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: Shooting pains in (L) occipital and parietal regions of the head, radiates to top of the head.
Western Diagnosis: Occipital neuralgia
Medical History: 73 yr old status post surgery for throat cancer. Developed tingling and pressure sensation in occipital region which developed into severe shooting pains over a period of about 8 months. Shooting pains are rated at 9/10 level and occur 3-4 times/day. Patient has had 7 nerve blocks and surgery none of which helped to reduce symptoms.
Pertinent Medical History: Throat cancer 1997 treated with chemo therapy and radiation for 13 weeks. Developed inability to swallow due to scarring from radiation which required placement of gastric tube for feeding. Surgery to reduce scarring in the throat was unsuccessful.
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.
Chief Complaint: Sinus problems
Medical History: Onset 5 years ago. Drinks 2 cups coffee daily.
Questioning exam: Sinus congestion and headaches worse with dairy and wheat. However no symptoms are used to make a Five Element Diagnosis.
Pulse exam: Pulses indicated exit-entry blocks between LV and Lu and LI and St.
Tongue exam: n/a
Chief Complaint: anxiety/depression/fatigue/shortness of breath
Western Diagnosis: anxiety/depression
Medical History: 20-40 milligrams of Celexa (almost 1 yr),
Ht: 5’11 wt: 140
Childhood illnesses: chickenpox<
Chief Complaint: sporadic diarrhea followed by severe Rt. quadrant pain and high fever
Western Diagnosis: Crohn’s disease
Medical History: Diagnosed as Crohn’s Disease ten years ago. The frequency of the episode progressively changed to few times a year to twice a month. History of double hernia surgery 15 years ago.
Questioning exam: Malar flush, mild afternoon fever.
Chief Complaint: Chronic headaches
Western Diagnosis: Migraine headaches
Sylvia, a thirty five year old woman from St. Petersburg, suffered from severe migraine headaches for four years following the birth of her third child. A very hard-working college student and single mother with a full-time job, she felt over-stressed during waking hours and hardly had time for sleep.
Chief Complaint: Right eye pain/pressure
Western Diagnosis: Secondary Hypertension
Medical History: Leukemia 10 years ago, remission. Truck driver with occasional sciatica. Secondary hypertension, stress from truck driving. Eats well, exercises regularly. Drinks excessive coffee on the road.
Questioning exam: Right eye pressure and pain for one week. Pressure behind the eye. Stress and worry about money and health issues. Bp was normal on examination. Difficulty falling asleep, prone to anger and feeling overwhelmed.
Chief Complaint: 39 years male patient complaining of insomnia, not effective sleeping, awakening tired in the morning, dizziness, fatigue, pensiveness, loss of appetite, feeling of heaviness in the epigastric region, nausea but not vomiting.
Medical History: The patient presented has no idea as to the cause of his condition. It exists for long ago with a slow onset but the symptoms were aggravated from one month, especially the mental tiredness, fatigue and insomnia.
He is not smoking, drinking alcohol only on a special occasion, with poor appetite and impaired sleeping. He has a stressful job.Suffer from dizziness.There is nothing abnormal with the defecation and passing urine. He is running each and every weekend.
Chief Complaint: anger management
Western Diagnosis: ADHD with Oppositional Disorder Defiant Disorder
Medical History: Patient is 13-year-old male student, 108 lbs., 5’6″, whose only other medical history was a case of asthma two years prior and pneumonia four years prior to first visit. Patient is only son/child of and resides with his parents and has two older step-sisters from mother’s previous marriage (one of whom is still at home). Family had relocated from urban to rural area approximately 4 years prior and patient held resentment and had grieving issues over leaving his home and friends behind.