The Treatment of Anxiety with Acupuncture

Chief Complaint: spontaneous sweating, nervousness

Western Diagnosis: anxiety
Medical History: recent weight loss of 150 lbs, recent dramatic change in
lifestyle from unhealthy, greasy, sweet and alcohol diet to a healthy one
(hence the weight loss) many traumatic life events; deaths of close loved
ones, divorce.
Questioning exam: unstable emotions
mental restlessness worse at night
low energy
sweating on palms and legs, worse with anxiety
lots of dreams
persistent low grade nausea
occasionally morning bowel movement triggers vomiting and abdominal
cramps
constant back pain, tightness; better with movement
Pulse exam: skin very damp
clear sweat
pulse sunken and weak in especially in the lung area, unsmooth
Tongue exam: light purple, pale body color, thick, greasy, yellowish coating

OM Diagnosis: lung and stomach qi deficiency, phlegm heat, qi stagnation

Treatment Principle: remove obstructions, disperse fluids regulate stomach
qi, tonify qi, calm spirit
Point Prescription: 1st treatment: aggressive energy
2nd treatment: internal dragons
3rd treatment: st36, lu7, pc6, kd9, kd26, kd7, li4, ht6 all contralateral except
kd26, lu7
Herbal Formula: gan mai da zao tang with wen dan tang
Lifestyle Prescription: replacement of coffee with herbal tea
Results: back pain gone for several days after AE, felt a tangible weight lifted
off.
2nd treatment not as noticeable effect but felt calmer the whole week
3rd treatment felt very electrical went home and cried for aver an hour
Synopsis: continuation of moving qi, disperse fluids, dissolve phlegm.
tonify lung qi
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Acupuncture Treatment of Acne Rosacea

Chief Complaint: Acne Rosacea

Medical History: The patient is a 50 year old female whose Acne Rosacea,
localized mainly around her mouth and chin. During her adolescent years she
was diagnosis with severe Acne by her physician. In her thirties she was
diagnosis with Acne Rosacea by a Dermatologist. For past two years the
outbreaks has been moderate to acute. Her lesion is diameter of an eraser on
a pencil. They are pustules and painful. When the lesion breaks open, they
bleed and is easily irritate. Simply splashing water on her face to wash it or
wiping her mouth area with dinner napkin can cause the to lesions to bleed.
The patient has consulted a Dermatologist and was prescribed topical
metronidizaloe cream, applied twice a day as treatment, which made no
difference. Erythromycin was also prescribed and worked to some extent, but
only as long as she was taking them.
Questioning exam: Patient likes eating spicy foods; has flush cheeks and
chin; hass occasional night sweats (d/t menopause); bowel movements re
loose, 2-3xday sometimes more and sometimes they are explosive and
urgent; thirst constantly consume water all day long because she a
History teacher and talks all day.
Other symptoms included mild dizzy spells for the past year, generalized
headaches with no specific location a few times a week, stiffness in the
trapezius, trouble falling asleep, and general stress. She is slightly irritable,
especially before her menses, color red to darker red with some clots lasting
for 5 days. The patient runs on the cold side.
Pulse exam: Pulse: wiry, slippery, rapid
Lesions feel hot and tender to the touch. Lesions mainly around mouth and
chin. Redness in central areas of the face, forehead and chin.
Tongue exam: Red tip, thin to moderate white coat with yellow line in down
the center of the tongue
OM Diagnosis: Diagnosis:
1. Heat toxin (acute)
2. Heat in Lungs and Stomach (chronic)
Overindulgence of alcohol or spicy foods, causing excessive heat in the
Stomach and then steams the Lung.
Pre-existing accumulated Lung and Stomach heat combining with attack by

