Case Study - Tennis Elbow (from post-natal weakness)
A female patient in her late 30s came to see me for right tennis elbow which she was suffering over 6 months. She does not believe there was anything triggered the pain. Her pain was constant dull in nature which was worse with pressure and in elbow extension.
Her other symptoms were:
I also noticed that she breastfed her child for about 2 years. I understand that breastfeeding over a year is recommended by Western medical doctors. However, in Chinese medicine, we do not recommend breastfeeding over 1.5 years. In most cases, I recommend breastfeeding between 12-14 months only because
Considering this, I diagnosed her tennis elbow as part of her post-natal weakness which led to weakness of her tendon. So, I applied acupuncture points on her left side (SAAM acupuncture technique) to boost her energy as well as to strengthen her tendon.
After 5 weekly treatments, she did not have pain, less thirsty, no headache, and no middle back pain. I advised her to revisit sometime next year to have some Chinese herbs to boost up her energy.
Thank you for reading my case study.
Have a good afternoon!
Published on 28 November 2018
Case Study - Insomnia
A mid-50s female patient has visited for her chronic insomnia. She said that although she is sleepy, she cannot fall sleep when she lies down on bed and usually takes her over an hour to fall sleep. She also wakes up at night because of urination (usually 2 per night) and she finds difficult to fall back sleep afterwards.
Her other sings and symptoms were:
- Feeling her body becomes very hot at night
- Sore and swollen legs in afternoon
- Put her feet out of blanket at night
- Shortness of breath and coughing in heavy air areas, especially indoor
- Tired easily
She was very tall and her cheek bones were quite big compared to her face size. These indicate that she may be constitutionally lack of Yin energy, which may cause her insomnia.
I prescribed her cooked Chinese herbal medicine for a week initially.
When she came back after a week, she said she felt better with shortness of breath, no coughing, and less sore and swollen legs in afternoon. But her insomnia was not changed much.
Although her main issue did not improve much, the improvement of her other symptoms were the signs of Yin energy being increased, and hence I repeated same cooked Chinese herbal medicine for next 3 weeks.
After 3 further weeks, she was able to fall sleep in less than 30 minutes with less hot sensation at night and less number of waking up for urination.
Now we plan to continue herbal medicine for next 2-3 months to more improve her insomnia and energy.
Thank you for reading this case and have a wonderful day.
Published on 29 October 2018
Case Study - Diarrhoea
A male patient in 50s visited our clinic for diarrhoea, which was started after having beef for dinner about 2 weeks ago.
He was having minimum of 3 bowel motions each day and the quality of bowel was varied between loose to watery diarrhoea.
His appetite was reduced and had slightly increased gas in stomach. He was thirsty at night and tired all the time.
His pulse showed that there was a stagnation in his upper and middle systems, which I thought was the reason for his diarrhoea.
Patient preferred to have acupuncture than having Chinese herbs.
So I applied acupuncture points to relieve the stagnation in his systems as well as some points to directly stopping diarrhoea. Total of 10 acupuncture points were applied in his extremities.
I also recommended him to purchase Shan Zha from a herbal shop to have as tea because Shan Zha is a great herb to relieve indigestion and diarrhoea from having meats.
Patient came back for check-up in 4 days. He said that he did not have any diarrhoea since the first visit although his bowel was still slightly loose.
I applied same acupuncture points to control the loose bowel quality.
Acupuncture and Chinese herbs are usually very effective in treating indigestion, diarrhoea, food poisoning and allergic hives reactions. Usually it takes a lot short time to treat the conditions if the patient suffered conditions for a shorter time.
Thank you and have a great day =)
Happy Chinese Moon Festival to you!
Published on 24 September 2018
Case Study - Gout on Big Toe
A male patient in 40s suffered from gout on his left-hand-side big toe.
He was suffering from gout on this location for 3-4 years, and it became worse in recent few weeks.
Pain was of dull in nature and the toe was swollen. The reddish skin on the toe indicated that there may be some inflammation too. Due to his pain, he was not able to walk properly.
Other signs and symptoms included:
In a big toe, there are 2 acupuncture meridians flowing – spleen and liver. This patient’s pain was mainly along the spleen meridian where the spleen, from TCM perspective, is the main organ to control the digestive system together with the stomach. This explained his bloating due to poor digestive system, which may have resulted from frequent meat consumption. Also, when the person suffers from poor digestive system (i.e. weak SP/ST), the body cannot generate enough energy (i.e. Qi & Blood in TCM) as well as resulting in stagnation of dampness. The damp stagnation may cause many symptoms such as shallow sleep, snoring, swelling of hands/face/body, spine sclerosis and weight gain etc.
