Chief Complaint: Headaches
Western Diagnosis: Migraine
HPI: a 44 years old F. pt. seeks acupuncture treatment for her migraine today. her condition started when she was in 4th grade and has been treated by many doctors and modalities without satisfactory improvement. The patient denied her migraine associated with menstrual cycle or optical status but stress. Additionally, the pt. mentioned she would have a headache again if she skips meals a day. The pain primarily takes place on the left temp. area in a tense/consistent fashion, and could last form a few hours to 3 days, which affect concentration and feel exhaustion. She complaint ache and tension on the neck and shoulder areas, too.
Chief Complaint: Chronic headaches: Tension, sinus, and migraine headaches
Medical History: 29 year old female; occupation-Project Coordinator for a construction company.
States to condition of “chronic” headaches for past 6+ years. Suffering from three types of headaches: tension, sinus and migraine headaches. Wants to get off “so many” medications that many times don’t work.
Reports father diagnosed with cluster headaches.
Current medications: Advil and Aleve for tension H/A, Sudafed 12 hr. for sinus H/A (preventative), Amitryptaline, Midrin, Fioracet for migraine H/A, Orthonovum 1/35 oral contraceptive. Other history is unremarkable.
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.
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.
Chief Complaint: migraines
Medical History: drinker & smoker
Questioning exam: dizziness
Pulse exam: large rapid wiry
Tongue exam: red no coat
OM Diagnosis: liver yang rising
Chief Complaint: Headache 40 +years, adverse 12 years
Western Diagnosis: Daily tension headache, migraine
Medical History: A 57 year-old Female, got headache when she was 12 years old.At the beginning, the headache just occurred each week, and the time was not lasted very long–3-4 hours per time and the pain was not located a specific part.After took pain-killer drug,it could be relieved.12 years ago, the headache became more and more frequent, almost headache every day, and from the morning to evening, the patient had to take medicine everyday,about 3-4 pills a day.
Chief Complaint: Migraine headaches
Medical History: The patient had a history of migraine headaches from the age of ten. The frequency of occurrence had steadily been increasing for several years.
Questioning exam: The pt complained of three to four migraine headaches a week. She reported that although she often got them in the morning, it was not always the case. The pt also described the pain as pounding and on the side of the head, although the migraines were not always on the same side. She stated that she had a very stressful job as a secretary, which affected her mood. She almost always suffered from migraines on Mondays. The pt ran warm and was often thirsty. In addition, she suffered from chronic low back ache.
Chief Complaint: migraine headaches
Western Diagnosis: no western explanation could be ascertained.
Medical History: This is a 60 year old male in relatively good health but readily apparent to be a type “A” personality with high stress levels.
Questioning exam: Upon questioning, his life was good from his point of view with no unusual high stress life experiences going on.
Chief Complaint: headache for over 20 years, and migraine pain(level 8) for six years
Medical History: patient is 42y/o female, has been to many doctors, chiropractors, and taking many medicines, but nothing helps. she felt headache in every single minutes. the migraine pain happened most of the time is during the period. Patient is a college teacher, teachs at two colleges. no smoking, no drinking history. Working out occasionaly, and sometimes swimming could trigger migraine pain.
Chief Complaint: Cyclic Migraine
Western Diagnosis: Cyclic Migraine
Medical History: Unremarkable. One MVA 8 years ago in which she had LBP and R shoulder pain but no problems for 4 years now. Occasional tension headache (one every 6-8 months).
Questioning exam: History of CC: Started 2 months after menarche. Migraines seen 10 out of 12 months per year (cyclic) and 5+ times a year non-cyclic. Has tried various contraceptives to help with migraines without benefit.