Taoist Tung's Acupuncture Case History (001)
Note: The Way of thinking in treating this patient is primarily using Taoist Tung's as learned from Dr. Zuo Chang-bo apprentice to Young Wei-chieh.
Female, age 51.
Initial consultation: October 25, 2013
History: Oct. 11, 2013, 51 y.o. female pt. was BIBA to ED:
s/p pedestrian struck and run over by SUV. No LOC was reported. On admission
was diagnosed with acute fx of the distal radius, styloid ulnar fx, R 4-10 ribs
fxs, R pneumothorax. S/P R distal radius fx casting. On 10/11/2013 patient underwent surgery for
pneumothorax, prescribed several analgesics and an antiemetic drug and remained
hospitalized for observation and PT/OT.
At the time of acupuncture consultation, patient was wearing
TLSO (a brace) around her trunk and complained of pain in R hypochondrium and
in R neck and shoulder area, especially painful when breathing, moving, and
sleeping. Hypochondrium pain was
reported as 8 out of 10 and she was unable to inhale deeply or raise her arm as
required for PT/OT. She also complained of diffuse headache in whole head which
she rated at 5/10 at and reported feeling anxious about her loss of
independence. Patient has a history of migraines, child abuse and reported that
the pain from this accident triggered both the headaches and emotional pain
connected with her childhood.
Tongue: Large,
puffy, slightly dusky on top and dark sublingual veins
Pulse: 60 bpm,
thin and fairly even with some deficiency in the cun position
Tung’s Palm: R hand: dark veins in the liver and lung
positions
Palpation: bilateral upper-mid trapezius, R scalene and
levator scapula pressure pain with radiation to head.
Tung’s Dx: Qi and blood
stasis in liver and lung systems; excess condition.
Channel Dx:
Headache from shaoyang, taiyang sinew
channels dysfunction.
Tx:
1.
Lancing of veins below the knee on the shaoyang
channel near GB34 (Tung’s lung and liver areas)
– This brought the hypochondriac pain down from 8/10 to 5/10 and the pt.
then reported that the pain moved up the hypochondrium, towards the
armpit. It also brought pain in the
scalene area down a notch from 8/10 to 7/10.
2.
Lancing of veins above the knee on the shaoyang
channel. 3 pricks into a very knotted veins
area brought overall pain down to a 4/10. The area of the pain shrunk to a
smaller, more focused area of the hypochondrium at a 6/10. The patient reported
that her head felt warm and she felt the pain dissipating from her head as
well.
3.
One needle on a small dark spot (black “beauty
mark”) on the UB channel of the right foot near UB 64/65 took away more
pressure from the head.
4.
No pain on palpation of GB 41, but sensitivity
was present at mu liu on right, which
was subsequently needled. Left GB 43 (Tung’s:
shui qu) was also painful on
palpation and needled. This shrunk the
area of pain in the head to an area around the left orbit and the GB14 area.
5.
Abdominal Acupuncture (BMAA) was used to address
the scalene and levator scapulae sensitivity. Tx: Ren: 12, 11 below, R4; bilateral
KI17, KI17 lat and inf., KI17 sup and med, ST 24.
Patient found breathing much easier after
administration of BMAA, pressure pain at neck reduced and headache lessened.
Post Tx: Patient’s immediate response was headache was
significantly reduced, but she found it hard to put a number on it and its
location remained centered over her left eye.
Pain in scalenes, levetor scapula and trapezius was down to 5/10 with
pressure, and hypochondriac pain was down to a 3/10 after the treatment. Patient
reported being able to breathe freely and deeply for first time since accident
and can she could raise her arm with only slight pain.
One hour post Tx after OT, patient reported headache
completely gone, emotionally happy and calm.
Comments, questions and discussion welcome.
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