From owner-aama-cases@hoh.olympus.net Thu Sep 17 11:59:29 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id LAA05036 for xxx-aama-xxx; Thu, 17 Sep 1998 11:59:29 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id LAA05032 for ; Thu, 17 Sep 1998 11:59:27 -0700 (PDT) Received: from jwbaxter.olympus.net ([198.133.237.251] helo=[192.168.0.1]) by olympus.net with esmtp (Exim 2.02 #1) id 0zJjH5-00017t-00 for aama-cases@lists.olympus.net; Thu, 17 Sep 1998 11:59:27 -0700 Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Message-Id: Date: Thu, 17 Sep 1998 11:59:57 -0700 To: aama-cases@hoh.olympus.net From: John W Baxter Subject: [aama-cases} Test message Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Test. -- John Baxter jwblist@olympus.net Port Ludlow, WA, USA Give a man a fish and you feed him for a day. Teach him to fish, and you get rid of him for the weekend. From owner-aama-cases@hoh.olympus.net Thu Sep 17 12:02:47 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id MAA05083 for xxx-aama-xxx; Thu, 17 Sep 1998 12:02:47 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id MAA05079 for ; Thu, 17 Sep 1998 12:02:45 -0700 (PDT) Received: from jwbaxter.olympus.net ([198.133.237.251] helo=[192.168.0.1]) by olympus.net with esmtp (Exim 2.02 #1) id 0zJjKG-0001C2-00 for aama-cases@lists.olympus.net; Thu, 17 Sep 1998 12:02:45 -0700 Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Message-Id: Date: Thu, 17 Sep 1998 12:03:14 -0700 To: aama-cases@hoh.olympus.net From: John W Baxter Subject: [aama-cases] Test message 2 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Test. 2 -- John Baxter jwblist@olympus.net Port Ludlow, WA, USA Give a man a fish and you feed him for a day. Teach him to fish, and you get rid of him for the weekend. From owner-aama-cases@hoh.olympus.net Mon Sep 21 19:33:11 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id TAA22573 for xxx-aama-xxx; Mon, 21 Sep 1998 19:33:11 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id TAA22569 for ; Mon, 21 Sep 1998 19:33:09 -0700 (PDT) Received: from jwbaxter.olympus.net ([198.133.237.251] helo=[192.168.0.1]) by olympus.net with esmtp (Exim 2.02 #1) id 0zLIGK-0006v6-00 for aama-cases@lists.olympus.net; Mon, 21 Sep 1998 19:33:08 -0700 Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" X-Sender: jwblist@olympus.net (Unverified) Message-Id: Date: Mon, 21 Sep 1998 19:33:10 -0700 To: aama-cases@hoh.olympus.net From: John W Baxter Subject: [aama-cases] who aama Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk approve 4X9nP4ug who end -- John Baxter jwblist@olympus.net Port Ludlow, WA, USA Give a man a fish and you feed him for a day. Teach him to fish, and you get rid of him for the weekend. From owner-aama-cases@hoh.olympus.net Fri Oct 9 16:23:34 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id QAA15345 for xxx-aama-xxx; Fri, 9 Oct 1998 16:23:34 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id QAA15341 for ; Fri, 9 Oct 1998 16:23:32 -0700 (PDT) Received: from ptpm063.olympus.net ([198.133.237.93] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zRlsh-0001pg-00 for aama-cases@lists.olympus.net; Fri, 9 Oct 1998 16:23:31 -0700 Message-ID: <008b01bdf3db$6261b5c0$5ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] AAMA E-mail Case Sharing List Date: Fri, 9 Oct 1998 16:20:19 -0700 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Dear Colleague in the AAMA, In order to better serve members we've recently set up an e-mail case sharing list. In the past cases were reviewed by me and then sent out to everyone on the case sharing list. The big change is that all cases submitted to the case sharing list will now be automatically sent to everyone on the list. This bypasses me as "editor" but it facilitates timely distribution of cases and responses to same. To- submit a case you simply need to enter it into an e-mail letter and then send it off addressed to: aama-cases@lists.olympus.net All members subscribed to the list will automatically get a copy sent to them. To respond to a case all you need to do is use the reply function in your e-mail program....this simplifies things significantly. The only further suggestion I have is that if your e-mail program allows for filtering of incoming mail you create a separate mailbox for aama cases and then the cases (once the filter is set) will automatically be delivered to that mailbox rather than your standard "in" box. The the web-based Discussion Board in the Member Only area of the AAMA/MARF web site will remain. Some members took advantage of the Discussion Board to share cases. This is an excellent place to do so, though we've discovered members are unlikely to frequent the Board with their busy schedules and feedback was relatively slow. The bulletin board will remain, it's just another place where we can communicate easily with one another and the subjects addressed can be easily followed and reviewed in their entirety. The assured privacy of the bulletin board will remain another benefit. Anybody with access to your computer can generally have access to your e-mail whereas to read and post to the bulletin board you need to enter your AA# & password. One final note about using our web site for case sharing...we will continue to have available the form for posting cases...it makes standardization of case presentations easier...if you continue to use it we will take the cases posted to it and automatically distribute them to the aama-cases email list. I hope this is all clear enough and will enhance significantly our ability to be of help to one another. Kimber Webdragonmaster webmaster@medicalacupuncture.org http://www.medicalacupuncture.org PS if you haven't been on our case sharing mail list and you would like to now join...hear are the instruction: Please keep a copy for reference. To subscribe to this list send the following command in the BODY of an email message to: aama-cases-request@lists.olympus.net subscribe To remove yourself from this list, follow the same procedure: send the following command in the BODY of an email message to: aama-cases-request@lists.olympus.net unsubscribe James