Chief Complaint: persistent poison oak rash
Western Diagnosis: poison oak
Medical History: 45 year old male recently emerged from a nasty divorce. Presenting with a poison oak rash that would not go away despite western medical treatment. The patient had taken oral steroids to no avail and the next step was injected steroids. He was coming to acupuncture to avoid this step.
Questioning exam: Patient was tense and fearful, had a dark blue/black hue visible at his temples, smelled putrid and had a groan quality to his voice.