Hence, I have tried acupuncture to strengthen his spleen function and to remove his dampness by needling on his extremities on opposite side to his gout location, which is a unique and common method in SAAM acupuncture. I have also advised him to reduce his consumption of meat.
After 3 treatments with 3-day intervals, the patient was freed from the pain. However, I have advised him to do some exercise and to keep the good diet to maintain his health in order to prevent the reoccurrence of his gout.
Thank you for reading my case and wish you a happy day =)
Published on 22 August 2018
Case Study - Shoulder Pain & Stomach Pain
A female client in her 40s visited me for RHS shoulder and neck pain which was on and off for years. She complained sharp and deep pain and sometimes stiffness too. Pain was worse with movement. Pain location was on anterior shoulder joint.
She also suffers from indigestion and stomach pain, which wakes her up in early morning. She tends not to eat too much even though she is very busy at her work because of her indigestion and she also doesn’t feel hungry.
She suffers from constipation over years which recently has improved with probiotics.
She often gets severe dizziness and LHS tension headache together with eye pain sometimes.
She had 20 years history of depression.
Her hands and feet are cold and her pulse was deep and tense.
In TCM perspective, she was having Tai Yin meridian issues. It means that her energy is not freely flowing as well as her digestive system became weak. So I acupunctured her to free flow her energy as well as to strengthen her digestive system.
After 5 sessions of acupuncture treatments, she did not have any shoulder pain but she was still experiencing stomach pain. I then prescribed her decocted Chinese herbal medicines. She called me after a week and mentioned that her stomach pain is gone and she eats well with hunger sensations. I advised her to come back for more herbal medicine for 1-2 weeks to further strengthen her stomach.
Thank you for reading and have a good weekend everyone =).
Published on 13 July 2018
Case Study - Painful and Tearing Eyes
A male client in his 40s visited our clinic for painful, fatigue and tearing eyes, which he has suffered for a few weeks. His eyes were congested and his face, ears and nose were appeared to be red colour. The client mentioned that he has been busy with his work both physically and mentally where his work involves a lot of time watching the monitor. He also suffered from minor lower back pain, difficulty in passing bowel and very fatigue especially after his work. His pulses were weak and slippery.
From Chinese medicine perspective, the eyes belong to the liver. There is a phrase saying that ‘energy of Liver is opened through eyes’. So, most eye conditions indicate that the client has liver and gall bladder issues from Chinese medicine perspective. Tearing eyes especially occurs when the liver energy of a person is very low. If you use your eyes too much, it also damages the liver energy.
Difficulty in passing bowel can happen in a few different situations, but considering his pulse and weakness of liver, I concluded that he is lacking Liver blood energy which fails to moisten the large intestine.
Hence, I prescribed him herbal medicine for a week and acupuncture points to strengthen his liver.
When he finished his herbs, he came back and said that his eyes are no longer painful but still slightly fatigue. Hence, I prescribed him same herbal medicine for extra week.
If you also have some eye issues, try some acupuncture and/or Chinese herbal medicine!
Have a great day =)
Published on 28 June 2018
Case Study - Sinus during Pregnancy
A pregnant patient was suffering from severe sinus during her pregnancy.
She felt like bruise around her nose and could not smell anything. Her ears were blocked and upper gums were sore as well.
She suffered from pneumonia 8 weeks before her sinus and she was still coughing with yellowish phlegm and vomited a few times as well. Her bowels were also very runny since the sinus.
Her pulse was very tense and slow for a pregnant woman, which indicated that her body was too cold.
I prescribed her decocted herbs for 1 week to assist sinus. This decocted herb is commonly used during pregnancy to help with common cold, sinus and even pneumonia. This herb is to harmonise the body of pregnant woman without causing sweating, urine promotion and diarrhoea. The following up chat with her, she was happy that she was recovered from her sinus.
In TCM's perspective, when a pregnant woman suffers from external diseases such as sinus and common cold, the treatment method should be focusing on avoiding sweating, urine promotion and diarrhoea in order not to harm the foetus.
So please remember! If you are pregnant and suffers from common cold in this winter season, please don't voluntarily cause sweating because it may harm your foetus.
