Complementary and Alternative Medicine Practitioner Wellness Articles

Case Study - Urinary Retention after fall/injury (04/05/11)

80 year old male patient presented with Urinary Retention after falling on his knees. Several years before, he had a similar fall and the same issue presented (urinary retention). He was an avid boater and had a very active social life and was basically weakened and disabled by the event.

I also worked with a 80ish year old female who presented with Urinary Retention after a fall in which she fractured her sacrum. Her diagnosis / treatment was same and again the retention rapidly resolved itself.

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Case Study - Neck Pain (03/17/11)

TCM Case Study of Neck Pain
 

02/04/2011

First times treatment

Patient female, 78 years old.
Height: 5'4.5", Weight: 158 lbs, Pulse:66/min, Blood Pressure:160/90

Chief complaint: neck pain on left side for 4 months.

Physical exam. and text: neck pain can not turn, special feel pain on left side.

Past medical history: arthritis neck, Hypertension.

Family medical history: Hypertension.

Present medical history:
Heart: High blood pressure, sleep:7-8 hours/daily.

Kidney: ear ringing.

History of pregnancy: 0

Pulse:
Left pulse: weak wiry. Right pulse: thready weak wiry.
Tongue: red, center cracked, teeth mark, slightly white coating.

Diagnosis neck pain

ICD.9.CM codes: 723.1

Differentiated syndromes: Qi and Blood stagnation, Kidney deficiency.

Eight principles: Yin, Cold, Internal, Deficinecy.

Five elements: water.

Treatment method: Tonify Qi and Blood, promote Qi and Blood circle.

Acupuncture points: first: right side: Gb39( move neck during needling).
Then points:Gb34, Sp6, Lv3, Gb20, YinTang, Gb21, Sj5.

02/11/2011
Second times treatment, patient feel little progress from last treatment.

Patient feel pain level: 9/10.

Tongue : red, purple, with little white coating.

Pulse: (L) wiry, (R) wiry.

Differentitation diagnosis: Qi and Blood stagnation with Kidney deficicency.

Diagnosis: neck pain

Acupunture points: (R)Gb39, Gb20, 21, Yin Tang, Si3, Gb34, Sj14, Ub 62, Sj5.

02/18/2011
Third times treatment

Patient feel little progress from last treatment, still pain on neck left side.

accompanied symptoms: feel dizzy when ly down or get up from bed.

Tongue: red light yellow coating, center cracked, dry.

Pulse: (R)wiry, (L) wiry.

Acupuncture points: Gb20, 21, Si16, Du 20, 19, Sj5, Lao Zhen, Gb34, 39, 41.

02/23/2011

Fourth times treatment

patient feel no progress from last treatment.

Tongue: purple red with no coating.

Pulse: both side wiry.

TCM Diagnosis: Qi and blood stagnation.

Diagnosis Neck pain

treatment method : remove stagnation

Acupuncture points: Gb20,21, Si 12, Du14, Ashi points.

Herbal formula: Gui zhi 1.0g
Bai shao 1.2g
Chai Hu 1.2g
Ge Gen 1.5g
Qin Jiao 1.2g
Wei Lin Xian 1.2g
Xian Ling Pi 1.2g
Sang Ji Sheng 1.2g
Chuan Xiong 1.0g
Sheng Jiang 1.0g
Da Zao 1.2g
Gan Cao(zhi) 1.0g

03/02/2011
Fifth times treatment

Patient feel little progress from last treatment

Bp: 130/70, Hr: 72/min.

Patient feel pain level: 8/10.

Tongue: red, central cracked, slightly yellow coating with teeth mark.

Pulse: (L)wiry weak, (R)wiry.

Acupuncture points: Gb20,21, Si12, Du14, Ashi points Li4, 11 with tuina.

03/16/11

Sixth times treatment

Patient feel 45% progress from last treatmen.

Patient feel pain level: 6-7/10.

Tongue: red, slightly yellow coating T.M. thin tongue.

Pulse: (L)thready wiry, (R) Deep.

Aupuncture poinst: Ren23, Li4, Sj5, Gb20,21, Ashi points, Du14, Neck Jia Ji. with tuina.
 

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Case Study - Inherited Best Vitelliform Macular Dystrophy (03/26/10)

10 year old boy with failing vision.  Best Disease is a rare congenital disorder of the maculae that causes visual deterioration.  It classically presents in childhood and evolves through 6 stages over many years with increasing deterioration in visual acuity.  Usual onset is from 3-15 years with macular atrophy occurring after age 40.  There is no treatment or cure for Best Disease.  Child presented with headaches and vision reduced to 20/100 in the Right eye and 20/80 in the Left eye.

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