K. Rotchford, MD, MPH 2023 E. Sims Ways #234 Port Townsend, WA 98368 Tel: 360 385-4843 Fax: 360 379-1441 e-mail kimber@olympus.net From owner-aama-cases@hoh.olympus.net Fri Oct 9 16:32:55 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id QAA15408 for xxx-aama-xxx; Fri, 9 Oct 1998 16:32:55 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id QAA15404 for ; Fri, 9 Oct 1998 16:32:52 -0700 (PDT) Received: from ptpm063.olympus.net ([198.133.237.93] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zRm1j-00021Z-00 for aama-cases@lists.olympus.net; Fri, 9 Oct 1998 16:32:52 -0700 Message-ID: <009101bdf3dc$b09bd800$5ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] Vocal Cord Paralysis Date: Fri, 9 Oct 1998 16:29:40 -0700 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net On 07/29/1998, the following Case Sharing info was submitted to AAMA/MARF by Anita Spitz Diagnosis/Symptom: paralysis of R vocal chord Age and Sex of Patient: male 50 Current Medications: none Response to previous therapies: Has not done any conventional therapies as the only offered tx was surgery to put a plastic piece in his vocal chord. Brief Medical History: Started suddenly about a yr and a half ago. Has been to several docs and medical centers only to come up with idiopathic dx. Has had bx. direct visualization, MRI and blood work, I know the pt from karate and at camp this summer offered my services. He was open to the idea and we did 2 treatments at camp 24hrs apart using the LU-LI distinct meridian with focus pt on ST9 with high freq 1st 70hz next day 150hz. He had some improvement, and still has times where his voice will seem almost normal. This never occurred prior to acupuncture. Questions or Comments on the Case: Since this is chronic I wonder if I should use low frequency. I used high freq since this is what works on laryngitis. I also wonder if I should use a Tai Yin-Yang MIng circuit at the same time as the Distinct mer. or possibly before or after at the same tx. He lives 2 hours away but it looks like we will be able to get together once a month and possibly more frequently if I could offer him evidence or a planthat would help. _____________________________________ Submitter/Poster: Name: anita spitz Address: 3436 Parkland st, titusville, fl 32796 Phone Number: 407 269-2394 Email Address: celssman@aol.com AAMA number: 2492 From owner-aama-cases@hoh.olympus.net Fri Oct 9 16:44:33 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id QAA15436 for xxx-aama-xxx; Fri, 9 Oct 1998 16:44:33 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id QAA15432 for ; Fri, 9 Oct 1998 16:44:30 -0700 (PDT) Received: from ptpm063.olympus.net ([198.133.237.93] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zRmCz-0002Ib-00 for aama-cases@lists.olympus.net; Fri, 9 Oct 1998 16:44:30 -0700 Message-ID: <00a101bdf3de$50add220$5ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] Case Sharing - Low Sperm Count Date: Fri, 9 Oct 1998 16:41:18 -0700 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net On 09/21/1998, the following Case Sharing info was submitted to AAMA/MARF by Garrett Sullivan Diagnosis/Symptom: low sperm count Age and Sex of Patient: 35 yo male Current Medications: none Response to previous therapies: no therapy yet Brief Medical History: Young married male wants to concieve. History of neck trauma which damaged one vocal cord. otherwise robust health, yang personality and body type. Questions or Comments on the Case: any suggestions?? ______________________________________ Submitter/Poster: Name: Garrett Sullivan Address: po box 2238 frisco co 80443 Phone Number: 970 668 1477 Email Address: sgsull@aol.com AAMA number: 0242 From owner-aama-cases@hoh.olympus.net Fri Oct 9 16:53:12 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id QAA15468 for xxx-aama-xxx; Fri, 9 Oct 1998 16:53:12 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id QAA15464 for ; Fri, 9 Oct 1998 16:53:09 -0700 (PDT) Received: from ptpm063.olympus.net ([198.133.237.93] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zRmLM-0002TH-00 for aama-cases@lists.olympus.net; Fri, 9 Oct 1998 16:53:09 -0700 Message-ID: <013201bdf3df$86056900$5ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] Stroke Therapy Date: Fri, 9 Oct 1998 16:49:57 -0700 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net On 09/24/1998, the following Case Sharing info was submitted to AAMA/MARF by Dr. Allen Fein Diagnosis/Symptom: stroke Age and Sex of Patient: male 60s Current Medications: cholesterol med Response to previous therapies: patient with hypertension, diabetes, CAD, and hypercholesterolemia suffered a right middle cerebral artery occlusion one year ago and was left with a left hemiplegia. Previous amputation of left lower leg from bullet injury during youth. He wants to try acupuncture. I have agreed to try some free sessions with him. Brief Medical History: see above Questions or Comments on the Case: Please advise me about scalp acupuncture, which was mentioned briefly at the UCLA course. I will probably put in needles about the right hemicranium and run electricity at 80 Hertz for 15 minutes, using points in forehead, near ear in scalp, and at occiput. He has a spastic left arm, so I am thinking of some PENS to left side of cervical spine, or perhaps simple needles for energy dispersion for this part of the body with excess activity.... Perhaps LI4 and SP36 or GB34 bilat with manual tonification. Any good books out there on Neuroacupuncture?? I have done a literature search and there are a couple articles from Scandinavia about acupuncture in stroke, but I don't have their specific interventions. _________________________________ Submitter/Poster: Name: Dr. Allen Fein Address: 67 Woodthrush Lane Water Mill, NY 11976 Phone Number: 516-726-6468 Email Address: allenfein@peconic.net AAMA number: 0312 From owner-aama-cases@hoh.olympus.net Fri Oct 9 17:00:30 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id RAA15532 for xxx-aama-xxx; Fri, 9 Oct 1998 17:00:30 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id RAA15528 for ; Fri, 9 Oct 1998 17:00:28 -0700 (PDT) Received: from