Have a wonderful day =)
Publichsed on 25 May 2018
Case Study - Migraine
A female teenage client visited our clinic with her parents for migrain which she suffered over 1.5 years.
Migraine usually happens on occiput and LHS forehead with LHS eye pain. After the migraine attacks, she becomes lathargic and suffers from numbness of her limbs and blurred vision.
The attack was too severe that she frequently missed her school. Parents and the client are not aware of any triggers.
Her other symptms included - ST soreness, psoriasis on nape, rashes and difficult to wake up in the morning.
her pulse was very weak but tense, and her tongue had white coating from mid to root of tongue.
Her face was of oval shape with large forhead and eyes, eyes are deep and had dark circles. She was quite pale and was of slim body build.
A person with big forehead are usually emotionally very senstive and oval face shape often indicates some stomach / spleen disorrders. With this in mind, I diagnosed her with disharmoney between her liver and stomach considering her symptoms.
Because the clent was a bit young for the acupuncture and she was scared of acupuncture, I prescribed and decocted raw herbal medicine for a week to boost her stomach energy and to relieve her tension.
She repeated herbal medicine 6 times. During this period of time, she only had one migrine attack at early stage of treatment but with a lot less symptoms.
She wakes up more easily in the morning and most of her other symptoms have improved.
I recommened her parents to provide healthy meals to their daughter and maybe introduce her some relaxing activities such as yogo to maintain her health. I hope she maintains her good health =)
Published on 05 April 2018
Case Study - Urticaria (Hives)
A male client in his 30s came for urticaria all over his body which he has experienced for past 2-3 weeks.
He was of slim to fit body nature with dark eye brows and big nose.
His urticaria appeared slightly swollen from his skin with clear to pinkish colour and they are of coin sizes.
Client said that his urticaria started from his arms and back, and now it sometimes appears on his legs and stomach too.
His main complaint was the itchiness from urticaria which gets worse at night times
His other signs and symptoms included (1) excessive fatigue (2) excessive sweating (3) yellowish green phlegm with occasional blood inolved and (4) min. 3 nocturia per night.
His pulse was deep yet tense. His tongue body was very moisture with deep crack in centre and thin white coating at root.
An interesting fact was that the client eats until very late at night which he has done it for a while.
I diagnosed with him Spleen deficiency with damp accumulation, and prescribed him some herbal medicine to boost his digestive function and remove dampness to help his urticaria.
I noticed that quite many number of people eat until late night these days. In Chinese medicine, eating at late night can harm your digestive function and can results in symptoms like fatigue and itchiness in your limbs and stomach, which usually gets worse at night time. It is a quite common pattern of urticaria resulting from inappropriate eating habits.
Please remember to finish your dinner before 7pm. If you do have late dinner, please also don't forget to walk around for a while and sleep 2-3 hours after your dinner to keep your stomach healthy!
Have a wonderful day =)
Published on 22 February 2018
New Year Holiday Period
We are closed from 1 January 2018 to 6 January 2018, and then will be back to usual clinic hours from 8 Janary 2018.
We wish everyone a happy new year 2018!
Published on 28 December 2017
Case Study - Prolonged Coughing
70 years old female patient, suffered coughing for over 3 years. She often gets phlegm and itchy throat as well.
Her scans showed that her esophagus is narrowed with about 85% of normal lung capacity.
She also suffers from falling sleep at night and frequently wakes up due to the nocturia. She has good appetite but has difficutly digesting them. She feels slightly dizziness and her bowels tend to be loose.
Her pulse was slow (about 54 beats per minute) and deep, an her voice was very small.
From TCM perspective, prolonged coughing especially in elderies are often caused by lack of energies (Qi and/or Blood), and this patient also falls into this category.
Both acupuncture and herbal medicine are effective in this case. But because the patient was unable to come often for acupunctue as she lives far away from the clinic, I prescribed decocted Chinese herbal medicine to increase her energies.
Patient came back after 4 weeks with less coughing with very little phlegm.
She was prescribed with another course of decocted herbal medicine.
TCM classifies coughing in about 16 different types with different causes such as coughing from external pathogens (e.g. common cold), indigestion, damp retention, seasonal and etc.
Both acupuncture and Chinese herbal medicine are effective for coughing even when the coughing persists over a month.
Thank you fore reading.