heat toxin.
Disharmonies of the penetrating and conception channels, causing blood heat
stagnation in the skin and tissues of the nose area, giving rise to the lesions.
Point Prescription: The patient did not want her face needled.
Ears Points: External Nose, Endocrine, Lungs, Shen Men and Adrenal.
Body points: LI 11, SJ 5, ST 44, LI 4 & LR 3, LU 3, ST 36
Needle retention was 15- 20 minutes.
When her diarrhea was severe (explosive), salt moxa on RN-8
Herbal Formula: Patient did not want herbs
Lifestyle Prescription: Decrease /stop consumption of alcohol, spicy foods
and fried greasy foods
Results: After the first treatment the lesions dried up significantly, but lesions
returned approximately a week later. After approximately 3 months of
treatments twice a week, the lesions cleared up completely and reappeared
occasionally. From month 4 to current, she has been receiving weekly or biweekly treatments and Acne Rosacea has not flared up.
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Chinese Medicine Treatment of Brain Damage

Chief Complaint: Spasticity, inability to eat, speak, control movements

Western Diagnosis: Brain Damage caused by Anoxia during surgery

Medical History: Patient D was twelve-year old boy undergoing hernia
surgery. Anesthesiologist forgot to set blood pressure cuff and D had ten
minutes when his brain had no oxygen. His muscles seized, could not breathe
on his own, was fed through tube, could not walk, speak or toilet himself. D
could only blow raspberries at his mother to show disapproval but could not
blink his eyes voluntarily.
Questioning exam: Because patient could not communicate directly, I am
listing signs. Functional symptomatology listed above in relevant medical
history. Patient was pale, muscles on arms and legs were contracted and
spastic. He had appearance of puppet almost like wooden boy. He had
been a piano prodigy and a skilled soccer player before the surgery, however
when I saw him for the first time (four months after the accident, he could not
stand, his feet and fingers were contracted. However, when I played Mozart
for him during treatments, his eyes lit up and he began vocalizing ah, ah, ah
during pieces that he had played before the accident when he still had use
of his fine motor muscles. Ds skin and nails were very dry. His eyes were
quite dry (however he was unable to close them voluntarily). D did wear
drypers and had to be bathed by his nurses and fed liquid meals through his
feeding tube. He could not control his urine or bowel evacuation. He was cold
all the time and needed to be covered in blankets. He was not growing or
developing.
Pulse exam: Pulse was overall very deep and weak. When palpable it
disappeared with pressure.
Tongue exam: Tongue was deviated but flabby and pale.
OM Diagnosis: Sudden anoxia caused muscles and whole body not to be
nourished. Severe blood deficiency causing wind in the channels. Because of
injury to brain, kidney channel damaged patient showing signs and
symptoms of kidney yang xu cannot control toileting, experiences cold, not
developing.
Treatment Principle: Nourish blood and yin, clear wind.
Nourish kidney channel yin and yang.
Point Prescription: St 36 GB 34 GB 39 Liver 2 Liver 3

Spleen 10 Spleen 6, LI 4, LI 11, Ear shenmen, Kidney 3, Kidney 7, Kidney 9.

Moxa used on St 36, Ren 4, 6, 8 and Kidney points. Patient could not lie on
his stomach until several months into treatment, at which point I added UB23,
UB17, UB18, UB15 and SI points around the shoulder to relax rhomboids.
These points were not all used concurrently, but varied over the course of
treatment.
Herbal Formula: Began with raw herb formula-his mother would pour it down
feeding tube.
Liu Wei Di Huang Wan Jia Wei
(added Gou Qi Zi, Che Qian Zi,
Rou Gui, Fu Zi, Dang Gui, Loranthi,
Bai Shao, etc.
This formula was augmented as he began to come back to life. I teased him
and called him pinocchio. He was like the wooden boy who softened and
whose movements became more fluid. After six weeks of these herbs and two
acupuncture treatments per week, his large family had a big party and took
him to JC Penny to buy undershorts because he could finally control his
urination and bowel movements. Within a few months he could blow kisses at
his mother, articulate words, yell at me (liver qi stagnation emerged as he
strengthened, but then again he had finally entered puberty and was an
adolescent in all ways, including his demeanor.)(D did grow, develop, voice
deepened, etc.).
Lifestyle Prescription: D was receiving speech and occupational therapy at
the hospital twice weekly. When I learned he loved marine life we searched
for dolphin therapy on the internet and found a site in Southern Florida where
he ended up going quarterly with his family. His parents felt that he made
huge developmental strides from his time in the water with the animals.
Results: As written above, D was helped in a big way by Traditional Chinese
Medicine. When he began to feed himself and the feeding tube was removed,
his improvement slowed to a not-so-dramatic pace because he fought
taking the herbs which had helped him so significantly and had also
become a moody teenager.
Synopsis: When I last saw D, he was walking, talking (not totally clearly, but

