Chief Complaint: yeast infections
Western Diagnosis: yeast infection/candida
Medical History: Patient complains of consistent vaginal yeast infections. She excercises regularly, eats a lot of sugar in her diet and is on the birth control pill. She is a first year lawyer and is under a great deal of pressure.
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
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.
Chief Complaint: Achilles Tendinitis
Western Diagnosis: Achilles Tendinitis
Medical History: Patient, 62, with primary complaint of achilles heel tendinitis. She has been a ice skater for over twenty years and has only recently began feeling a fixed pain and swelling at KD3 to KD7 area.
She is slightly overweight with poor eating habits, yet has a good exercise regimine, exercising at least 4 times a week for at least 45 minutes.
Chief Complaint: “Severe dysplasia of vulva and rectum”. Secondary complaint of “recurring shingles due to weak immune system”.
Western Diagnosis: Bowen’s Disease. AKA- Intraepidermal Squamous Cell Carcinoma.
Medical History: This woman, age 42, works as a Hollywood talent agent, where intense stress is a minimum daily requirement. Her dysplasia issue began or was diagnosed 18 years prior to this treatment (10/9/01). She had received seven surgeries and/or laser treatment to excise the malignancy sites over that time. Her first malignancy operation was in 1984 with the other surgeries occurring periodically to 1999. As a young woman she had a history of menstrual problems, including “bursting” cysts and tumors (fibroid ?), had one ovary removed at age 19 and eventually a total hysterectomy in July of ’99. She was taking Nexium to treat her job related ulcers. She had daily “migraine” headaches and was taking Imitrex. She had an overactive bladder and had a prescription for Detrol to treat that problem.
Chief Complaint: burning pain in the left hip which referred to the genital region.
Western Diagnosis: herpes zoster.
Medical History: 29 year old female with a history of vaginal infections as well as genital herpes. She is currently sexually active with several partners and is currently taking oral contraceptives.
Questioning exam: Patient complains of burning pain in her left hip which refers to her genital region. Onset of pain was on week prior to coming for treatment with progressive pain daily. The area of pain is marked by red vesicles which appear to be fluid filled. Lesions can be seen in the areas from UB31 to GB29 and to the inguinal groove on the left side.
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: restless legs
Medical History: this is a 54 y/o female with a 30 year history of smoking and moderate alcohol intake. She is a psychotherapist with an extremely stressful practice. Her restless legs manifest as primarily cramping and interfere with her sleep.
Questioning exam: she complains of fatigue, tinnitus, occasional dizziness and constipation.
Pulse exam: pulse is thin, weak and deep.
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.