Have a lovely day =)
Published on 28 December 2017
Please check the following link to find the acupuncturists around your area who provide pregnancy related acupuncture services. www.pregnancy.com.au
Published on 17 October 2017
Case Study - Frequent Nose bleeding & Abdominal Pain
A 10 year old female patient came to our clinic with her mother for her frequent nose bleeding and abdominal pain, which have been issues for a while. She experienced nose bleeding a few times a week, and had one episode of abodminal pain each day.
Her other symptoms were nocturia, nausea, frequent forehead headache, tired in the afternoon, constipation (1 in 2 days) and tingling in her feet.
She was slim to moderate body size with red cheeks and dry lips.
Her pulse was tense without much strength.
My diagnosis was that she was lacking Xue energy in her spleen.
When a child lacks the Xue energy in spleen, his/her body cannot hold the blood within the vessel and this can lead to freuqent nose bleeding and/or easy bruising.
This also causes the dryness of bowel pathway, leading to constipation, as well as poor circulation to cause pins and needle in extremities.
Of course, spleen - a main digestive organ from TCM view - weakness can cause some digestion issues as well as 'forehead (belongs to digestion in TCM)' headache.
Typical appearance characteristics for this condition include red cheeks and dry lips.
I provided decocted herbal medicine over 4 weeks.
During those 4 weeks, the client did not have any nose bleeding and decreasing frequency of abdominal pain.
Other symptoms all got better except the bowel motion which still tended to happen 1 in 1-2 days only.
I recomended her mother to consider continuing for 3-4 more weeks to adjust her bowel motion as well.
If you see your child with red cheeks and dry lips, he/she may also lacks the energy in spleen.
Providing them foods with some sweet taste can help them to recover in initial stage.
Thank you and have a good day =)
Published on 27 September 2017
Case Study - Pregnancy Support
A female client in her mid 30s came for pregnancy support as she was difficult to pregnant again after a miscarraige a year ago. She did not have any major issues affecting pregnancy from hospital checks.
After a consultation, I found that she had 2 major issues.
First issue was that she had her miscarriage in 2nd month of pregnancy. Even months (2,4,6,8) during the pregnancy are where your uterus should be closed. But if there was a miscarriage during these even months, it may indicate that the uterus was damaged from the miscarriage.
Second issue was that her stomach and uterus were too cold. A person would not want to stay in a cold room for a long time. Similarly, when the female's uterus is too cold, it is difficult for a foetus to settle it and therefore it may lead to infertility.
I prescribed her 3 courses of 2 weeks of decocted herbal medicine to address above two issues. After 3rd course of medicine, she was successfully pregnant.
There are many reasons affecting pregnancy. Please consult gynaecologists or Chinese Medicine practitioners as early as possible if you also experience same issues. There are always higher successful chances when you are even 1-day younger =) Have a great day.
Published on 23 August 2017
Case Study - Acnes
A female client in her 20s visited for her acnes. Acnes were all around her cheeks on both sides and around her chin. She also had some on her forehead as well. They were very tiny and white colours. Her skin was dry and face skin sometimes peeled off. She also felt that her face was tight and sometimes itchy, but there was no swelling or soreness.
Her other signs and symptoms were:
- difficult to fall sleep because she cannot stop thinking when lying on the bed, and her sleep was generally very shallow
- She tends to easily sweat
- Thirsty and dry lips when wake up in the morning
- Moderate to large amounts of vaginal discharge
Her pulse was fast (88-90 per minute), float and loose.
Considering her constitution, S&S and pulse, I diagnosed that her acnes are from deficient heat in lungs.
She was prescribed with 7 days decocted herbal medicine.
When she came back a week after, most of her acnes were disappeared, and decided to continue for 1-2 weeks more.
Please note that acnes can be caused from various reasons in Chinese Medicine perspectives, e.g. Lung, uterus, stomach, kidney, liver issues etc. Treatment period varies depending on many factors such as constitution, where the problem lies and how long the client had acnes etc. Some may take 1-2 weeks to treat but some many take longer periods.
Published on 23 August 2017
News - Efficacy of Acupuncture on Period Pain
There is an interesting article about the efficacy of acupuncture on reducing period pain.
Please click the link below to have a read.
Have a good day, everyone!
Published on 19 July 2017
Information - Foods to Avoid during Pregnancy
Here are some information about foods to avoid during pregnancy according to UNESCO registered Oriental medicinal book called Dong-Ui-Bo-Kam.
Thank you for reading.
