Chief Complaint: severe lower abdominal pain, uterine hemorrhage
Western Diagnosis: uterine fibroids, ovarian cyst
Medical History: 47 y.o. female with a history of heavy menses with clots and cramping and increasing in frequency. Occasional hot flashes but after two 2-year courses of estrogen supplementation didn’t want to continue hormone replacement. Frequent bladder infections following intercourse. History of narcotic and alcohol addiction (past) and high blood pressure triggered by anxiety.
Pulse exam: Liver small and not descending to Kidney.