Archive for the ‘Metabolic’ Category
Chief-complaint: Recurring fatigue and joint pain for eight years
Western-diagnosis: Lyme disease
Medical-history: A 46 year old Caucasian male with a history of recurring fatigue and joint pain that would leave him bedridden. He received steroids for the initial bouts which relieved his symptoms temporarily. Many years later, he was diagnosed with Lyme disease and given approximately 8 weeks of antibiotic treatment. Patient reported little improvement with the antibiotic therapy.
He came into my office after being unable to work for several months. He reported extreme fatigue, brain fog, and severe pain in his right ankle.
Myalgic encephalomyelitis (ME) or chronic fatigue syndrome (CFS):
Frequently tired with low energy
Achy limbs and joints
Has to sleep in afternoon
Frequent frontal headaches
Floaters in vision
Dizzy on standing
Normally feels cold
Achy lower back
All symptoms worse for stress
Chief Complaint: Fatigue, post viral muscle atrophy, arm pains along radial bones in both arms, extreme shyness
Western Diagnosis: Post viral syndrome, muscle atrophy.
Medical History: Male age 21, suffered sever CFS at age 13-severe fatigue, fevers, weakness, immune dysfunction. History of following hopefuls of herbs, vitamin/mineral protocols and biochemistry adjustments. The illness left him with the above mentions complaints. Particularly the atrophy of muscles of upper arms and back and upper body. Lower half of the body was strong.
Chief Complaint: Extreme fatigue and pain in joints
Western Diagnosis: Adenocarcinoma of the Stomach
Medical History: Patient is a 67 year old male that outside of the diagnosis appears to be in good health. Blood panels are unremarkable. MRI reveals tumor of approximately 18 inches in diameter. Tumor is causing local as well as referred pain into the inguinal region.
Questioning exam: Most questions and answers were based upon the MRI findings. Surprisingly, his pain is not that severe. Has indigestion and diarrhea frequently, but better with medication (prilosec).
Chief Complaint: Abdominal problems and hypertension for about 3 years, due to stress.
Medical History: The patient claims that she has been under a tremendous amount of stress in the past three years, which have lead to her development of hypertension and dysrhythmias. She has been on anti-hypertensive medications, but these tend to make her feel tired and weak. She states that her stress level is high which prevents her from having a good night sleep.
She complains that she has gained weight, her facial muscle tone has decreased and has generally not felt “like herself” in almost a year now. She asserts that her appetite has increased, she is always cold and her energy level is vastly decreased. She has never sought the attention of an acupuncturist, and is open to new ideas and treatments at this point.
Chief Complaint: Candida
Western Diagnosis: Candida and fatigue
Medical History: 26 year old female Caucasian of A Blood type and high simple carbo diet and recent prolonged use of antibiotics for both URTI and bladder infections. Very noticeable “Geographic Tongue” with thick white coating in the areas that were not peeled. Patients pulse showed a locked and “Slippery” pattern only in the middle jiao both left and right.
OM Diagnosis: A: Damp Heat affecting the spleen organ due to diet, stress and antibiotics. B: Secondarily, Liver heat because of sensitive nature and highly intellectual nature and liver type voice.
Chief Complaint: The thyroid was enlarged.
Western Diagnosis: goiter due to iodine deficiency
Medical History: The patient’s thyroid got enlarged, hard, accompanied with headache, stuffy nose, tending to catch cold and get tired, irregular menstruation, lumbago, neck soreness, and irritability.
Pulse exam: Pulse is wiry and thin.
Tongue exam: Tongue is red with white coating.
OM Diagnosis: Liver qi stagnation
Chief Complaint: lower back discomfort, hot feet.
Medical History: Female approx 50 + y.o.
Presenting Challenge: Discomfort in lower back last 12 months or so, can vary from sore or can’t get comfortable, to a sense of tired, weak. Also digestive challenges leading to diminished appetite pattern of irregular food intake due to varying work schedule.
Irregular menses last 2 years, last period 6mths or so ago.
Otherwise feels general health to be pretty good tho work schedules can be a bit taxing when busy.
Chief Complaint: yeast infections
Western Diagnosis: yeast infection/candida
Medical History: Patient complains of consistent vaginal yeast infections. She excercises regularly, eats a lot of sugar in her diet and is on the birth control pill. She is a first year lawyer and is under a great deal of pressure.
Chief Complaint: Fatigue
Western Diagnosis: Hepatitis C
Medical History: Patient contracted HCV, genotype 1a, 30+ years ago. His liver enzymes are elevated and fibrosis level on biopsy shows stage 3 bridging fibrosis.
Questioning exam: The patient has a very positive outlook towards life in general, but feels weighed down by overwhelming fatigue. He also suffered from diarrhea and nausia. Fatigue did not improve with exercise.
Pulse exam: The pulse was wiry, slippery and rapid on both sides. The main hara finding was oketsu, or stuck blood.