Acupuncture for glutes and leg pain 针灸治疗臀部和大腿痛

Acupuncture for glutes and leg pain (case from 2016)

Male, 46y 8months. First visit date was March 12, 2016.

Main complaint: he limped into my clinic, could not sit normally on a chair (only half of his body touching the chair). He reported that on May 24 the year before that after golfing, he felt pain on the right side of his bottom, and his right leg. A CT scan indicated he had a bulging disc in L4 and L5. He started physio treatment from July 20, 2015 to March 2016. He felt better in December of 2015, but unfortunately the pain returned in January. On March 5^th of that year, it got worse even though he was doing physio during that time. On that day when he first came in to my clinic, he reported that after he gets up in the morning, for a few minutes he feels pain on the right side of his bottom, and in his right leg. 

 Examination: Straight leg raising test, negative.  It means his pain did not come from a bulging disc. Instead, when pressure was applied to the affected areas, the pain seemed to be caused by muscle spasms in the upper region of the right M Gluteus maximus, at the L2 level of the right M. latissimus dorsi, and some points along the tractus iliotibialis and the right calf .

Treatment: Acupuncture

Points were used: Pishu, Weishu, Huantiao , Yanglingquan, Huanzhong(R) , Chengfu (R) , fengshi(R),Chengjin(R), chengshan(R)

Result:  Right after acupuncture, he walked normal already. In his second visit date which was March 14, 2016, he told me that he felt 50% of his pain was gone. After only 4 sessions of acupuncture, he felt 95% recovered.  On his 6^th visit which was April 12, 2016 he said he did not feel pain on his right buttock and right leg anymore which means he recovered after five sessions of acupuncture.

男性，46岁8个月。 初诊日期2016年3月12日。

主诉：他一瘸一瘸地走进我诊所，坐姿成保护状态，就是说半边身子落座，因为屁股和腿痛的原因。他说自从2015年5月24号打高球后他的右侧臀部和右腿外侧和右腿后面 开始疼痛，CT检查发现腰4和腰5椎间盘突出。同年7月20日开始物理治疗直到2016年3月来我诊所就医前。2015年底短暂好转，不幸2016年新年开始又有疼痛，虽然一直做物理治疗但3月5号起疼痛加重。现每天起床后几分钟右臀部和右大腿即开始痛，严重影响工作和生活，经人介绍来我诊所寻求针灸帮助。

查：直腿抬高试验阴性。排除椎间盘突出引起的疼痛。检查腰部，臀部和腿部，在右侧肾俞，环跳，环中，风市，承山穴处有压痛。

治疗：针灸

穴位： 脾俞，胃俞，肾俞，环跳，阳陵泉。以下穴位均取右侧：环中，承扶，风市，承筋，成山。

结果：1次针灸下地后则不再瘸行。隔天来针灸时告知疼痛已好转50%。4次针灸后说好了95%，2016年4月12号第6次来就诊时说5次后就全好了。现来就诊时为了巩固效果。

Chinese herbs cure allergy 中药治疗水肿

On January 24^th 2019, ther was a woman who visited my clinic with a swollen right eye.  The day before, she suddenly had swelling in her forehead in an area about as big as half of an egg. She took Cetirizine. The next day, the swelling moved from her forehead to her right eye. She visited her general physician, who believed her case was severe, and she might need to take Apo Prednisone. The physician suggested  that she take one day of Cetirizine and if the swelling did not disappear, she would need to come back to her GP and the GP will decide whether or not to prescribe her Apo Prednisone.  She did not want to take Apo Prednisone after doing some research on its side effects online so she decided to come see me.  Below is a photo of her taken on her first visit to me.

首诊：2019-01-24
主诉：右眼周围水肿。她一天前前额正中忽然出现一个半个鸡蛋大的肿起。她自行服用敏感药物Cetirizine。 第二天额肿消失，但右眼周围却肿了。她今早去看了医生。她的医生认为她较严重，建议她再服一天Cetirizine，如果还是肿的话就服用Prednisone. 病人问是否服用了Prednisone就会消肿，医生答肿起可能会转移到别处。病人看了服用Prednisone的副作用，不想用西药，就过来看中医寻求帮助。
下图为当时病人的眼睛情况。

I told her to stop taking any pills, and only take the herbs that I prescribed for her. I gave her two days of herbs. After one day, her right eye was like the second photo. The photo was taken on January 25th, 2019. 
我建议她停服西药，只用中药。服用1副后情况如下图。

She went to see her physician on Friday, January 25^th.  Her physician thought   she still had swelling on her eyes so the GP made a decision she needed to take APO. She didn’t want to take that so she just continued taking the herbs for another day. Below was the photo taken on her second visit me on Saturday morning (2019-01-26) after two days of herbs
第二天1月25号她去看西医复诊，西医认为她的眼睛周围还有肿，就叫她服用Prednisone。她不想用西药，就继续服用第二副中药。下图为两副中药后在1月26日她来我诊所复诊时所拍的。

