Saturday, April 25, 2009

Excessive Sweating

30 yr old patient sl thin body type

cc. excessive sweating for 2 yrs which gets worse with stress.

no sweat without stress/anxiety. patient works a lot of hrs a wk. appetite is good. bowel movement urination are fine. no palpitation but sl stuffiness in chest at times, sweating areas are palms feet slight in arm pit and legs. when he works out he sweats in different areas such as face and upper back and chest. dry throat, prefers cold water to drink.

upon exam palms are red.

medical history: Heart Murmur (congenital according to MD)

Tx: Dao chi san modified

no acupuncture tx

chronic neck pain

50 yr old female thin patient came in complaining of severe neck and upper back pain for 3 wks. she suffered from neck pain for the last 3 yrs or so but it became worse for the last 3 wks. her work is physical and laboring. pain is worse towards the end of the day. GB 21 and SI 11 are tender bilaterally. slightly worse with stress.

s/s: chronic digestion problems low appetite gatritis frequent urination without urgency, heavy feeling in whole body, slight weakness in all limbs, occational calf pain, headache in GB and UB channels in head, varicose veins in both legs, nausea and belching, epigastric distention after meal, always tired, painful/red eys with stress, body temperature is cold, prefers summer, PMS-(LBP) heavy bleeding for the first three days, stuffiness in chest with stress.

pressure and tenderness in ST 25 Left side, Ren 10 and 12 and 4 area.

history of hepatitis.

LV SP SI GB...?

TX: LV 1 SP 1 - stomache feels much better but neck pain stays the same.

SI 3 + GB 41 + neck and upper back pain is better about 50%

Thursday, April 23, 2009

acupuncture during pregnancy

most patients are afraid of taking any pills or medications. a patient came due to bad headache for 1 wk. she never had such headache in the past. she is about 20 wk pregnant and is suffering from temporal and occipital headache along with stiffness in her neck.

she has been a little bit stressed out recently at work.

s/s: excessive thirst and dry throat. pressure / redness in eyes for a few wks w/o blurry vision dizziness

tx: LU 8 + then LV 2 -

headache about 80 % better and neck pain about 60%

throbbing in ears and sinus allergy

70 yr old female patient sl heavy with dark circles under her eyes came to my office for sinus allergy which accompanies severe throbbing pain in both ears. because of that she cant have quality sleep.

s/s: mucus in nose which is clear white in color, swelling in right eye, SOB, indigestion, swelling in bilateral hands with pain, occasional mucus in stool, itchy eyes itchy ears, low abdomen gas, overall weak sensation, history of chronic asthma, stomach acid - worse at night, nausea, low appetite, alt chills and fever, palpitation which is not necessarily worse with anxiety.

tx: sp 2 ht 8 + LV1 SP 1 -

herbs: er chen tang modified

second tx: si ma points bilaterally

so far she came three times she says st acid is almost gone digestion is much better throbbing pain is about 50% better so she can sleep at night. energy has improved significantly so she can take a walk during the day. the dark circles under her eyes along with her overall complexion is better as well.

Tuesday, April 21, 2009

nyctalopia-Night Blindness

30 yr old female thin tall body type c.c. fatigue and poor digestion

s/s: night blindness (she cant see things clearly at night.) dizziness when standing up from sitting position poor digestion which is worse with stress. cold hands and feet. no palpitation or urination problems.

tx: LV 8 KD 10 + LU 8 -

herbs: Si Wu tang + fangfeng Qiang Huo

after 3 wks of tx night blindness fatigue and digestion improved significantly.

James Jung L Ac
http://www.medicalholistics.com/

Monday, April 20, 2009

uterine prolapse case

tall thin female patient in her early 70s came to my office complaining of discomfort (rarely pain) in her uterus (cervix) area due to uterine prolapse. it comes and goes. it is worse after physical activity such as walking for one hour. she had an operation to lift her uterus but it came back within 3 months.

s/s: frequent urine (every hr), ringing in right ear, "weak stomache"; indigestion after overeating, or drinking coffee or spicy food) low appetite, cold sensation above the navel, hemorrhoids, vertex / temple headache on occations, history of paralysis of her tongue a few yrs ago now it is ok.

Text Book suggested LI 4 - SP 6 + but I wanted to try to tonify Spleen

Tx: LV 1 SP 1 - SP 2 HT 8 +

herbs: Bu zhong Yi qi Tang

immediately after tx, she felt better and did not feel the discomfort. so far she came 10 time over 2 months. most of the time she does not feel it except after a really physically laboring day
her digestion has improved significantly along with her complextion (from dull yellowish to bright) urination problem is still the same.

Low back pain

50 yr old female slightly heavy c.c. severe low back pain for 3 months

she states she did not have any accidents or injuries to her low back. (she looks so stressed out with slightly red complextion)

s/s: dizzy at times, tinnitis Left ear, tired feeling in her eyes and itchy, there is bitter taste in her mouth, palpitation, slightly constipated, dry mouth SOB, hard to staying asleep due to pain, epigastric distention, sl edema in ankles, stiff neck.

the rest s/s is negative.

MRI of LS is negative, hyperthyrodism

Tx: LV 2 - HT 8- LU 8 +

so far patient came three times according to her she is about 50% better. her complexion/mood improved significantly.