ptpm063.olympus.net ([198.133.237.93] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zRmSR-0002cv-00 for aama-cases@lists.olympus.net; Fri, 9 Oct 1998 17:00:27 -0700 Message-ID: <013e01bdf3e0$8b770960$5ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] Idiopathic Peripheral Neuralgia Date: Fri, 9 Oct 1998 16:57:16 -0700 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net On 09/24/1998, the following Case Sharing info was submitted to AAMA/MARF by Richard Colavita, M.D. Diagnosis/Symptom: Idiopathic peripheral neuralgia both feet Age and Sex of Patient: 50 Female Current Medications: Tegretol, Elavil Response to previous therapies: (1)Auricular acupuncture ankle foot (2)Principle meridian Tx Tai Yin / Yang Ming SP6++SP9, LU7, LI4, ST36 (3)PM Tx Jue Yin / Shao Yang LR3++LR8, LR5, GB34, GB38 (4)Tai Yang / Shao Yin KI3++KI7, HT3, GB 34, BL59 (5) Sedation protocol LR3, HT3, ST43/ST44, GV20 (6) Craig modules L3,L4,S1,S2 @90Hz,posterior thigh @150Hz, posterior calf @ 180Hz NO RESPONSE TO ANY TREATMENT Brief Medical History: 50y old female with development of pain along lateral side of foot and ankle. Painful to touch with severe dysesthesia. Initially thought to be tarsal tunnel, but sugical release was unsuccessful. She has a history of neuroma of left hand and glomus tumor of first finger. Her sister has RSD. She has borderline hypertension, hypothyroidism. Mild facial hair with new onset of female patterned baldness. Normal MRI of L/S spine Questions or Comments on the Case: To date we have been unsuccessful in reducing the dysethesia to her ankle and feet. Initially thought to be to a Yang Ming type person, and with history of neurologic tumor, we treated her along SP axis in tonification. This was augmented with auricular accupuncture. No response. Since pain was along lateral aspect, GB and BL lines were explored using the principal meridians. No response. Finally we approached the problem neuroanatomically and used Craig Modules, central and two peripheral modules, in hopes that if pain was sympathetically mediated, this may improve blood flow. No response. Where do we go from here? _________________________________________ Submitter/Poster: Name: Richard Colavita, M.D. Address: 282 East Main Street Somerville, NJ 08876 Phone Number: 908-704-0404 Email Address: R_cola@msn.com AAMA number: 2575 From owner-aama-cases@hoh.olympus.net Fri Oct 9 17:05:16 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id RAA15551 for xxx-aama-xxx; Fri, 9 Oct 1998 17:05:16 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id RAA15547 for ; Fri, 9 Oct 1998 17:05:14 -0700 (PDT) Received: from ptpm063.olympus.net ([198.133.237.93] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zRmX3-0002ip-00 for aama-cases@lists.olympus.net; Fri, 9 Oct 1998 17:05:14 -0700 Message-ID: <014801bdf3e1$36079660$5ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] CVA Date: Fri, 9 Oct 1998 17:02:02 -0700 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net On 09/26/1998, the following Case Sharing info was submitted to AAMA/MARF by Dr. Allen Fein Diagnosis/Symptom: CVA Age and Sex of Patient: same patient Current Medications: Response to previous therapies: Brief Medical History: (see previous e-mail "Stroke Therapy") Same patient also had right carotid surgery after the stroke Questions or Comments on the Case: Began treating him with acupuncture yesterday. One hour session with him in his wheel chair. First bilateral LI4 and ST36 (ST 36 a little tricky on left leg BK amputation). Then active ear points both ears (as per ideas from the Terry Oleson book on auricular acupuncture, without electricity. Then mini PENS to left side of C7 and T2 at 80 HTZ. Finally GB 14 and BL10 at 80 HTZ. Afterward, he felt relaxed and reported excellent relief to the left upper back/shoulder muscles. Learning experience: About 20 minutes of the hour was spent looking for acupuncture needles that fell out. The final one was found later on the high inseam of his pants by his wife, after he had left the office. I plan to place a sheet around him next session to catch or at least keep the needles from getting lost in his clothing and wheel chair. I was sweating bullets looking for those needles. His wife told me a few hours later that he was still happily tranquil, and that she did not recall the last time that he had told her that he was tranquil. (Guess the endorphins were released!) ___________________________ Submitter/Poster: Name: Dr. Allen Fein Address: 67 Woodthrush Lane Water Mill New York 11976 Phone Number: 516-726-6468 Email Address: allenfein@peconic.net AAMA number: 0312 From owner-aama-cases@hoh.olympus.net Fri Oct 9 17:13:27 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id RAA15566 for xxx-aama-xxx; Fri, 9 Oct 1998 17:13:27 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id RAA15562 for ; Fri, 9 Oct 1998 17:13:25 -0700 (PDT) Received: from ptpm063.olympus.net ([198.133.237.93] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zRmey-0002tn-00 for aama-cases@lists.olympus.net; Fri, 9 Oct 1998 17:13:25 -0700 Message-ID: <019f01bdf3e2$5ac72140$5ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] RSD of Upper Extremities Date: Fri, 9 Oct 1998 17:10:13 -0700 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net On 10/03/1998, the following Case Sharing info was submitted to AAMA/MARF by William A. Ruda MD Diagnosis/Symptom: RSD of Upper Extremities Age and Sex of Patient: 34 year old male Current Medications: Ultram Response to previous therapies: During my practical exam with the UCLA Program, Bradley Williams M.D. demonstrated a technique using SEEMS needles on the lower abdominal wall for relief of symptoms in a 60 year old male with severe RSD of the Upper extremities. Using approximately 15-20 needles on the abdominal wall the patient had complete relief of his symptoms. I have used this technique on a 34 year old male with severe RSD of his upper extremities -with complete relief during the treatment. Upon removing the needles-his symptoms recur, I have repeated this treatment numerous times -trying to break the cycle.I have also added various Craig