Archive for the ‘Well-Being’ Category
Medical-history: Patient, 35, female reports trouble falling asleep for 3 years. Often lays in bed and takes 2-3 hours to fall asleep.
Pulse: Pulse excess and large.
Tongue: Thick, white sticky coating
Symptoms: Insomnia with racing thoughts, worry, tossing & turning during her few hours sleep, fatigue, poor memory, & anxiety.
Pulse: Thready, slightly rapid
Tongue: Pale slightly Thin, w/slight white coating in middle jiao.
CM-diagnosis: Bu Mei: Heart & Spleen Deficiency
Chief Complaint: Recurring Nightmares
History: Patient was an 23yr old female who had no previous major medical history. She had a tonsillectomy when she was in grade school (did not remember age) . No medications, no history of abuse and could not think of any specific physical or emotional trauma.
Symptoms: Recurring dream of being chased then strangled. Initial onset was about 1.5 months prior to tx with an occurrence about 2/3 times per week. Patient was having difficulty sleeping due to anxiety about having nightmare and would sleep very lightly. After dream would usually stay up about 2 hours to calm herself down. All other functions seemed normal.
Chief Complaint: Facial Flushing
Western Diagnosis: Hot Flashes
Medical History: This patient, (a male), complains of hot facial flushing. This patient complains of blurred vision which is worse when he is tired. He states that he is irritable, is easily disturbed by situations, and is easily frustrated. He states that he has a dry mouth, dry lips, and dry skin. He states that he has palpitations. He has perspiration on his palms and soles, He complains of not having time to exercise or time for recreational activities, He also states that he feels moody, and occasionally has a sinking feeling from his heart. The flushing is located on both cheeks and lower portions of his ears. The flushing is intermittent, it feels hot to the patient, and is warm to the touch. No other treatment or medication has been taken. This patient does not smoke, use drugs or drink alcohol. His diet consists of “fast foods” and sometimes he skips breakfast. His blood pressure is 120/90. His pulse is 66BPM.
Chief Complaint: Stress with accompanied symptoms is his chief complaint.
Medical History: Patient was seen for the first time in February of 2001. This was his first experience with acupuncture.He appeared anxious.His work is in selling bonds and he is not really happy with the job situation. Stress and the following symptoms were discussed:here was a past history of indigestion and chest pains. He exercises frequently and tries to watch his diet. His father died at 72 of heart disease . He used alcohol regularly and drinks 2 cups of coffee daily. Sleep can be irregular and takes Valerian and sometimes sleeping pills.
Chief Complaint: insomnia
Western Diagnosis: insomnia.
Medical History: Insomnia for the last 18 months which started when the patient changed his job. He worked for 20 years doing shift work in the airforce, yet when he changed to a regular day job 18 months ago he started to suffer from insomnia. He used to get a maximum of 2 1/2 hours sleep each night. Sometimes he fell asleep easily and then woke up later on, and then was unable to get back to sleep. Other times it took him 2-3 hours to fall asleep and then he would wake up again and was unable to return to sleep.
He relaxed and walked the dog before going to bed. Very rarely had dreams. Very little alcohol, doesn’t smoke. Good diet; chicken, fruit, veg, little dairy. Last meal of the day was at 4.30pm. No coffee, 2 cups of tea daily.
He appeared very calm at the consultation. None of the usual patterns of disharmony within TCM stood out, such as; Heart Fire, Liver Fire, Blood deficiency, Liver Yin deficiency, etc.
Chief Complaint: Allergy and Insomnia
Western Diagnosis: Allergy and Insomnia
Medical History: Dizziness, fatigue, frontal headache, insomnia, asthma, nausea, earache, hay fever, sinus problems. back, legs, neck and shoulders pain, Lumps in groins.
Allergic to passion fruit, chamomile, some fruits, cats, horses, goats, deers, some herbs.
Questioning exam: Allergy and asthma since pt was born and has been tested and confirmed by specialist. Symptoms included daily sneezing, itchy throat, running nose, stuffy ears, frontal headache, and frequent skin rush.
Chief Complaint: Dizziness
Western Diagnosis: Vertigo
Medical History: Weight training 2x a week
Eats lots of fatty foods, sweet cravings
Drinks a lot of coffee
Questioning exam: Migraine headaches for 6 months
Chief Complaint: depression
Medical History: 35 year old female with a history of depressive episodes for 6 years. Recent weight gain of 20#s. Reports lack of interest in life, lack of exercise, and diet that includes large amounts of sugars and refined flours.
Questioning exam: Premenstrual breast distension
Constipation alternating with diarrhea.
Irritability and anger
Heavy menstrual flow with dark clots
Restless sleep with strong dreams.
Chief Complaint: depression
Western Diagnosis: depression, generalized anxiety disorder
Medical History: 42 year old female. Extreme despair every morning, characterized by great anxiety, terror of organizing her life, suicidal thoughts, fatigue.
Questioning exam: The patient revealed that she vomited bile on many mornings and she had had a cholecystectomy 3 years previously. She was intolerant of fat.She had struggled with weight gain and was overweight, gaining 60lbs. in three years.She had a very large scar under the right rib cage from the surgery.