gb 43 UB 66 + LI 1 GB44 - is routinely done for stiffness and pain after cast is taken off. however we as an acupuncturist should be awake all times meaning we should not forget to differentiate based on clinical findings.
40 yr old female patient came due to severe pain in right foot knee and calf along with stiffness in right ankle (she had cast around right ankle for 1 month) she states all pain came along with her ankle injury except her foot pain is chronic.
her right ankle is stiff without pain. at night time she feels heat sensations around the ankle and it travels from the ankle to right knee along st/gb channels.
s.s/ no palpitation no sleeping problems no urination no other heat signs other than the heat sensation around right ankle at night
tx: gb 43 + 30 % better then gb 38 - no more stiffness
foot pain knee pain stay the same
calf pain is better by 80 % (dahm point mater tong added) then calf pain was gone.
Friday, February 12, 2010
right knee pain (st --- ub)
70 yr old female patient came to due right knee pain with swelling for 1 week. she had this knee pain before on and off but pain is so severe this time she cant walk.
s/s: slightly heavy body type prefers summer over winter dry eyes and dry skin, no palpitation, no insomnia, ringing in both ears poor digestion stomach distention patient states her stomach size doubles after meal at times moderate appetite, acid reflux, chronic constipation frequent urination day and night, itchy ears dry skin in occiput area, knee is swollen and warm to touch pain is located in
GB and UB area in right knee.
dx ub deficient st excess
tx: shin guan --> no change
2nd needle LI 1 - pain 30% reduced
3rd needle ST 45 - almost no pain after this point.
question if this problem is st invading ub will st 36 - work better than the points above?
s/s: slightly heavy body type prefers summer over winter dry eyes and dry skin, no palpitation, no insomnia, ringing in both ears poor digestion stomach distention patient states her stomach size doubles after meal at times moderate appetite, acid reflux, chronic constipation frequent urination day and night, itchy ears dry skin in occiput area, knee is swollen and warm to touch pain is located in
GB and UB area in right knee.
dx ub deficient st excess
tx: shin guan --> no change
2nd needle LI 1 - pain 30% reduced
3rd needle ST 45 - almost no pain after this point.
question if this problem is st invading ub will st 36 - work better than the points above?
Monday, February 8, 2010
pain in left toes for 6 months
she had right knee surgery last aug 09 and she has been having pain in left toes (#234) since then she developed left groin pain. she is 50 yr old.
s/s: heavy body type. cold feet at times bleeding gum dry skin, trouble staying asleep for the last few months normally her sleep is shallow st acid (reflux) abdomen distention at times lower jiao gas (frequent) ankles--edema when humid thumb pain all fingers have arthritic pain borborygmus, post meno hot flashes night sweats excessive appetite
dx. st excess and gb deficiency
1st tx gb 43 + LI 1 -
upon second visit she states toes/fingers are 30% better. her sleep quality was good as well. however groin pain stayed the same.
2nd visit
GB 41 + ST 43 + pain in toes is gone. finger pain improves. groin pain stays the same.
Shen Men -- master tong right side groin pain improves.
s/s: heavy body type. cold feet at times bleeding gum dry skin, trouble staying asleep for the last few months normally her sleep is shallow st acid (reflux) abdomen distention at times lower jiao gas (frequent) ankles--edema when humid thumb pain all fingers have arthritic pain borborygmus, post meno hot flashes night sweats excessive appetite
dx. st excess and gb deficiency
1st tx gb 43 + LI 1 -
upon second visit she states toes/fingers are 30% better. her sleep quality was good as well. however groin pain stayed the same.
2nd visit
GB 41 + ST 43 + pain in toes is gone. finger pain improves. groin pain stays the same.
Shen Men -- master tong right side groin pain improves.
Wednesday, January 27, 2010
strange numb/radiating sensation for 2 months
65 yr old female patient
compliant: strange numbing sensation moving down to her left foot for 1 month. (she states it is not pain but something between cold sensation and numbness but not tingling sensation)
s/s: thin body type, low appetite, slight insomnia, bitter taste in mouth, ren 14 12 4 areas are painful when pressed, indigestion, "food is digested so slowly" no history or backpain upon palpation there is no pain in low back area. affected channels in left leg are ST and GB
itchy inside ears at times. cant digest vitamines; she feels bloated afterwards. skin--strange sensation as if an insect is on her skin (slight itchy when she experiences such a symptom)
TX ST 41 + GB 41 - SI 5 +
upon second visit patient states digestion is slight better and the moving numbness she complained almost disappeared. insomnia stays the same.
compliant: strange numbing sensation moving down to her left foot for 1 month. (she states it is not pain but something between cold sensation and numbness but not tingling sensation)
s/s: thin body type, low appetite, slight insomnia, bitter taste in mouth, ren 14 12 4 areas are painful when pressed, indigestion, "food is digested so slowly" no history or backpain upon palpation there is no pain in low back area. affected channels in left leg are ST and GB
itchy inside ears at times. cant digest vitamines; she feels bloated afterwards. skin--strange sensation as if an insect is on her skin (slight itchy when she experiences such a symptom)
TX ST 41 + GB 41 - SI 5 +
upon second visit patient states digestion is slight better and the moving numbness she complained almost disappeared. insomnia stays the same.
Friday, January 22, 2010
TMJ (during pregnancy)
30 yr old female patient says she suffers from severe TMJ pain. she never had this problem and it started with her current pregnancy. she is 4month pregnant and healthy.
s/s: constant severe neck and upper back pain, right side jaw pain all these pain causes migraine headache bilaterally a few times a wk.
no palpitation no urination issues
contipation which is worse with stress. slight indigestion problems (gas)
bleeding gum without thirst
tired
dizzy when she stands up fast blurry vision
no red eyes or heat sensation in the neck or upper back area.
tx: KD 10 LV 8 +
patient says she feels a lot better
2nd visit
no more jaw pain but she asked if asthma can be treated by acupuncture
tx: LU 8 -
her SOB calmed down.
s/s: constant severe neck and upper back pain, right side jaw pain all these pain causes migraine headache bilaterally a few times a wk.
no palpitation no urination issues
contipation which is worse with stress. slight indigestion problems (gas)
bleeding gum without thirst
tired
dizzy when she stands up fast blurry vision
no red eyes or heat sensation in the neck or upper back area.
tx: KD 10 LV 8 +
patient says she feels a lot better
2nd visit
no more jaw pain but she asked if asthma can be treated by acupuncture
tx: LU 8 -
her SOB calmed down.
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