Archive for the ‘Neurological’ Category

The Chinese Herbal Treatment of Restless Leg Syndrome

Neurological

Chief Complaint: restless legs

Medical History: this is a 54 y/o female with a 30 year history of smoking and moderate alcohol intake. She is a psychotherapist with an extremely stressful practice. Her restless legs manifest as primarily cramping and interfere with her sleep.

Questioning exam: she complains of fatigue, tinnitus, occasional dizziness and constipation.

Pulse exam: pulse is thin, weak and deep.

Last modified: September 8, 2009 · al · No Comments
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Migraine Headache Treated with Acupuncture and Herbs

EENT

Chief Complaint: Headache

Western Diagnosis: Migraine-(dx. 02/96)

Medical History: 55 year old male, reports frontal and temporal unilateral headache, daily in the am for an hour and then in the evening.H x reveals that he has suffered from this kind of pain for approx. 15 years. worse: with light, in the evening and with stress. better: “nothing, makes it better. but i am still taking Imitrex” reports patient. overall H&P unremarkable.

Questioning exam: Energy is low, feels cold often, has chronic dull lumbar pain, chronic alternating diarrhea and constipation; poor sleep (4-6 hours, restless); urination normal.

Last modified: September 8, 2009 · al · No Comments
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The Acupuncture Treatment of Fibromyalgia

Metabolic

Chief Complaint: body aches all over

Western Diagnosis: fibromyalgia

Medical History: the patient is an electrician who loves spicy food, exercises not at all. Being an electrician in Maine working in very hot and humid environments in the summer and very cold and windy environments in the winter

Questioning exam: Pain migrates, is better when cold, the pain is dull achy in nature

Pulse exam: pulse is slippery, slightly wiry, large joints appear swollen and red and are hot to the touch

Last modified: September 8, 2009 · al · No Comments
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Asian Herbs and Acupuncture for Trigeminal Neuralgia

Neurological

Chief Complaint: Facial Pain

Western Diagnosis: Trigeminal Neuralgia

Medical History: Patient is a 50 years old male, well nourished. Physical examination revealed 135/95 blood pressure, otherwise appears to be in good health.

Blood Analysis: within normal range

MRI of the brain: Findings: the internal carotid and basilar arteries, proximal anterior and middle cerebral arteries are normal in caliber, contour and signal intensity. No congenital aneurysm or mass effect.

Impression: Normal examination.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Fibromyalgia and Chronic Fatigue

Metabolic

Chief Complaint: fibromyalgia and chronic fatigue

Western Diagnosis: fibromyalgia Jan 2001

Medical History: A 50 year old female, health care professional and PhD candidate, sought Chinese medicine for the first time on May 11, 2001, with symptoms of fibromyalgia for one and a half years prior to formal diagnosis in January 2001.

Patient’s physical activity had been limited, since exercise aggravated her symptoms. Symptoms were also aggravated by stress and inactivity. A physician prescribed Prozac, 10 mg on odd days, 20 mg on even days, Premarin 1.25 mg daily, and glucosamine chondroitin, dosage unspecified. The patient also took a daily multivitamin and calcium supplement. There was mild improvement in her condition on this regimen, but she was advised that she would “just have to live with pain.”

Last modified: September 8, 2009 · al · No Comments
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Chinese Medicine for Numbness and Tingling in Lower Extremities

Neurological

Chief Complaint: Numbness and tingling in lower extremities

Western Diagnosis: Peripheral Neuropathy diagnosed in 1996

Medical History: Illnesses and Operations:

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Post-surgical Pain and Numbness treated by Chinese Medicine

Iatrogenic

Chief Complaint: Pain and numbness post-surgery.

Western Diagnosis: Benign brain tumor located superior to l. mastoid process.

Medical History: Patient is a 35-year old female with main complaints of: reovering from l. mastoid/benign brain tumor, right lower quadrant abdominal and l. eye surgery (wt. put in l. eye m. so upper/lower lids would be functional). Secondary complaints include emotional trauma related to family situation/ pending divorce.

Questioning exam: Questions mainly revolved around post-surgical sx/s. Including: loss of sleep, numbness l. side of face and behind l. mastoid process/ear at incision site. Left side of face muscles do not function: patient can smile and use mouth on the right side but not left side.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Parkinson’s Disease

Neurological

Chief Complaint: Severe tremors/restricted movement

Western Diagnosis: Parkinson’s Disease

Medical History: A 52-year-old male has been suffering from Parkinson’s disease for 5 years. He has experienced severe tremors in all extremities, difficulties in speech, loss of coordination, lapse of memory, etc. Despite western medications and continuous medial treatments, his conditions got worse to a point that his doctors suggest a brain surgery.

Questioning exam: Severe tremor attacks in a 15-min interval. His gait is non-focused and the patient occasionally lose speech functions. Extremely pale and low energy level. Hot in the upper torso, and cold hands and feet.

Last modified: September 8, 2009 · al · No Comments
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Chinese Medicine for Migraine Headaches

EENT

Chief Complaint: Migraine Headache

Medical History: Ten year old male, complaining of migraine headaches which occur at any time of day. He had been having them since he was five years old. The H.A. would usually cause him to vomit. Prior to the onset of H.S he would see black spots, have ear ringing.

He would be very active while sleeping, kicking off the covers, tossing & turning. Red /purple color under the eyes (lower eyelid). He has a poor diet, very picky eater. Had problems in school.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Migraine Headache

EENT

Chief Complaint: migraines

Medical History: drinker & smoker

Questioning exam: dizziness

Pulse exam: large rapid wiry

Tongue exam: red no coat

OM Diagnosis: liver yang rising

Last modified: September 8, 2009 · al · No Comments
Tags: , , ,  · Posted in: EENT, Neurological