Chief Complaint: palpitations, insomnia, irregular erratic heartbeat
Western Diagnosis: arrhythmia, Post Traumatic Stress Disorder
Medical History: Pt. is 37 yr. old male with history of extreme sports career (cycling) with exposure to extreme heat and cold while racing. Childhood history of multiple traumatic events. For the past 20 years Pt. has noticed gradually worsening irregular heartbeat. Has been hospitalized 2 times for acute attacks. Pt. cannot sleep well. Very difficult falling asleep, dream-disturbances, night sweats, some low back pain. Still exercises but only light to moderate because of heart condition. Endurance and stamina, energy level throughout the day very low. Risk of arrhythmia acting up.
Chief Complaint: insomnia
Western Diagnosis: insomnia.
Medical History: Insomnia for the last 18 months which started when the patient changed his job. He worked for 20 years doing shift work in the airforce, yet when he changed to a regular day job 18 months ago he started to suffer from insomnia. He used to get a maximum of 2 1/2 hours sleep each night. Sometimes he fell asleep easily and then woke up later on, and then was unable to get back to sleep. Other times it took him 2-3 hours to fall asleep and then he would wake up again and was unable to return to sleep.
He relaxed and walked the dog before going to bed. Very rarely had dreams. Very little alcohol, doesn’t smoke. Good diet; chicken, fruit, veg, little dairy. Last meal of the day was at 4.30pm. No coffee, 2 cups of tea daily.
He appeared very calm at the consultation. None of the usual patterns of disharmony within TCM stood out, such as; Heart Fire, Liver Fire, Blood deficiency, Liver Yin deficiency, etc.
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: 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.
Chief Complaint: stress, insomnia
Medical History: busy, stressful time at work, having to discipline difficult employee. not running, doing yoga as usual. Awakes at 2 am, irritable.
Questioning exam: irritable, up at 2, out of healthy routine
Pulse exam: P: 80, wiry
Tongue exam: T: red, peeled sides & tip thin, white coat.
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: Insomnia
Steve is a about 40 years old male who had been ill with insomnia for many years. He used to sleep only 2 or 3 hours a day and after getting awake, he could not fall asleep any more. He feels tiredness, coldness in the limbs and a feeling of insect creeping under his skin. Also he has three bowel movements a day with the first one occurring just half an hour after getting up in the morning. He told me that when insomnia was somewhat improved after treatment, the appetite would become poor, while when the insomnia got worse, appetite turned to improved. He has tried different therapeutic approaches, and after acupuncture, the feeling of insect creeping under skin was relieved. Warmth at guanyuan brings comfort to him.
The tongue is pale with teethmarks and the fur is whitish and moist.