we could understand his words). He was attending school for a half day with
his nurse as his shadow. He could shower himself, take himself to the
bathroom, spend time laughing with his friends, and was securing a voiceprompt computer system so he could be on email to his friends and family. He
could walk by himself and even on stairs but at the time I saw him last, he
was still experiencing spasticity in his forearms and fingers and could not
perform fine motor skills. He doctors were mediating this a small amount with
quarterly botox injections into the joints, but without significant success. It is
so interesting that when Ds brain began to function again, it was as though
he were an infant going through early stages of development his function
returned in the same order as if he were developing for the first time.
D no longer lives in the same city as I but touched my life significantly. I
learned so much in treating and in knowing him. He is very brave young man.
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The Acupuncture Treatment of Vascular Headache

Chief Complaint: right temporal pain

Western Diagnosis: vascular headache
Medical History: A woman aged 40 complained headache for 20 years. the
right temporal pain began 20 yeas age, often preceded by nervous tension or
over-fatigue, and aggravated during menses. She experienced boring pain in
the right temporal region accompanied by cramping pain of the right eye. the

bouts usually subsided after 3-5 days, sometimes with slight pain remaining.
Questioning exam: right hemicrania precipitated b tension, fatigue and
menses; flushed face; restlessness; irritability; poor appetite with bitter feeling
in mouth; constipation.
Pulse exam: fine taut pulse, weak at the left cubit.
Tongue exam: tongue with thin yellow coating.
OM Diagnosis: ShaoYang headache.
in this case, the bouts of hemicrania accompanied by right-eye pain, irritability,
and taut pule were caused by endogenous wind from Liver due to exuberance
of Yang;restlessness and insomnia were due to disturbance of mental activity
of Liver-Yang; and flushed face bitter taste in mouth, constipation and yellow
tongue coat were caused by Liver-fire arising from transformation of Yang.
Further, inhibition of Spleen by an overactive Liver caused poor appetite.Fine
pulse weak at the left cubit indicated deficiency of Kidney-Yin,as this results in
failure to nourish Liver-Yin, predisposing to exuberance of yang.
Treatment Principle: Nourish Yin in order to quench fire, subdue hyperfunction of Liver and the resulting endogenous wind.
Point Prescription: TaiYang,TouWei, ShuaiGu, FengChi and XiaXi.all this 5
points only select the right site and use reducing manipulation.YangLingQuan,
TaiXi, TaiChong select both sites and use nourishing manipulation.retain the
needles for 30 minutes each time and once every other day.
Herbal Formula: none.
Lifestyle Prescription: none.
Results: After the first treatment, pat. feels much better. after the third
treatments pat.was headache free.one additional treatment for maintenance.
6 months later pat. reported headache free.
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Acupuncture and Herbs for Muscle Spasms

