Reply To: Acupuncture Bootcamp
More questions for case study 6:
CASE 6
Use the following information to answer questions (21-26):
Your patient complains mostly of diarrhea with accompanying nausea, stomachache, cold, and chills for the past week.
Patient History:
diarrhea and abdominal pain occurring on and off for over 10 years
diarrhea most frequently occurs after eating wheat products
stool can be pasty and sometimes contain a clear mucous
bearing down sensations and stomach pains worsen after a bowel movement
she tries to ‘keep her diet clean’ with lots of salad and fruit
addicted to Coca Cola and drinks up to 2 litres/day and 2 glasses of red wine with dinner daily
urine is clear and frequent
does not perspire
lassitude
retains water around face and eyelids
depressed with little inclination to speak
allergic to dust and animal hair
diagnosed by Primary Care Physician with IBS and anemia
takes Imodium and painkillers regularly
lived on the West Coast of Canada for 20 years
has had one abortion in the past
her father had psoriasis and rheumatoid arthritis
mother had weak digestion her entire life and had a nervous breakdown in her 40s
period normally 30-35 days and last 7-10 days (mostly consisting of spotting) with pale menses
Current Patient Information:
slim build
sallow complexion
wine and cola currently worsening symptoms
eating lots of salads to try to improve health overall
diarrhea immediately following a meal accompanied by heavy head, dull stomach pain, distension, gas, bloating, borborygmus, and a bearing down sensation
stomach pain can be sharp at times
heat and pressure help ease the symptoms
diarrhea 3 to 4 times/day
diarrhea is watery, has no smell, and contains undigested food
loss of appetite
no taste in mouth and watery saliva
achy muscles and joints
diarrhea, nausea, and abdominal pain worsening
period is one week overdue with no chance of pregnancy
recently divorced and move to Calgary to be with new partner
lots of stress and trouble adjusting to the cold Calgary weather – symptoms worse since moving
Pulse: Moderate (Huan), Slow (Chi), Soggy (Ru), Thready (Xi) on the right, and Deep (Chen), Weak (Ruo), Slow (Chi) and Thready (Xi) on the left
Tongue: pale with a thick, white coat
Question 26: What are the best acupuncture points to select for this patient?
Q26: I was tossing up between these two answers, can you explain why the one is correct.
DU 4 (Mingmen), ST 36 (Zusanli), CV 12 (Zhongwan), SP 3 (Taibai) + moxa
ST 25 (Tianshu), ST 36 (ZSL), ST 21 (Lianmen), SP 4 (Gongsun) + moxa