modules during the treatment without success. Brief Medical History: As above Questions or Comments on the Case: Are there any descriptions regarding this technique of using SEEMS needles on the abdominal wall in the treatment of RSD? Are there any recommendations as to what treatments I could try in this patient with severe RSD of the upper extremities? Thank You ______________________________________ Submitter/Poster: Name: William A. Ruda M.D> Address: 60 Twin Oaks Road Bridgewater NJ 08807 Phone Number: 908-526-8736 Email Address: waruda@earthlink.net AAMA number: 4912 From owner-aama-cases@hoh.olympus.net Sun Oct 11 07:55:09 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id HAA23020 for xxx-aama-xxx; Sun, 11 Oct 1998 07:55:09 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from mail.swko.net (green.swkansas.net [208.144.188.2]) by hoh.olympus.net (8.8.5/8.7.3) with SMTP id HAA23016 for ; Sun, 11 Oct 1998 07:55:07 -0700 (PDT) Message-Id: <199810111455.HAA23016@hoh.olympus.net> Received: from [208.144.188.117] by mail.swko.net (SMTPD32-3.04) id A63846F200E4; Sun, 11 Oct 1998 09:52:40 -0500 Subject: Re: [aama-cases] RSD of Upper Extremities Date: Sun, 11 Oct 1998 09:55:43 -0600 x-sender: drbob@mail.swko.net x-mailer: Claris Emailer 2.0v3, January 22, 1998 From: Bob Sager To: Mime-Version: 1.0 Content-Type: text/plain; charset="US-ASCII" Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net For RSD of the upper extremity I have used a non-acupuncture treatment for some years - topical xylocaine block of the spheno-palatine ganglion in the nose. The xylocaine is applied with a cotton tipped probe placed up alongside the midline of the nose. The technique has been written up in the medical literature since 1907 but largely ignored. With this I then add acupuncture sedation down the affected limb only and wait about 20-30 minutes. Patients can be easily taught how to do the SPG block on themselves. This does not work so well for lower extremity RSD as the spheno-palatine ganglion doesnt seem to affect the lower limb. Bob Sager, MD Liberal, KS From owner-aama-cases@hoh.olympus.net Sun Oct 11 13:09:52 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id NAA25126 for xxx-aama-xxx; Sun, 11 Oct 1998 13:09:52 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo17.mx.aol.com (imo17.mx.aol.com [198.81.17.7]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id NAA25122 for ; Sun, 11 Oct 1998 13:09:49 -0700 (PDT) From: Qichong@aol.com Received: from Qichong@aol.com by imo17.mx.aol.com (IMOv16.10) id 1PQAa04133 for ; Sun, 11 Oct 1998 16:09:17 -0400 (EDT) Message-ID: Date: Sun, 11 Oct 1998 16:09:17 EDT To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: Re: [aama-cases] AAMA E-mail Case Sharing List Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: Casablanca - Windows sub 224 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net In a message dated 98-10-09 19:24:11 EDT, you write: << aama-cases-request@lists.olympus.net unsubscribe >> From owner-aama-cases@hoh.olympus.net Sun Oct 11 21:19:55 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id VAA26371 for xxx-aama-xxx; Sun, 11 Oct 1998 21:19:55 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from dfw-ix16.ix.netcom.com (dfw-ix16.ix.netcom.com [206.214.98.16]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id VAA26367 for ; Sun, 11 Oct 1998 21:19:52 -0700 (PDT) Received: (from smap@localhost) by dfw-ix16.ix.netcom.com (8.8.4/8.8.4) id XAA21586 for ; Sun, 11 Oct 1998 23:19:13 -0500 (CDT) Received: from pax-ca22-20.ix.netcom.com(206.214.104.116) by dfw-ix16.ix.netcom.com via smap (V1.3) id rma021545; Sun Oct 11 23:19:01 1998 Received: by ali-ca18-17.ix.netcom.com with Microsoft Mail id <01BDF55C.15487B70@ali-ca18-17.ix.netcom.com>; Sun, 11 Oct 1998 21:14:07 -0700 Message-ID: <01BDF55C.15487B70@ali-ca18-17.ix.netcom.com> From: Eric and Amy Saltzman To: "'aama-cases@hoh.olympus.net'" Subject: RE: [aama-cases] Vocal Cord Paralysis Date: Sun, 11 Oct 1998 11:23:04 -0700 MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="---- =_NextPart_000_01BDF55C.15487B70" Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net ------ =_NextPart_000_01BDF55C.15487B70 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: 7bit I had a similar patient and used similar points with low frequency without success after 6 treatments. Amy Saltzman M.D. -----Original Message----- From: Richard Friedericks [SMTP:richardf@olympus.net] Sent: Friday, October 09, 1998 4:30 PM To: aama-cases@hoh.olympus.net Subject: [aama-cases] Vocal Cord Paralysis On 07/29/1998, the following Case Sharing info was submitted to AAMA/MARF by Anita Spitz Diagnosis/Symptom: paralysis of R vocal chord Age and Sex of Patient: male 50 Current Medications: none Response to previous therapies: Has not done any conventional therapies as the only offered tx was surgery to put a plastic piece in his vocal chord. Brief Medical History: Started suddenly about a yr and a half ago. Has been to several docs and medical centers only to come up with idiopathic dx. Has had bx. direct visualization, MRI and blood work, I know the pt from karate and at camp this summer offered my services. He was open to the idea and we did 2 treatments at camp 24hrs apart using the LU-LI distinct meridian with focus pt on ST9 with high freq 1st 70hz next day 150hz. He had some improvement, and still has times where his voice will seem almost normal. This never occurred prior to acupuncture. Questions or Comments on the Case: Since this is chronic I wonder if I should use low frequency. I used high freq since this is what works on laryngitis. I also wonder if I should use a Tai Yin-Yang MIng circuit at the same time as the Distinct mer. or possibly before or after at the same tx. He lives 2 hours away but it looks like we will be able to get together once a month and possibly more frequently if I could offer him evidence or a planthat would help. _____________________________________ Submitter/Poster: Name: anita spitz Address: 3436 Parkland st, titusville, fl 32796 Phone Number: 407 269-2394 Email Address: celssman@aol.com AAMA number: 2492 ------ =_NextPart_000_01BDF55C.15487B70 Content-Type: application/ms-tnef Content-Transfer-Encoding: base64 eJ8+IgcEAQaQCAAEAAAAAAABAAEAAQeQBgAIAAAA5AQAAAAAAADoAAEIgAcAGAAAAElQTS5NaWNy b3NvZnQgTWFpbC5Ob3RlADEIAQ2ABAACAAAAAgACAAEEkAYA3AEAAAEAAAARAAAAAwAAMAIAAAAL AA8OAAAAAAIB/w8BAAAAUwAAAAAAAACBKx+kvqMQGZ1uAN0BD1QCAAAAAGFhbWEtY2FzZXNAaG9o Lm9seW1wdXMubmV0AFNNVFAAYWFtYS1jYXNlc0Bob2gub2x5bXB1cy5uZXQAAB4AAjABAAAABQAA AFNNVFAAAAAAHgADMAEAAAAbAAAAYWFtYS1jYXNlc0Bob2gub2x5bXB1cy5uZXQAAAMAFQwBAAAA AwD+DwYAAAAeAAEwAQAAAB0AAAAnYWFtYS1jYXNlc0Bob2gub2x5bXB1cy5uZXQnAAAAAAIBCzAB 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Tue Oct 13 11:30:28 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id LAA04944 for xxx-aama-xxx; Tue, 13 Oct 1998 11:30:28 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo28.mx.aol.com (imo28.mx.aol.com [198.81.17.72]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id LAA04940 for ; Tue, 13 Oct 1998 11:30:25 -0700 (PDT) From: Qichong@aol.com Received: from Qichong@aol.com by imo28.mx.aol.com (IMOv16.10) id 1TMPa02082 for ; Tue, 13 Oct 1998 14:29:12 -0400 (EDT) Message-ID: Date: Tue, 13 Oct 1998 14:29:12 EDT To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: Re: [aama-cases] AAMA E-mail Case Sharing List Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: Casablanca - Windows sub 224 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net unsubscribe, please This is my second request; I am still receiving information. I am not able to accomodate more email at this time. Thanks, ALee From owner-aama-cases@hoh.olympus.net Sat Oct 17 19:15:29 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id TAA25124 for xxx-aama-xxx; Sat, 17 Oct 1998 19:15:29 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from pol.net (sigma.po.com [204.178.220.39]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id TAA25120 for ; Sat, 17 Oct 1998 19:15:27 -0700 (PDT) Received: from web2.po.com (web2.po.com [204.178.220.34]) by pol.net (8.8.7/8.8.7) with SMTP id WAA10174 for ; Sat, 17 Oct 1998 22:14:03 -0400 (EDT) Received: by web2.po.com (SMI-8.6/SMI-SVR4) id WAA13679; Sat, 17 Oct 1998 22:14:02 -0400 Date: Sat, 17 Oct 1998 22:14:02 -0400 Message-Id: <199810180214.WAA13679@web2.po.com> Mime-Version: 1.0 From: Allen Fein To: aama-cases@hoh.olympus.net Subject: Re: [aama-cases] Idiopathic Peripheral Neuralgia Content-Type: text/plain Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Can try Vit B6 and/or Oil of Primrose for neuropathy.-Allen Fein MD ------------------ Reply Separator -------------------- Originally From: "Richard Friedericks" Subject: [aama-cases] Idiopathic Peripheral Neuralgia Date: 10/09/1998 04:57pm On 09/24/1998, the following Case Sharing info was submitted to AAMA/MARF by Richard Colavita, M.D. Diagnosis/Symptom: Idiopathic peripheral neuralgia both feet Age and Sex of Patient: 50 Female Current Medications: Tegretol, Elavil Response to previous therapies: (1)Auricular acupuncture ankle foot (2)Principle meridian Tx Tai Yin / Yang Ming SP6++SP9, LU7, LI4, ST36 (3)PM Tx Jue Yin / Shao Yang LR3++LR8, LR5, GB34, GB38 (4)Tai Yang / Shao Yin KI3++KI7, HT3, GB 34, BL59 (5) Sedation protocol LR3, HT3, ST43/ST44, GV20 (6) Craig modules L3,L4,S1,S2 @90Hz,posterior thigh @150Hz, posterior calf @ 180Hz NO RESPONSE TO ANY TREATMENT Brief Medical History: 50y old female with development of pain along lateral side of foot and ankle. Painful to touch with severe dysesthesia. Initially thought to be tarsal tunnel, but sugical release was unsuccessful. She has a history of neuroma of left hand and glomus tumor of first finger. Her sister has RSD. She has borderline hypertension, hypothyroidism. Mild facial hair with new onset of female patterned baldness. Normal MRI of L/S spine Questions or Comments on the Case: To date we have been unsuccessful in reducing the dysethesia to her ankle and feet. Initially thought to be to a Yang Ming type person, and with history of neurologic tumor, we treated her along SP axis in tonification. This was augmented with auricular accupuncture. No response. Since pain was along lateral aspect, GB and BL lines were explored using the principal meridians. No response. Finally we approached the problem neuroanatomically and used Craig Modules, central and two peripheral modules, in hopes that if pain was sympathetically mediated, this may improve blood flow. No response. Where do we go from here? _________________________________________ Submitter/Poster: Name: Richard Colavita, M.D. Address: 282 East Main Street Somerville, NJ 08876 Phone Number: 908-704-0404 Email Address: R_cola@msn.com AAMA number: 2575 From owner-aama-cases@hoh.olympus.net Sat Oct 17 19:20:42 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id TAA25137 for xxx-aama-xxx; Sat, 17 Oct 1998 19:20:42 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from pol.net (sigma.po.com [204.178.220.39]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id TAA25133 for ; Sat, 17 Oct 1998 19:20:39 -0700 (PDT) Received: from web2.po.com (web2.po.com [204.178.220.34]) by pol.net (8.8.7/8.8.7) with SMTP id WAA11659 for ; Sat, 17 Oct 1998 22:19:15 -0400 (EDT) Received: by web2.po.com (SMI-8.6/SMI-SVR4) id WAA15683; Sat, 17 Oct 1998 22:19:15 -0400 Date: Sat, 17 Oct 1998 22:19:15 -0400 Message-Id: <199810180219.WAA15683@web2.po.com> Mime-Version: 1.0 From: Allen Fein To: aama-cases@hoh.olympus.net Subject: Re: [aama-cases] RSD of Upper Extremities Content-Type: text/plain Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Can try portable TENS unit. Can try adhesive magnets. -Allen Fein MD ------------------ Reply Separator -------------------- Originally From: "Richard Friedericks" Subject: [aama-cases] RSD of Upper Extremities Date: 10/09/1998 05:10pm On 10/03/1998, the following Case Sharing info was submitted to AAMA/MARF by William A. Ruda MD Diagnosis/Symptom: RSD of Upper Extremities Age and Sex of Patient: 34 year old male Current Medications: Ultram Response to previous therapies: During my practical exam with the UCLA Program, Bradley Williams M.D. demonstrated a technique using SEEMS needles on the lower abdominal wall for relief of symptoms