Published on 29 June 2017.
Case Study - Prolonged Menstrual Bleeding & Indigestion
Early April 2017, Female client, mid 40s, came for her prolonged menstural bleeding and indigestion.
Her duration of menstruation was almost 20 days with small amount of blood. This has happend over a few cycles.
She did not have much discharges, no clots, and had very minor lower stomach pain during menstruation.
She also had lower back pain which sometimes travels down her leg and she needed back support aid.
Her sleep was very shallow, her appetitie was poor and frequently experienced indigestion especially below solar plexus.
Her pulse was overall deep but Guan positions on left and right hands were very tense.
I diagnosed her with Spleen Qi deficiency.
Spleen is a vital organ in TCM system which controls the digestion and motions of four limbs, supports lower back in females, and maintains the blood flows within the vessles.
Because her spleen did not have enough Qi, it failed to support the lower back, causes indigestion and failed to regulate proper blood flows.
Client did not want to try herbal medicines, and hence I applied acupuncture to strengthen her spleen as well as some points to ease her lower back pain. Acupuncture points such as SP 2, SP 1, LR 1, SI 3 were applied.
I also provided her short Chinese massage after acupuncture treatment.
Same treatment was repeated after a week.
Follow Up & Treatment
Client came back in late May 2017. She mentioned that her bleeding stopped after second treatment and her lower back pain was relieved that she no longer required back support aid.
She came for her indigestion this time which started after a late dinner. She experienced headache near her vertex and her limbs were aching. She was nauseus and felt her stomach is bloated too much.
I explained to her that this has happened because her spleen is not fully recovered yet and she requires more treatments to strengthen her spleen.
I applied acupuncture treatment to strengthen her spleen again. This time I also applied moxibustion on her stomach to provide some warmth and to promote circulation and strengthen Qi.
After the treatment, she said that she felt something moving down her stomach and believed that her indigestiona and bloating were relieved.
She was also prescribed with some herbal pills for indigestion.
In TCM, lower back of a female is often associated with her spleen and stomach strengths.
Once they lose the strength in their spleen and stomach, many of them experience lower back pain.
It is commonly seen among females with C/S.
By the time when a female experiences lower back pain because of spleen and stomach weakness,
it usually equires 1-2 months treatments to fully strengthen her spleen and stomach again although lower back pain and other symptoms can be relieved in a shorter time.
For the same reason, I asked this client to come back in 2 weeks time for a check up and further treatments to prevent the repetition of her health issues.
Published on 29 May 2017.
Case Study – Lower Back Pain
A female client in her late 40s visited this clinic in middle of April 2017.
She was suffering from severe lower back pain, which initially started 4 years ago and was previously diagnosed with herniation of lumbar discs at GP clinic.
Pain became severely worse this week, and she was considering to have a surgery.
She said that she could not stand up for two days this week and felt her whole body is numb including hands and feet. Although she had pain on whole lower back, more severe pain trembles down on her left thigh and lower leg.
She mentioned that she mainly lies down on her bed at home and she is on sick leaves from her work.
What is herniation of lumbar discs?
Spinal discs serve as shock absorbers between the vertebrae (back boners) and it supports the upper body to allow movements in all directions.
When a disc herniates, and leaks its inner material, it aggravates the nerve and triggers back pain and nerve pain down the leg.
TCM Diagnosis & Treatment
She mentions that she does physical works at her job and she is always tired, which well showed from her loose and no-strength pulse, especially at Guan (one of TCM pulse location). Her face is slightly pale but her cheeks were red. She was of very slim size.
I diagnosed her with Liver Qi & Blood deficiency and acupunctured on LR 8, KI 10, LR 3, LU 8 on her right-hand side. I usually acupuncture on opposite side to pain location and this is based on traditional acupuncture theory – “acupuncture on left when the disease is on right, and acupuncture on top when the disease is at bottom”.
She came back every 2-3 days afterwards and had similar acupuncture treatments with cupping and/or massage. She also had 1 week dose of Chinese herbal medicine to boost her liver energy to help her relieving pain and fatigue.
After 6 acupuncture treatments and 1 week of Chinese herbal medicine, she was able to do her daily job and walks about 2 hours without pain. She insisted to go back to her work, and I recommended her to do less hours of work for further 1-2 weeks. I hope that she looks after her body well from now on, and takes a good rest for her body to recover especially when she overworks.
Published on 03 May 2017.