint: Decreased ROM and pain in ankle

Medical History: Patient had sprained her right ankle 6 months previous to first appointment. She had been to physiotherapy for 5 months without much improvement. ROM was limited to only 20% of normal ROM in both plantar flexion and dorsiflexion. Inversion was limited to about 30% of normal ROM. Pain was rated with testing movements at a grading of 4-5 out of 10. Pain increased with movement and this was particularly difficult as she is a swimming coach and a soccer player. Some swelling was also obvious around the external malleolus.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Excessive Menstrual Flow

Gynecological

Chief Complaint: 1- Excessive menstrual flow

Western Diagnosis: The patient was diagnosed with fibroids by a M.D

Medical History: Female, 46 years old
Secondary complaint, recurrent sinus infections

Questioning exam: 1-Her symptoms consist of a lack of a menses for 2-3 months, followed by a heavy flow for 2-3 weeks. The flow is dark and has clots. She feels her abdomen is tight while menstruating, and finds that moving and stretching relieves it.

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Acupuncture and Herbs for Migraines

Neurological

Chief Complaint: temporal headaches for 2 years

Western Diagnosis: chronic migraines

Medical History: Anorexia as a teen, GB and appendix removed in 1987. Job is high pressure management position. He is forced to lay-off a large group due to economics. He is social drinker and smoker. Diet still poor. Frequently he eats very little and when he does its cold cereal, salads or a bagel.

Questioning exam: He is constantly hot and sweaty. He sweat easily and spontaneously. Shoulders and occiput are sore and aching. Chronic nasal congestion, occasional tinnitus, sometimes dizzy and light-headed. frequent palpitations. No gas or bloating. frequent thirst<

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Chinese Herbs for PMS & Irregular Cycles

Gynecological

Chief Complaint: sinus headaches, PMS, irregular cycles

Medical History: Airline flight attendant, ie. irregular sleep and dietary habits

Questioning exam: eyes-itchy,runny,red,-wind and heat
H/A- temples, worse w/ stress and pms–liver related
H/A- sinus allergies,worse w/ odors and pollution- damp and phlegm
cycle- irregular, short- heat
cycle-starts dark w/ clots- blood stagnation—-by end 6 days looks pale and ashen- blood deficiency

Last modified: September 8, 2009 · al · No Comments
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Acupuncture Treatment of Chest Tightness and Palpitations

Cardiovascular

Chief Complaint: Chest tightness and palpitations chronic for eight years with an acute presentation for 2 weeks.

Medical History: The patient has been tested by a medical doctor for heart problems. The tests including an EKG, Stress Test, and blood values of cardiac enzymes show that the patient is within normal range. Her symptoms generally include tightness in the chest that is always present and palpitations while resting that can last as long as 20 minutes. On several occasions she experienced pain radiating down her left arm. The problem began 8 years ago after her fiance died. Prior to this incident she did not experience any of the signs and symptoms described above.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture Treatment of Hot Flashes

Gynecological

Chief Complaint: Hot flashes

Western Diagnosis: Menopause

Medical History: A forty-nine year old patient, experiencing menopausal symptoms, was on Hormone Replacement Therapy for eight months. She felt great, had no hot flashes, but developed an ovarian cyst. The entire ovary had to be surgically removed. She’d been off of HRT for 11 months when she came in for acupuncture. Hot flashes were getting more frequent and more intense, moving from the groin up to her head. She did not want to take any medications or herbs. Her mother died of ovarian cancer. She had been on HRT since the age of 50.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Bladder Infections

Urinary

Chief Complaint: Recurring urinary tract infections

Western Diagnosis: chronic UTI’s

Medical History: 21 year old female experiencing UTI’s every 3 months. UTI’s seemed to be brought on by the implantation of an IUD. No other medical history.

Questioning exam: Painful and frequent urination, cloudy and bloody urine when experiencing UTI with difficulty emptying bladder. Always fatigued and feeling cold.

Pulse exam: thin, wiry, and rapid pulse overall.

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Herbs and Acupuncture for Hip Cramps

Musculo-Skeletal

Chief Complaint: Right hip/side cramps. Secondary complaints: low immunity, left tooth abscess (upper molar #16).

Medical History: Patient involved in MVA at age 14. She was a pedestrian hit by car. Multiple surgeries to repair fractured left femur and pelvis. Removal of left kidney and spleen. Currently, patient takes Chinese herbal supplements only.

Questioning exam: Patient is friendly and always smiles. Her voice sounds apologetic and she seems not comfortable in her body. When asked to show her tongue, patient always coughs, apologizes and says “ah”. Coping style is focused on removing herself from situation with girlish laugh and voice, and apologies.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Abdominal Pain

Digestive

Chief Complaint: Abdominal Pain

Western Diagnosis: Acute Gastritis

Medical History: Patient is a 30 year old female student. Average diet. In general runs cold and damp with underlying KID yang def.

Questioning exam: Patient had pain in lower abdomen and left lower quadrant following a night of drinking ETOH (Ethyl Alcohol i.e. beer and alcohol) and greasy foods. Felt burning dull achy pain in LLQ. Loose stools with burning at evacuation.

Last modified: September 8, 2009 · al · No Comments
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