in a 60 year old male with severe RSD of the Upper extremities. Using approximately 15-20 needles on the abdominal wall the patient had complete relief of his symptoms. I have used this technique on a 34 year old male with severe RSD of his upper extremities -with complete relief during the treatment. Upon removing the needles-his symptoms recur, I have repeated this treatment numerous times -trying to break the cycle.I have also added various Craig modules during the treatment without success. Brief Medical History: As above Questions or Comments on the Case: Are there any descriptions regarding this technique of using SEEMS needles on the abdominal wall in the treatment of RSD? Are there any recommendations as to what treatments I could try in this patient with severe RSD of the upper extremities? Thank You ______________________________________ Submitter/Poster: Name: William A. Ruda M.D> Address: 60 Twin Oaks Road Bridgewater NJ 08807 Phone Number: 908-526-8736 Email Address: waruda@earthlink.net AAMA number: 4912 From owner-aama-cases@hoh.olympus.net Mon Oct 19 20:31:46 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id UAA02902 for xxx-aama-xxx; Mon, 19 Oct 1998 20:31:46 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id UAA02898 for ; Mon, 19 Oct 1998 20:31:44 -0700 (PDT) Received: from ptpm038.olympus.net ([198.133.237.68] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zVSWN-0001Xp-00 for aama-cases@lists.olympus.net; Mon, 19 Oct 1998 20:31:44 -0700 Message-ID: <001901bdfbd9$b40f0480$44ed85c6@default> From: "Richard Friedericks" To: Date: Mon, 19 Oct 1998 20:28:27 -0700 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net On 10/19/1998, the following Case Sharing info was submitted to AAMA/MARF: Name of Physician: Diagnosis/Symptom: Pulmonary fibrosis Age and Sex of Patient: 44 yrs white male Current Medications: None Response to previous therapies: Was using treatment plan from Michael Broffman and treated by another acupuncturist in Syracuse, NY: Acupuncture 2xweek; Chinese herbal formula; Human placenta; High dose CMO; DHEA; n-acetyl cysteine, Bovine colostrum, COQ 10-high dose; etc... without effect. (Mr. Broffman is a California therapeutist who claimed that he has had experiences from more than 20 cases of pulmonary fibrosis). Brief Medical History: 44-year-old gentleman with a history of interstitial fibrosis over the last 20 years. Chest CT demonstrated bilateral upper lobe more than lower lobe scarring and honeycomb changes. He was tried on a year of Prednisone at 40 mg qd without any symptomatic improvement. His PFT's continued to decline. Had a pre-transplant evaluation for lung transplantation. Wants to try alternative treatments to defer transplantation or to maintain his current pulmonary function. Most recent PFT's: FEV-1 of 2.2, 41% predicted, FVC of 1.65, 37% predicted, TLC of 7.37, 49% predicted, and DLCO of 8.9. Questions or Comments on the Case: Any suggestions or experiences to help this patient? Submitter/Poster: Name: Luke L. Han, M.D. Address: Phone Number: 315-415-5188 Email Address: hulallh@omh.state.ny.us AAMA number: 3247 From owner-aama-cases@hoh.olympus.net Mon Oct 19 20:33:50 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id UAA02914 for xxx-aama-xxx; Mon, 19 Oct 1998 20:33:50 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id UAA02910 for ; Mon, 19 Oct 1998 20:33:48 -0700 (PDT) Received: from ptpm038.olympus.net ([198.133.237.68] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zVSYN-0001b6-00 for aama-cases@lists.olympus.net; Mon, 19 Oct 1998 20:33:48 -0700 Message-ID: <002101bdfbd9$fdea2ee0$44ed85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] Menopause Date: Mon, 19 Oct 1998 20:30:31 -0700 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net On 10/19/1998, the following Case Sharing info was submitted to AAMA/MARF: Name of Physician: Lie, Thiam H Diagnosis/Symptom: Menopause with hot and cold flashes, insomnia, mood swing Age and Sex of Patient: 49 female Current Medications: none Response to previous therapies: Brief Medical History: Patient is healthy on no medication, strong family history of breast cancer, refused to use Premarin. Questions or Comments on the Case: Does anybody have experience with treating menopause using acupuncture or herbal medicine? What are the protocols ? Submitter/Poster: Name: Tom Lie Address: Phone Number: 813-391-3846 Email Address: DxDeuce@aol.com AAMA number: AA1000 From owner-aama-cases@hoh.olympus.net Mon Oct 19 23:41:40 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id XAA03180 for xxx-aama-xxx; Mon, 19 Oct 1998 23:41:40 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from mail.coos.or.us (mail.coos.or.us [209.222.130.57]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id XAA03176 for ; Mon, 19 Oct 1998 23:41:37 -0700 (PDT) Received: from rambeast (coosbay1-80.transport.com [209.51.87.80]) by mail.coos.or.us (8.8.5/8.8.5) with SMTP id XAA20009 for ; Mon, 19 Oct 1998 23:41:35 -0700 From: "Lowell E. Kobrin, MD" To: Subject: Re: [aama-cases] Menopause Date: Mon, 19 Oct 1998 23:40:53 -0700 Message-ID: <01bdfbf4$954a2be0$505733d1@rambeast> MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.71.1712.3 X-MimeOLE: Produced By Microsoft MimeOLE V4.71.1712.