Archive for the ‘Dermatological’ Category
Medical-history: Patient was a 36 female who first came in for fatigue. Patient has premenstrual anxiety, breast distension and diarrhea.
She has cramping and pain with period. She reports she is under a lot of stress. She does drink wine and coffee daily. Also, she likes spicy food.
Symptoms: Rosacea started in January with red cheeks and nose. Went to dermatologist and tried over-the-counter herbal remedies (Women’s Balance) which helped some, but got worse in August of that year. Red, itchy slightly raised papules closer to eyes. Worse during and prior to period. Her skin is now oily. She is not sunlight sensitive.
Chief Complaint: persistent poison oak rash
Western Diagnosis: poison oak
Medical History: 45 year old male recently emerged from a nasty divorce. Presenting with a poison oak rash that would not go away despite western medical treatment. The patient had taken oral steroids to no avail and the next step was injected steroids. He was coming to acupuncture to avoid this step.
Questioning exam: Patient was tense and fearful, had a dark blue/black hue visible at his temples, smelled putrid and had a groan quality to his voice.
Chief Complaint: Hives with itchiness
Western Diagnosis: Allergy
Medical History: 37 female, full-time mother of two children.
Developed the Hive condition all over the body in Oct 2004.
Approx 30 lbs overweight. Went to a dermatologist to check for allergies but found none. Indicated that she can only wear gold/silver jewelries. She likes to eat Cheese but does not drink Milk, nor smokes. Has a mild scoliosis. Taking over-the-counter allergy pills but needed to take more recently (every 12 hours or more). She feels stressed taking care of kids and not getting enough sleep. She also reported a nagging lower back ache.
She never had a acupuncture before.
Chief Complaint: Acne Rosacea
Medical History: The patient is a 50 year old female whose Acne Rosacea, localized mainly around her mouth and chin. During her adolescent years she was diagnosis with severe Acne by her physician. In her thirties she was diagnosis with Acne Rosacea by a Dermatologist. For past two years the outbreaks has been moderate to acute. Her lesion is diameter of an eraser on a pencil. They are pustules and painful. When the lesion breaks open, they bleed and is easily irritate. Simply splashing water on her face to wash it or wiping her mouth area with dinner napkin can cause the to lesions to bleed.
Chief Complaint: Skin Rash for over 10 years
Medical History: Herpes zoster
Questioning exam: Rashes all over the body, especially at neck, chest and arm, it is all red and itching, the skin at forearm is thickened and it is also dry, headache on left temple on and off, hip pain and leg pain on left side, left earache, weight gain, western medicine helped the rashes and itching but get worse when stopped. do not want to use forever western medicine and want to be treated by natural medicine
Pulse exam: pulse is very deep and hard to be felt because of the thickening of the skin, slightly slippery and wiry
Tongue exam: Small tongue compare to her body size, thin yellow greasy tongue coating, red tip
Chief Complaint: Severe Rash
Western Diagnosis: Poison Wood Rash
Medical History: 57 year old male in good heath with moderately good diet, Plays basketball three times a week for exercise. Past history of fungal type rashes and respiratory infections.
Questioning exam: Patient was hiking on vacation in the Bahamas and brushed against a poison wood tree coming in contact with a black sappy substance. Unaware of what it was, patient tried to remove the sap from his arm. This sap then got under his finger nails and was unknowingly spread to other parts of the body. This sap later caused a severe red, raised rash that oozed and crusted over with bright red margins. Since patient was long distance and had few resources, he was advised to use tea bags on lesions, drink mint tea, and eat cooling foods until return home for treatment.
Chief Complaint: Rashes, heart burn and sudden onset fatigue
Western Diagnosis: Hives and Acid reflex associated with stress
Medical History: Patient is a 40 year old female, who generally is in good health. She has had hives since childhood, hives comes and goes. Anti-histamine medication or prednisone did not help in the past. She used to take patent herbs for a few days, the rashes would be gone for a couple of months. Wherever she did not get enough sleep or stressed out, the rashes showed up again. Also each time she got pregnant, she tends to get hives. She never had heart burn before, but sometimes has bloating and indigestion when she eats greasy food .
Chief Complaint: Lung pain,eczema on lips and hands
Western Diagnosis: Pleurisy, chest x-ray shows lungs are clear.
Medical History: Patient has a history of bronchitis, 2 incidents of pneumonia in the past 5 years. 5years ago mothers passed away,uncle last year, 18yr old nephew this past week. Patient has a busy life style, mother of one teen daughter, she travels once a month for her MBA to another state as well as works full time.
Chief Complaint: red itchy skin
Western Diagnosis: psoriasis
Medical History: 38 year old male with psoriasis for 10 years. He believes it was caused by photo-processing chemicals. He has been treated with steroid-family injections but relief is temporary. He also uses creams, Ultravate and Duvanex to control itching. His pulse is slow and he exercises regularly.
Questioning exam: He states the psoriasis lesions worsen in winter, with stress, and possibly with spicy food.
Chief Complaint: Vitiligo
Medical History: This is 37 years old male suffering from vitiligo for almost 12 years. No history of vitiligo in family.
Questioning exam: fatigued, pale skin color, brittle nails, dry and warm eyes, frontal headache, numbness on both legs and hands, poor memory, insomnia with dream disturbed sleep, hair falling out, right hypochondriac pain, constipation, some times ringing in ears, low back pain with frequent urination (two times per night) low sex drive.