I did my diagnosis again by using four diagnosis steps and modified her formula a little.  She took one bag of herbs on Saturday and one on Sunday. Here was the photo she sent to me on Sunday afternoon, January 27,2019.
根据她当时的情况，稍微调整了一下中药。再给她两副。她服用后就完全好了。如下图。

我的诊断主要是基于她平时很难出汗，看病时是脉浮。所以中医诊断是“风水相搏”。 用小汗法则愈。

How Chinese herbs and acupuncture prevent miscarriage中医治疗先兆流产

Cathay Toronto Acupuncture & Herbs Clinic

500 Sheppard Ave. E. Unit 205, Toronto Ontario

647-296-3226

40 years old and 11 months.  First visit date is March 14 ^th, 2018.

Her main complaint is two miscarriages which happened in Dec.2016 and Nov.2017 respectively. She has had multiple fibroids since 2012. And the ultrasound in March 22th, 2018 shows she has polyps in the uterus.  Aversion to cold   in general. Frequent urination and urinary incontinence since the first miscarriage.  Stool has hard head and soft end.

Menstrual history:  once /month, 25 days per cycle before second miscarriage, after second miscarriage is 30 days per cycle. 5-6 days per cycle, normal amount, red color, has small amount of blood clots. Recent period was March 7-12.

Tongue: reddish tongue, thick tongue body with teeth marks on sides, white coating. Sublingual veins have prominent branches, purple colour.

Pulse: Left hand- deep with cùn weak. Right hand- deep, weak, taut and uneven

Diagnosis:   Deficiency of spleen and kidney, blood stagnation and blood deficiency

Treatment method: Use herbs and acupuncture to promote spleen and kidney, disperse stasis to build up blood level and promote blood flow. Also, the patient should not try to get pregnant for 6 months.

Process and Result: After 4 sessions of acupuncture and herbs, in the fifth visit on March 29^th, frequency of urination dramatically decrease, and no more incontinence. the seventh visit is on April 5^th, which was the fourth day of her period, she told me that there was a lot of blood clots this time (it is a sign that her blood stasis is dissipating). On April 11^th, she went to surgery of remove polyps, however the doctor told her they did not find any polyps. It was some tissue from her second miscarriage, so the doctor removed that. From the day of surgery to April 19, she reported a small amount of bleeding. On April 20^th, I gave her herbs to clean the stasis. From April 24-26, her period was heavy with a lot of dark colored blood with blood clots. After that, bleeding stopped. She had period on May 18-21 and June 12-17, both periods were red in colour, regular amount with a small amount of blood clots. On July 6^th, report showed she was four weeks pregnant. However, she showed miscarriage symptoms again, and there was small amount of brownish liquid that came out. Right away, I used acupuncture and herbs to prevent her from having another miscarriage. She even had red blood came out one day when she worked on her feet a whole day. I modified the herbal formula for her, and she took those herbs until 16 weeks into her pregnancy.  Her expected date is next month, February 2019.

Congratulations！

初诊日期：2018-03-14

年龄：40岁11月

主诉：2016年12 月孕5周和2017年11 月 孕4周自然流产两次。自2012年起查出有子宫肌瘤。2018年2 月的报告显示三个肌瘤，直径分别为2.5，2.9，3.8。报告还显示有子宫息肉。平时怕冷，第一次流产后开始出现尿频现象和憋不住尿感觉。大便头硬尾软。

月经史：1次/月，以前是25天一个周期，自从第二次流产后是30天一个周期。5-6天/次，量中，色红。少量血块。末次月经: 3月7-12 号。

舌诊：舌质淡红，舌体厚。边有齿痕，苔白。舌下络脉多，色紫。

脉象：左手沉，左寸弱            右手沉弱，弦，不均匀

诊断：血瘀血虚，脾肾不足                        

治疗：祛瘀温经，健脾益肾。针灸中药并施。医嘱病人避孕半年后才尝试怀孕。

 结果： 经过4次治疗，3月29日第五诊时告知尿频大减，憋不住尿的感觉消失。

             2018年4 月5日第7次就诊时适逢月经第4天，告知本次月经比以前血块多。此是淤血外排的好现象。

            4月11日去做手术切除息肉，医生告知没有发现息肉，但发现有第二次流产时遗留的少量胚胎组织，予以手术清除。术后4月11-19有少量血排出。4月20号来诊所就诊给与生化汤加红花，刘寄奴，益母草祛瘀生新。药后24-26号排出较多黑色血，夹杂大量血块。

        继续中药加针灸治疗。5月周期是18-21号；6月经期在12-17号，两次月经均色红，量正常，少量血块，2018年7月6日证实怀孕4周+。刚怀孕，又出现了流产现象，看到一点棕色液体排出。马上用针灸加中药保胎，期间她因为工作几乎连续站立1天而出现出血较多现象。调整中药继续安胎致16周。

      她的预产期是今年2月，恭喜她！