Chief Complaint: Extreme fatigue and pain in joints
Western Diagnosis: Adenocarcinoma of the Stomach
Medical History: Patient is a 67 year old male that outside of the diagnosis appears to be in good health. Blood panels are unremarkable. MRI reveals tumor of approximately 18 inches in diameter. Tumor is causing local as well as referred pain into the inguinal region.
Questioning exam: Most questions and answers were based upon the MRI findings. Surprisingly, his pain is not that severe. Has indigestion and diarrhea frequently, but better with medication (prilosec).
Chief Complaint: Candida
Western Diagnosis: Candida and fatigue
Medical History: 26 year old female Caucasian of A Blood type and high simple carbo diet and recent prolonged use of antibiotics for both URTI and bladder infections. Very noticeable “Geographic Tongue” with thick white coating in the areas that were not peeled. Patients pulse showed a locked and “Slippery” pattern only in the middle jiao both left and right.
OM Diagnosis: A: Damp Heat affecting the spleen organ due to diet, stress and antibiotics. B: Secondarily, Liver heat because of sensitive nature and highly intellectual nature and liver type voice.
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.
Chief Complaint: Fatigue, nausea and loss of appetite.
Western Diagnosis: HIV Positive
Medical History: Male, 33 years of age, 5’10″, 175 lbs., full time student/part time bartender. Diagnosed HIV positive in 1989 remaining healthy with no complications. Currently (2002) and since 1996 patient on triple drug therapy of Indinovir, 3TC and AZT due to high viral load. Current viral load measures 200,000 copies per milliliter. Most notable side effects are chief complaint of fatigue, nausea and loss of appetite. Irregularly exercises, meditates and practices Qi Gong daily. Eight hours of sleep consistently but restless with dreams most nights, Excellent organic non vegetarian diet, mealtimes at regular hours 3x daily. Exposure to smoke daily.
Chief Complaint: Pain Fatigue Weight-gain Delayed Menstrual Cycle
Western Diagnosis: Polycystic Ovary Syndrome
Medical History: Patient has experienced menstrual irregularities with delayed menstruation and worsening pain before menses since the previous year. Weight gain has also increased as well as fatigue and now depression. Patient has experienced hirsutism for the previous 2 years.
Chief Complaint: Rashes, heart burn and sudden onset fatigue
Western Diagnosis: Hives and Acid reflex associated with stress
Medical History: Patient is a 40 year old female, who generally is in good health. She has had hives since childhood, hives comes and goes. Anti-histamine medication or prednisone did not help in the past. She used to take patent herbs for a few days, the rashes would be gone for a couple of months. Wherever she did not get enough sleep or stressed out, the rashes showed up again. Also each time she got pregnant, she tends to get hives. She never had heart burn before, but sometimes has bloating and indigestion when she eats greasy food .
Chief Complaint: Fatigue and anxiety Medical History: 23 y.o. female in overall good health, except that she feels run down and easily fatigued.
Chief Complaint: low energy
Western Diagnosis: fatigue
Medical History: diet almost vegetarian, not much appetite, slow digestion stressful life no serious illness in the past
Questioning exam: Low energy, more so in the afternoon, prone to anxiety, feels cold often, sleep deeply and a lot.
Chief Complaint: Fatigue
Western Diagnosis: Hypothyroidism
Symptoms: No energy, wants to sleep all the time, inability to lose weight, feel cold, low back pain, hair loss.
Palpation: Very deep in the kidney positions, slippery in the spleen position, weak.
Observation: Pale tongue with teeth marks
Chief Complaint: overmedicated, drowsy
Western Diagnosis: Psychosis NOS
History: Client is 38 y old female in a “sober living” facility. Has used drugs and alcohol. Two children in foster care. Mother is supportive and wants her to get some help and reduce medication. Accompanied by mother, sometimes with one daughter.
Symptoms: Pt is very bloated, with two negative pregnancy tests. Has loose stools, and stress urinary incontinence. Imagines people looking at her and herself attacking their eyes and feels depressed about this recurrent idea.