Acupuncture Treatment of Shoulder Pain
Chief Complaint: Shoulder pain and reduced ROM
Western Diagnosis: Diabetes Mellitus, Hypertension, Shoulder pain
Medical History: 69 yr old lady, sedentary, average American diet, slightly obese, mentally and socially well adapted. On Beta blocker, lasix, glucophage, and human insulin.
Questioning exam: Patient reported that she’d like to be off all her medications and would like to be able to used her shoulders which had gradually deteriorated over a period of 1 year.
Pulse exam: Crepitis in shoulders with very restricted active ROM, and pain elicited on passive ROM study. Pulse Wide, slippery, firm and forceful.
Last modified: September 8, 2009 · 
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Tags: Acupuncture, shoulder pain · Posted in: Musculo-Skeletal
Acupuncture and Chinese Herbs for Hep C and Fatigue
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.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, fatigue, hepatitis, Herbs · Posted in: Metabolic
The Acupuncture Treatment of Tinnitus
Chief Complaint: Tinnitus
Western Diagnosis: Tinnitus
Medical History: 43year old Caucasian male patient had an oral surgery on his left side of his jaw 5 weeks ago. Since then he was hearing high pitch ringing sound in his left ear. Patient was healthy until this condition. He also complains of tenderness around the surgical area, and also suffers from insomnia and depression since. Healthy diet and exercises regularly.
Questioning exam: Do you have insomnia because of pain or sounds? Sounds (tinnitus)
Any medications? Taking anti-anxiety medication and took antibiotics for 2weeks after the surgery.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, tinnitus · Posted in: EENT, Neurological
Acupuncture Treatment of Hepatitis
Chief Complaint: pains in hypochondrium , poor appetite & bad erection
Western Diagnosis: viral hepatitis
Medical History: patient is Male ,47 years old , with HCAg +ve , hight SGOT SGPT ,
Abd. distention
Questioning exam: question & answers about the case is for how long (3 years) what is the dietary habits
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, hepatitis · Posted in: Hepatic, Infectious
Acupuncture Utilized to Address MMR Side-effects
Chief Complaint: Side effects from MMR (measles, mumps, rubella) immunization
Medical History: 13 month old female in good health, 21lbs., 30″ tall. No major illnesses reported-child has never received antibiotics. No ear, nose, or throat complaints. Child drinks approx. 20 oz. of organic cow’s milk daily, otherwise she drinks room temperature water. Parents reported feeding her a variety of table foods. The child takes two naps daily and sleeps through the night. The parents reported the child as having “normal “bowel habits, although they occasionally notice some undigested food in the stool. The child is characterized as happy, easy going, and very social.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, MMR · Posted in: Iatrogenic
The Acupuncture Treatment of Fibromyalgia
Chief Complaint: Muscular pain/ achiness
Western Diagnosis: Fibromyalgia
Medical History: Patient: female, 42 years old
Since February 2000, patient had experienced muscular pain. In April 2000 she was diagnosed with Lyme’s dx and put on antibiotics. After no relief, a spinal tap and Tender Point Assessment test were performed. She was diagnosed with fibromyalgia in the summer of 2000. Significant medical history includes saline breast implants in 1983, gall bladder was removed in 1984 and in 1993 the patient was diagnosed with severe allergies and asthma. Medication at the time of visit included Arthrotec and Maxalt.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, allergies, asthma, fibromyalgia · Posted in: Metabolic, Neurological
Migraine Headache Treated with Acupuncture and Herbs
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
Tags: Acupuncture, headache, Herbs, migraine · Posted in: EENT, Neurological
The Acupuncture Treatment of Headaches
Chief Complaint: Chronic headaches: Tension, sinus, and migraine headaches
Medical History: 29 year old female; occupation-Project Coordinator for a construction company.
States to condition of “chronic” headaches for past 6+ years. Suffering from three types of headaches: tension, sinus and migraine headaches. Wants to get off “so many” medications that many times don’t work.
Reports father diagnosed with cluster headaches.
Current medications: Advil and Aleve for tension H/A, Sudafed 12 hr. for sinus H/A (preventative), Amitryptaline, Midrin, Fioracet for migraine H/A, Orthonovum 1/35 oral contraceptive. Other history is unremarkable.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, headache, migraine · Posted in: EENT, Neurological
The Acupuncture Treatment of Fibromyalgia
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
Tags: Acupuncture, fibromyalgia · Posted in: Metabolic, Neurological
Oriental Medicinal Herb and Acupuncture for Fatty Liver and Diabetes
Chief Complaint: fatty liver and poorly controlled Type 2 Diabetes
Medical History: 55 yr old Caucasian male. Morbidly obese.
First appointment on March 2004 pt’s labs reflect triglyceride level of 1105, cholesterol of 230 and elevated AST (50’s) and ALT (80’s). Pt’s record of blood sugars indicate his blood sugars were consistently in the high 230’s. Pt was not (and is not) on any western medications. Even though pt had dangerously elevated triglycerides and blood sugars he consistently refused western medications. His MD finally referred him to acupuncture in the hopes that something could be done to stabilize the patient.
Patient does not drive and does not cook. He reports excessive appetite He either buys prepared meals at the deli counter of grocery store or goes out to eat. His only exercise was walking to the public bus.
Last modified: September 8, 2009 · al · No Comments
Tags: Acupuncture, anger, diabetes, fatty liver · Posted in: Hepatic, Metabolic