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Dear Dr. Lie: One must first do a thorough diagnosis in terms of TCM pattern, Five Phases, Energetics, etc. for most accuracy in designing an acupuncture treatment. In general, however, for menepausal symptoms associated with heat alternating with cold, I would use the East Earth Herb formulas (available from Crane Enterprises): 1) Women's Journey 2) Women's Precious and 3) Quiet Contemplative (Kidney Yin Tonic) - 2 to 3 dropperfuls of each bid to tid. Obtain the practitioner's manual for the East Earth Formulas. You must do a TCM diagnosis to use them accurately. They are top quality. Acupuncture points, again, in general, that would help are Kidney 3 and 7, Heart 6, Pericardium 6, Spleen 6, and GB-20, but you really have to review all systems to find out if other manifestations must also be addressed in designing a treatment protocol. I personally use an abdominal palpation screening on all patients called Three Constitution's Diagnosis. This gives me a great accuracy as well as flexibility in designing a treatment formula based on either 5 Phases or Extraordinary Meridian Therapy. This knowledge has been published in 1990 and 1991 issues of the AAMA Journal. I will be teaching this as part of a two day Korean Hand Therapy workshop in Portland, Oregon at the end of January, 1999. (sponsored by the Oregon AAMA Chapter). I hope this helps. Best Regards, Lowell E. Kobrin, MD, PhD Founding Member AAMA -----Original Message----- From: Richard Friedericks To: aama-cases@hoh.olympus.net Date: Monday, October 19, 1998 8:34 PM Subject: [aama-cases] Menopause >On 10/19/1998, the following Case Sharing info was submitted to AAMA/MARF: > >Name of Physician: Lie, Thiam H >Diagnosis/Symptom: Menopause with hot and cold flashes, insomnia, mood swing >Age and Sex of Patient: 49 female >Current Medications: none >Response to previous therapies: >Brief Medical History: Patient is healthy on no medication, strong family >history of breast cancer, refused to use Premarin. >Questions or Comments on the Case: Does anybody have experience with >treating menopause using acupuncture or herbal medicine? What are the >protocols ? > > >Submitter/Poster: > >Name: Tom Lie >Address: >Phone Number: 813-391-3846 >Email Address: DxDeuce@aol.com >AAMA number: AA1000 > From owner-aama-cases@hoh.olympus.net Tue Oct 20 15:06:29 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id PAA06556 for xxx-aama-xxx; Tue, 20 Oct 1998 15:06:29 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo18.mx.aol.com (imo18.mx.aol.com [198.81.17.8]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id PAA06552 for ; Tue, 20 Oct 1998 15:06:26 -0700 (PDT) From: DxDeuce@aol.com Received: from DxDeuce@aol.com by imo18.mx.aol.com (IMOv16.10) id 1JTOa29185 for ; Tue, 20 Oct 1998 18:02:15 -0400 (EDT) Message-ID: Date: Tue, 20 Oct 1998 18:02:15 EDT To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: Re: [aama-cases] Menopause Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: AOL 4.0 for Windows 95 sub 214 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Dear Dr Kobrin: Thank you very much for your suggestion. I'll analyze the patient thoroughly and try to arrive at a TCM diagnosis, and formulate treatment accordingly. Will also try to find the back issue of AAMA Journal 1990/1991. Also thank you for letting me know about the workshop in Oregon. Thanks again, Tom From owner-aama-cases@hoh.olympus.net Wed Oct 21 08:52:20 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id IAA10159 for xxx-aama-xxx; Wed, 21 Oct 1998 08:52:20 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from ohsu.edu (wpsmtp.ohsu.edu [137.53.4.104]) by hoh.olympus.net (8.8.5/8.7.3) with SMTP id IAA10155 for ; Wed, 21 Oct 1998 08:52:16 -0700 (PDT) Received: from ohsu-Message_Server by ohsu.edu with Novell_GroupWise; Wed, 21 Oct 1998 08:51:18 -0700 Message-Id: X-Mailer: Novell GroupWise 4.1 Date: Wed, 21 Oct 1998 08:51:03 -0700 From: Lydia Collins To: aama-cases@hoh.olympus.net Subject: [aama-cases] Menopause -Reply Mime-Version: 1.0 Content-Type: text/plain Content-Disposition: inline Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I have extensive experience with alternatives to standard hormonal replacement therapy for menopause. I would start with Vit E 400-800mg daily. I would also give the patient a list of food that are high in phytoestrogens and information on some of the extracted phytoestrogen products which have been studied by the German equivalent of the FDA. The most commonly used is black cohosh extract. There is also a red clover extract available but less studied. There is no apparent stimulation of breast or uterine tissue with these products although there are certain breast cancer lines which seem to potentially be stimulated by the phytoestrogens. This issue has not been fully clarified. Perhaps obtaining the phytoestrogens in food sources would be safer in a patient with breast cancer or such fears. For hot flashes Clonidine can also be used with mixed results as can natural progesterone products, either Progest creme rubbed into the skin or oral micronized progesterone. I can send you much info on natural approaches to menopause if you send me your snail mail address.. lydia collins >>> "Richard Friedericks" 10/19 8:30 pm >>> On 10/19/1998, the following Case Sharing info was submitted to AAMA/MARF: Name of Physician: Lie, Thiam H Diagnosis/Symptom: Menopause with hot and cold flashes, insomnia, mood swing Age and Sex of Patient: 49 female Current Medications: none Response to previous therapies: Brief Medical History: Patient is healthy on no medication, strong family history of breast cancer, refused to use Premarin. Questions or Comments on the Case: Does anybody have experience with treating menopause using acupuncture or herbal medicine? What are the protocols ? Submitter/Poster: Name: Tom Lie Address: Phone Number: 813-391-3846 Email Address: DxDeuce@aol.com AAMA number: AA1000 From owner-aama-cases@hoh.olympus.net Wed Oct 21 16:00:43 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id QAA11480 for xxx-aama-xxx; Wed, 21 Oct 1998 16:00:43 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo26.mx.aol.com (imo26.mx.aol.com [198.81.17.70]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id QAA11475 for ; Wed, 21 Oct 1998 16:00:40 -0700 (PDT) From: DxDeuce@aol.com Received: from DxDeuce@aol.com by imo26.mx.aol.com (IMOv16.10) id 1KLQa02301 for ; Wed, 21 Oct 1998 18:55:42 -0400 (EDT) Message-ID: Date: Wed, 21 Oct 1998 18:55:42 EDT To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: Re: [aama-cases] Menopause -Reply Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: AOL 4.0 for Windows 95 sub 214 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Lydia Collins: Thank you very much for your info. Yes I would appreciate to have more information on natural approaches to menopause. Here is my address: Thiam H Lie 9051 Baywood Park Drive Largo, FL 33777 Thanks again , Tom Lie From