Asian Herbs and Acupuncture for Trigeminal Neuralgia

Neurological

Chief Complaint: Facial Pain

Western Diagnosis: Trigeminal Neuralgia

Medical History: Patient is a 50 years old male, well nourished. Physical examination revealed 135/95 blood pressure, otherwise appears to be in good health.

Blood Analysis: within normal range

MRI of the brain: Findings: the internal carotid and basilar arteries, proximal anterior and middle cerebral arteries are normal in caliber, contour and signal intensity. No congenital aneurysm or mass effect.

Impression: Normal examination.

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

Metabolic

Chief Complaint: fibromyalgia and chronic fatigue

Western Diagnosis: fibromyalgia Jan 2001

Medical History: A 50 year old female, health care professional and PhD candidate, sought Chinese medicine for the first time on May 11, 2001, with symptoms of fibromyalgia for one and a half years prior to formal diagnosis in January 2001.

Patient’s physical activity had been limited, since exercise aggravated her symptoms. Symptoms were also aggravated by stress and inactivity. A physician prescribed Prozac, 10 mg on odd days, 20 mg on even days, Premarin 1.25 mg daily, and glucosamine chondroitin, dosage unspecified. The patient also took a daily multivitamin and calcium supplement. There was mild improvement in her condition on this regimen, but she was advised that she would “just have to live with pain.”

Last modified: September 8, 2009 · al · No Comments
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Chinese Medicine for HIV, Nausea, and Fatigue

Digestive

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.

Last modified: September 8, 2009 · al · No Comments
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Post-surgical Pain and Numbness treated by Chinese Medicine

Iatrogenic

Chief Complaint: Pain and numbness post-surgery.

Western Diagnosis: Benign brain tumor located superior to l. mastoid process.

Medical History: Patient is a 35-year old female with main complaints of: reovering from l. mastoid/benign brain tumor, right lower quadrant abdominal and l. eye surgery (wt. put in l. eye m. so upper/lower lids would be functional). Secondary complaints include emotional trauma related to family situation/ pending divorce.

Questioning exam: Questions mainly revolved around post-surgical sx/s. Including: loss of sleep, numbness l. side of face and behind l. mastoid process/ear at incision site. Left side of face muscles do not function: patient can smile and use mouth on the right side but not left side.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Parkinson’s Disease

Neurological

Chief Complaint: Severe tremors/restricted movement

Western Diagnosis: Parkinson’s Disease

Medical History: A 52-year-old male has been suffering from Parkinson’s disease for 5 years. He has experienced severe tremors in all extremities, difficulties in speech, loss of coordination, lapse of memory, etc. Despite western medications and continuous medial treatments, his conditions got worse to a point that his doctors suggest a brain surgery.

Questioning exam: Severe tremor attacks in a 15-min interval. His gait is non-focused and the patient occasionally lose speech functions. Extremely pale and low energy level. Hot in the upper torso, and cold hands and feet.

Last modified: September 8, 2009 · al · No Comments
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Acupuncture and Herbs for Calf Pain and Swelling

Cardiovascular

Chief Complaint: calf pain and swelling

Western Diagnosis: phlebitis

Medical History:
1.Recurrent phlebitis on left calf-had same exact symptom seven years ago. He took Chinese herbal medicine and the symptoms were completely gone. It took 6 weeks to cure it.
2. smoker
3. lost his right leg on auto accident
4. doesn’t drink alcohol but drinks a lot of water
5. He delivers auto parts-driving 8 hours per day. He used to work at a post office where he had to stand for 8 hours per day, again
6. His blood pressure and pulse rate is normal.

Last modified: September 8, 2009 · al · No Comments
Tags: , ,  · Posted in: Cardiovascular, Musculo-Skeletal

Chinese Medicine for Obesity and Hypertension

Cardiovascular

Chief Complaint: Over Weight and High blood pressure

Western Diagnosis: Obesity, high blood pressure

Medical History: 45-year-female who has been overweight for nearly 30 years and has high blood pressure for nearly 12 years.

Questioning exam: Do you have a normal appetite?

No. Sometimes I can’t control myself even under the condition I don’t feel hungry I must eat.

Pulse exam: Heart and liver pulse are superficial.

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