Herbs and Acupuncture for Amenorrhea

Gynecological

Chief Complaint: sporadic menstrual cycles

Western Diagnosis: amenorrhea

Medical History: 27 year old female triathlete. Runs, bikes, skis. Menstrual cycles sporadic since age 16. Diet fairly balanced, except red meat and iron rich foods lower than needed. Until recently patient worked three jobs.

Questioning exam: 1-2 menstrual cycles a year presenting with low back cramping, onset with brown blood, duration 3-4 days, ending with brown blood. Flow remains light throughout cycle. Fatigue during cycle. especially. Low grade anxiety, cold hands and feet, slight constipation, occasional floaters, and sometimes hard to fall asleep, especially prior to onset of cycle. Patient also complains of “coming down with every cold that comes along”.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture for Chronic Low Back Pain

Musculo-Skeletal

Chief Complaint: chronic low back pain

Western Diagnosis: L5/S1 disc herniation s/p laminectomy

Medical History: Patient is 31 yr. old female with two year hx of low back pain as a result of a fall at work 9/99. Diagnosed with L5/S1 disc herniation and radiculopathy at same level. Laminectomy performed 5/00. 14 months later low back, bilateral leg pain and left foot numbness continues.

Questioning exam: Other medical history significant for daily headaches, irregular dizziness, poor appetite, insomnia and bi-polar disorder.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture Treatment of Arthritis in Thumb and Wrist

Musculo-Skeletal

Chief Complaint: Pain in right thumb and wrist

Western Diagnosis: Arthritis

Medical History: Pt. is a 52 yo dental hygienist who presented with painful wrist and thumb that threatened to force her to quit her job. Problem began 9 or 10 years ago and has gotten progressively worse. Her health history is unremarkable, although she had a benign lump removed from her right breast approximately 10 years ago. Her diet is relatively good but she has a great deal of stress due to her aging parents. Sleep and digestion are good.

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
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Herbs and Acupuncture for IBS Diarrhea

Digestive

Chief Complaint: chronic diarrhea

Western Diagnosis: IBS

Medical History: 34 year old Caucasian female, bookkeeper. Presents with scoliosis, lower and upper back pain, irregular menses. Patient does not exercise and eats lots of fried foods.

Questioning exam: Patient sighs frequently, has breast tenderness, distention, bloating and gas. Chronic dawn diarrhea with undigested food and mucous. Symptoms increase with menses. Patient has a heavy flow with many, large clots and dark blood. She sees floaters and frequently feels hot. She has seasonal allergies.

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

Respiratory

Chief Complaint: Chest congestion with cough that started in the fall 3 years ago

Western Diagnosis: chronic bronchitis

Medical History: Medical History:

a. History of Present Illness: The patient has been suffering from chest congestion with cough for over three years. The condition usually worsens in the months of October and November. It becomes aggravated with heat. 14 days ago it worsened and became a cold. The days before she got the cold, she went and took saunas and steam baths regularly for therapeutic reasons. She was hoping it would help her chest congestion. Two weekends ago it manifested as a cold. She has a dry, hacking cough. The cough contains phlegm which is difficult to expectorate and the color of it is yellow. In addition she has yellow sticky nasal discharge. She feels depressed that she is not feeling well.

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

Well-Being

Chief Complaint: Cannot sleep for ten years

Western Diagnosis: Chronic Insomnia

Medical History: Patient is a 44 year old female. She has a history of seeing various physicians without adequate results. She has no history of smoking, alcohol or drug abuse. She tends to her garden at home but does no cardiovascular exercises.

Questioning exam: Patients shows signs of depression, stress, and fatigue. Bowel movement and urine are normal.

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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Oriental Medicine for Knee Pain

Musculo-Skeletal

Chief Complaint: Pain is in the back of the left knee

Western Diagnosis: Meniscal tear; a ganglion cyst.

Medical History: the patient is a 47-year-old female whose weight is over 200lb. The patient fell down and injured her left knee ten months ago. Soon after the patient started to experience pain in her left knee. MRI reveals meniscal tear and cyst behind the left knee.

Questioning exam: The patient experiences pain in the back of her left knee. It is difficult for her to walk downstairs. The patient could not walk more than five minutes without pain. She also has knee pain when sitting.

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

Musculo-Skeletal

Chief Complaint: pain and stiffness in both thumbs

Western Diagnosis: osteoarthritis

Medical History: P is 54yr female currently menopausal, @40lbs overweight, has a hx of auto-immune disease in form of psoriatic arthrosis is the lumbar spine. overuse of yoga triggered the disease. Also has minor patches of psoriasis on legs and arms. Diet is rich in dairy, wheat, sugar, salt and wine.

Last modified: September 8, 2009 · al · No Comments
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