Case‧病案‧0609A

Patient Stats: Male, 54-year-old, software engineer. Complaints: Lower back pain for four years, intermittence. In the past 2 months the pain increased and sometimes radiated to the thigh on both sides, and could not stand long and had sedentary. The examination of M.D. showed a slipped disc between 4 and 5 lumbar vertebrate. After taking painkillers for two weeks, the situation showed no significant improvement, so the M.D. suggested him acupuncture. Chinese Medicinal Assessments: Physical examination: lumbar paravertebral tenderness 3,4 and 5, positive straight leg raising test on both sides. Tongue: light color and teeth mark, and coating was thin and white. Pulse: Deep and slightly slippery. TCM Diagnosis: lower back pain, bi syndrome. Syndrome: spleen and kidney yang-deficiency type stasis. Treatment: tonify kidney and spleen yang to expel dampness, and clear the meridian. Treatment: acupuncture 22.04, 22.05, 77.18, SP7, SP6, BL65 and other points. Patient felt 90% relieved after treatment. The pain disappeared after two weeks of treatment. This showed clinical cure. He came back once after two months and has had no recurrence.

男，54歲，軟體工程師。 腰痛四年，時好時壞。近二月疼痛感加重，有時並會放射到大腿兩旁，無法久站久坐。經西醫檢查，腰4、5椎間盤突出，服用止痛藥兩週，情況無明顯改善，西醫建議針灸治療。 查體：腰3、4、5椎旁壓痛，直腿抬高試驗兩側陽性。舌質淡有齒痕，苔淡白，切診：沉稍滑。 中醫診斷：腰痛、痹證。證屬：脾腎陽虛挾瘀滯型。 治療：補腎助陽，健脾化濕，通經活絡。治療：毫針刺靈骨、大白、腎關、漏谷、三陰交、束骨等穴。治療一次後病患自覺疼痛有 90%明顯緩解。再持續治療兩週，疼痛消失，臨床治愈，兩個月後回診一次，無復發現象。

Case‧病案‧0608A

Patient Stats: Female, 38 years old, the office staff. Complaints: The sensation of foreign body in throat for two months. Recent two weeks the sensation of foreign body in throat became serious, the sensation of phlegm blocked in throat, coughing, could not spit out, and could not swallow either. She felt depression because of family issue. The examination of M.D., found no organic disease. Chinese Medicinal Assessments: TCM Diagnosis: plum-stone syndrome, stagnation of the liver qi and the spleen. Treatment: acupuncture Rn23, LI4, Pc6, Lr3, and St40 points, with Chinese medicine of soothing the liver, promoting flow of qi, and resolving mass and phlegm. After two weeks treatment, the syndrome was notably improved, the sensation of foreign body in throat was remitted. To continue treatment for three weeks, completely cured.

女，38歲，辦公室文員。 咽喉異物感2個月。近2月咽異物感嚴重，咽部有痰堵感，時有咳嗽的清嗓動作，吐之不出，嚥之不下，近因家庭因素，心情很不好。經西醫檢查，無明顯器質性病變發現。 中醫診斷為：梅核氣，肝郁脾滯。 治療：毫針刺廉泉、合谷、內關、太沖和豐隆等穴，配合疏肝解郁、行氣導滯和散結除痰的中藥。治療兩週病情顯著好轉，咽部異物感緩解。再持續治療三週，徹底治好。