Archive for the ‘Cardiovascular’ Category
Chief Complaint: palpitations, insomnia, irregular erratic heartbeat
Western Diagnosis: arrhythmia, Post Traumatic Stress Disorder
Medical History: Pt. is 37 yr. old male with history of extreme sports career (cycling) with exposure to extreme heat and cold while racing. Childhood history of multiple traumatic events. For the past 20 years Pt. has noticed gradually worsening irregular heartbeat. Has been hospitalized 2 times for acute attacks. Pt. cannot sleep well. Very difficult falling asleep, dream-disturbances, night sweats, some low back pain. Still exercises but only light to moderate because of heart condition. Endurance and stamina, energy level throughout the day very low. Risk of arrhythmia acting up.
Chief Complaint: calf pain and swelling
Western Diagnosis: phlebitis
1.Recurrent phlebitis on left calf-had same exact symptom seven years ago. He took Chinese herbal medicine and the symptoms were completely gone. It took 6 weeks to cure it.
3. lost his right leg on auto accident
4. doesn’t drink alcohol but drinks a lot of water
5. He delivers auto parts-driving 8 hours per day. He used to work at a post office where he had to stand for 8 hours per day, again
6. His blood pressure and pulse rate is normal.
Chief Complaint: Over Weight and High blood pressure
Western Diagnosis: Obesity, high blood pressure
Medical History: 45-year-female who has been overweight for nearly 30 years and has high blood pressure for nearly 12 years.
Questioning exam: Do you have a normal appetite?
No. Sometimes I can’t control myself even under the condition I don’t feel hungry I must eat.
Pulse exam: Heart and liver pulse are superficial.
Chief Complaint: right temporal pain
Western Diagnosis: vascular headache
Medical History: A woman aged 40 complained headache for 20 years. the right temporal pain began 20 yeas age, often preceded by nervous tension or over-fatigue, and aggravated during menses. She experienced boring pain in the right temporal region accompanied by cramping pain of the right eye. the bouts usually subsided after 3-5 days, sometimes with slight pain remaining.
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.
Chief Complaint: Cold hands & feet
Western Diagnosis: Reynaud’s Phenomenon
Medical History: 56 y.o. male with h/o mild HTN, BPH. Very active, a runner, healthy diet with vigorous exercise routine. On meds for HTN & BPH.
Questioning exam: Presented with c/o cold hands and feet, worse in cold weather. Hands appeared purple at distal portion pink on dorsal palms and white on proximal palms. Hands were very cold to touch.
Chief Complaint: Lower extremity numbness, tingling, and pain for 6 years
Western Diagnosis: Peripheral Diabetic Neuropathy
Medical History: 6 years ago the patient was diagnosed with type 2 diabetes; concurrent with his diagnosis he began to experience signs of peripheral neuropathy in his lower limbs which include numbness, tingling and pain in the ankles and feet. The pain pattern is as follows: the toes are numb, the top of the sole and the sole of the feet are numb, and a numb pain and feeling of thickness with pain are felt around the ankle joint. There is also heaviness of the foot. The patient also reports a dull pain in the knees. The pain is on the yin side of the legs and the UB channel. The pain is aggravated by walking and is worse in cold wet weather. The pain is reported as a 6/10. Alleviating factors are warmth and massage.
Chief Complaint: Chest Bi (pain) Syndrome
by Wei Liu, TCMD, MPH, Lic. Acupuncturist, Dip. Herbologist, Lic. Nutritionist
John was a 49 years old patient having been ill with hypertension and coronary heart disease for 5 years. He paid his first visit to our clinic on Oct. 26. His blood pressure is usually around 140/90mmhg and could be well controlled by medications. But he often experienced frequent palpitation, insomnia, anxiety and depression. The palpitation usually happens in the morning and he had a lot of dreams in his sleeping. Also he had a burning sensation in the stomach with acid reflux. Sweating, chest oppression, flush and dizziness were absent. Defecation was regular, and the appetite was okay.