Chief Complaint: muscle spasms

Medical History: Patient presents as 37 year old female. Perfect health until
onset of current symptoms 5 months ago. Active lifestyle- feels best after
exercise. Well balanced and moderate diet. Non-smoker, occasional wine,
coffee daily.
Questioning exam: Onset of Symptoms: 5 months ago (symptoms started
appearing shortly after giving birth). First symptom was closing of the eyelids.
She was forced to hold her eyelids open with her fingers about 70% of the
time. A few weeks later, her vocal cords tightened over the trachea and
restricting breath. On her third trip to the ER, she was given a tracheostomy
tube which she is still breathing through. Her vocal cords were then injected
with botox in attempt to relax them. She then began suffering from dystonias
in her neck, causing intense pain, rigidity, and a bobble-head appearance.
She has seen 5 neurologists, who have prescribed a myriad of drugs from
anti-anxiety to muscle relaxants to more botox. The drugs did not help her, but
did cause unpleasant side-effects.
The week before she came to me, she had her first period since the delivery.
This made her symptoms much worse.
Pulse exam: Pulse was overall thin, weak and slightly rapid. The left side was
more superficial and wiry.
Upon palpation, GB 20 was incredibly tight and painful. As were ST 12,

Naganos, LI 4, GB30, GB34, GB41, and LR3.

Tongue exam: Tongue body thin, extremely pale, and had lots of transverse
cracks. Body was very quivery and unable to patient unable to stick it out. Not
much of a coat and very dry.
Wood body and personality type- thin, sinewy, slight green tint to skin, use to
being in control. Patient is very irritated and angry about current condition.
OM Diagnosis: Internal Liver wind due to Liver blood and yin xu.
Treatment Principle: Clear wind, smooth Liver, tonify blood and yin.
Point Prescription: First treatment was the Agressive Energy Treatment
(Worsley). UB 13, 14, 15, 18, 20, 23
After that, I alternated tonifying treatments with clearing treatments.
Tonifying treatments included:
Opening the Chong (SP4 + P6) or Ren (LU7 + KI 6)
UB 15, 17, 18, 20
or
8 needles around naval
Clearing wind included different combinations of the following
Yang Wei Mo (SJ 5 + GB 41), GB 20, Naganos, LI 4, UB 12, GB 31, GB34
Cupping with Po Sum On on back and shoulders
Handwork on shoulders, Naganos, LI 4, and GB channel
Tiger thermie on ST 12
Herbal Formula: Womens Precious as directed from Golden Flower
Lifestyle Prescription: Instructed to avoid chicken, caffeine, and alcohol
increase cooked leafy greens
Results: Results were great and she was symptom free after 6 treatments in
2 weeks. I then instructed her that I wanted to see her weekly through 3
menstrual cycles. However, she was feeling so good and was busy, so she
failed to come in for 3 weeks and stopped taking her herbs. In the third week
she had a period. The period was very heavy and painful. All of her symptoms
returned, we began again and results are coming slower this time. It has been
2 months since she resumed treatment and was doing well until her last
period when her symptoms moved from the back of her neck to the front of

her neck (from Tai Yang to Yang Ming). Treatment has been modified and
were continuing to work on it.
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Acupuncture and Herbs for Uterine Fibroids

Chief Complaint: Uterine pain

Western Diagnosis: Fibroids
Medical History: Asian female,age 40 presents with uterine fibroids for 14
years. Asthma since age 6, medicated with steroids for many years; during
acute attacks her brother (physician) would intravenously inject her with a
steroid cocktail; at age 25 she began daily use of ventolin spray; allergies to
pollen, cats and coconut; whole family history of skin or lung problems
(eczema, vitiligo, lung infections)
Questioning exam: Patient reports her initial symptoms were deep, cramping
pains about two weeks prior to menses. Other symptoms include fatigue and
lumbar tenderness correlating to uterine pain. She is prone to hayfever,
congested sinuses and slight wheexing. Slow digestion with bloating,gas and
constipation. She reports blurry vision and floaters, cold extremities and
dry,itchy skin. The patient is exhausted by her illness,generally difficult to fall
asleep and poor sleep the week before her menses. Her husband does not
acknowledge her fibroids.
Pulse exam: Pulse: deep,slippery,slightly thin, also slightly wiry on right side
Abdomen: soft,deep palpation reveals small mass on right side, cold to touch

Tongue exam: Tongue: pale,dusky,swollen,teethmarks, slight yellow coat

Dark,puffy circles under eyes
OM Diagnosis: Blood & Phlegm Stagnation in Uterus
SP & KID Yang Deficiency
LIV Blood Deficiency
Long term steroid use damages KID-disrupt water-unable to move blood and
fluids-creates stagnation in lower jiao
Treatment Principle: Move Blood, Transform Phlegm in Uterus
Tonify Kidney and Spleen
Nourish Blood
Point Prescription: GB 41 & SJ 5, KID 3, LIV 3, ST 36 & 37, REN 4, moxa
lower abdomen, ST 36, ginger moxa REN 8
Herbal Formula: Gui Zhi Fu Ling Wan
Lifestyle Prescription: Continue acupx 2x/wk
Eliminate dairy products for 3 mos-to eliminate phlegm
Massage, Tai Qi, Moxa-all to increase energy flow to uterus
Rest!!!
Journal-write down everything you would like to create in your life
Results: She has been receiving acupuncture for several years. She believes
the TCM is helping shorten the duration and lessen the intensity of her pain
Synopsis: Fibroid tumors are #1 reason for hysterectomy in US
according to Caroline Myss, fibroids represent our creativity that was never
birthed; including fantasies of ourselves; fibroids can result when we are
flowing energy into dead-end jobs and relationships that we have outgrown.
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Chinese Medicine Treatment of Uterine Fibroids and Cysts

Chief Complaint: severe lower abdominal pain, uterine hemorrhage

Western Diagnosis: uterine fibroids, ovarian cyst
Medical History: 47 y.o. female with a history of heavy menses with clots and
cramping and increasing in frequency. Occasional hot flashes but after two 2year courses of estrogen supplementation didnt want to continue hormone
replacement. Frequent bladder infections following intercourse. History of
narcotic and alcohol addiction (past) and high blood pressure triggered by
anxiety.
Pulse exam: Liver small and not descending to Kidney.
Pain in lower left quadrant of abdomen, sensitive on palpation. Inguinal lymph
swelling. Pale complexion.
Tongue exam: Long center crack, very pale body. Red dots at tip.
OM Diagnosis: Dai Mai blockage preventing liver from descending to kidney.
Deficient Liver blood leading to heart fire.
Treatment Principle: Drain Dai Mai. Support Liver Blood. Move Blood in
lower burner.
Point Prescription: Worked with Dai Mai and Li/GB divergent meridian both
with acupuncture and essential oils. Had Pt. use castor oil packs.
Herbal Formula: Worked with modifications of Gui Zhi Fu Ling San, adding
among others Gui Ban to keep hot flashes in check, yin chen hao and/or qing

hao to help drain latent toxic heat from the dai, and Dan Shen to calm spirit
and help move blood. Had patient apply carrot and benzoin EO to Li DM
points to consolidate Blood (3 days on 3 days off for several weeks) and
mugwort oil to Dai Mai points (with castor oil on abdomen, also 3 days on 3
days off).
Lifestyle Prescription: Recommended yoga stretches for opening psoaz and
abdomen, breathing meditation to connect with and move stagnation in uterus
and ovaries.
Results: After initial treatment, Pt went in for a scheduled D&C and
laparoscopy previously arrange with OBGyn. During surgery, GYN discovered
a large ovarian cyst and decided to remove entire ovary (!) All bleeding
stopped and Pt was told the operation sent her into menopause. In the 5
months since initial treatment and surgery, the menses has returned and
normalized in frequency and duration, now with no pain or clotting. Patient no
longer has bladder infections following intercourse and no longer experiences
anxiety or the associated HBP; she has stopped taking pharmaceuticals for
both.
Synopsis: I thought it was a good case because not a lot of people are
working with EOs on extraordinary or divergent vessels and I have been very
impressed with the results.