owner-aama-cases@hoh.olympus.net Wed Oct 21 23:55:28 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id XAA12283 for xxx-aama-xxx; Wed, 21 Oct 1998 23:55:28 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id XAA12279 for ; Wed, 21 Oct 1998 23:55:25 -0700 (PDT) Received: from pt194107.olympus.net ([207.149.194.107] helo=kimber) by olympus.net with smtp (Exim 2.02 #1) id 0zWEeb-0001qS-00 for aama-cases@hoh.olympus.net; Wed, 21 Oct 1998 23:55:25 -0700 X-Sender: kimber@mail.olympus.net (Unverified) X-Mailer: QUALCOMM Windows Eudora Pro Version 4.0 Date: Wed, 21 Oct 1998 11:57:34 -0700 To: aama-cases@hoh.olympus.net From: "James K. Rotchford, MD" Subject: Re: [aama-cases] Menopause -Reply In-Reply-To: Mime-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Message-Id: Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net An accurate diagnosis always helps in recommending a specific acupuncture treatment for a woman with menopausal symptoms but this being said I think you would be able to help a good number by a Tchong Mo intervention: SP4, MH6, ST 30 and then with low freq. elect. stim connect SP4 to KI3 and direct current to CV4, if irritability was a big issue I'd add LR3 and possibly LR 6. If this helped I'd try a balliage of Tchong Mo...write if you'd like details At 06:55 PM 10/21/98 -0400, you wrote: >Lydia Collins: > >Thank you very much for your info. Yes I would appreciate to have more >information on natural approaches to menopause. Here is my address: >Thiam H Lie >9051 Baywood Park Drive Largo, FL 33777 > >Thanks again , Tom Lie >=20 James K. Rotchford, MD, MPH 1334 Lawrence Street Port Townsend, WA=A0 98368 Tel: 360 385-4843 Fax: 360 379-1441 e-mail=A0 kimber@olympus.net =20 From owner-aama-cases@hoh.olympus.net Thu Oct 22 11:34:03 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id LAA00317 for xxx-aama-xxx; Thu, 22 Oct 1998 11:34:03 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from worf.spindle.net (mail.spindle.net [207.55.158.20]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id LAA00313 for ; Thu, 22 Oct 1998 11:34:00 -0700 (PDT) Received: from spindle.net ([209.12.126.43]) by worf.spindle.net (Post.Office MTA v3.1 release PO205e ID# 0-36907U2500L250S0) with ESMTP id AAA167 for ; Thu, 22 Oct 1998 13:40:42 -0500 Message-ID: <362F7BCF.9E4F158D@spindle.net> Date: Thu, 22 Oct 1998 13:39:11 -0500 From: dostephen@spindle.net (dostephen@spindle.net) Organization: The Center for Pain Management X-Mailer: Mozilla 4.04 [en] (Win95; I) MIME-Version: 1.0 To: aama-cases@hoh.olympus.net Subject: [aama-cases] Password References: Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Kim, I know of all people I should have followed directions, but could you get me a new password for our web site. Thanks Stephen James K. Rotchford, MD wrote: > An accurate diagnosis always helps in recommending a specific acupuncture > treatment for a woman with menopausal symptoms but this being said I think > you would be able to help a good number by a Tchong Mo intervention: > SP4, MH6, ST 30 and then with low freq. elect. stim connect SP4 to KI3 > and direct current to CV4, if irritability was a big issue I'd add LR3 > and possibly LR 6. If this helped I'd try a balliage of Tchong Mo...write > if you'd like details > > At 06:55 PM 10/21/98 -0400, you wrote: > >Lydia Collins: > > > >Thank you very much for your info. Yes I would appreciate to have more > >information on natural approaches to menopause. Here is my address: > >Thiam H Lie > >9051 Baywood Park Drive Largo, FL 33777 > > > >Thanks again , Tom Lie > > > James K. Rotchford, MD, MPH > 1334 Lawrence Street > Port Townsend, WA 98368 > Tel: 360 385-4843 > Fax: 360 379-1441 > e-mail kimber@olympus.net From owner-aama-cases@hoh.olympus.net Thu Oct 22 15:27:37 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id PAA01125 for xxx-aama-xxx; Thu, 22 Oct 1998 15:27:37 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo20.mx.aol.com (imo20.mx.aol.com [198.81.17.10]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id PAA01121 for ; Thu, 22 Oct 1998 15:27:34 -0700 (PDT) From: DxDeuce@aol.com Received: from DxDeuce@aol.com by imo20.mx.aol.com (IMOv16.10) id 1SMMa03785 for ; Thu, 22 Oct 1998 18:22:21 -0400 (EDT) Message-ID: Date: Thu, 22 Oct 1998 18:22:21 EDT To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: Re: [aama-cases] Menopause -Reply Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: AOL 4.0 for Windows 95 sub 214 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net James: I am glad you mentioned Chong Mo. After reading Dr Helms textbook, I actually use Chong MO (SP-4 MH-6 with K I-3 as focussing point with 2 Htz elec stim as you do ), to make an energetic circuit I use ST-43 and LI-4 for Yang Ming on the Yang side (since ST-43 in the Clinical Pearls : Sedation Treatment was given as an insomnia point). Also add CV-6 (with moxa). I am not sure whether my reasoning is sound or not. The patient after one treatment do not experienced hot/cold flashes anymore, but still has imsomnia. After reading Dr Kobrin and Dr Greenwood suggestions, I prescribe, Quiet Contemplative and Celestial Emperor's Blend. Will give follow up. Thank you all, Tom Lie From owner-aama-cases@hoh.olympus.net Thu Oct 22 22:12:35 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id WAA02213 for xxx-aama-xxx; Thu, 22 Oct 1998 22:12:35 -0700 (PDT) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from dfw-ix5.ix.netcom.com (dfw-ix5.ix.netcom.com [206.214.98.5]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id WAA02209 for ; Thu, 22 Oct 1998 22:12:32 -0700 (PDT) Received: (from smap@localhost) by dfw-ix5.ix.netcom.com (8.8.4/8.8.4) id AAA17982 for ; Fri, 23 Oct 1998 00:11:58 -0500 (CDT) Received: from pax-ca22-16.ix.netcom.com(206.214.104.112) by dfw-ix5.ix.netcom.com via smap (V1.3) id rma017957; Fri Oct 23 00:11:46 1998 Received: by ali-ca18-17.ix.netcom.com with Microsoft Mail id <01BDFE08.39B4B6E0@ali-ca18-17.ix.netcom.com>; Thu, 22 Oct 1998 22:06:31 -0700 Message-ID: <01BDFE08.39B4B6E0@ali-ca18-17.ix.netcom.com> From: Eric and Amy Saltzman To: "'aama-cases@hoh.olympus.net'" Subject: RE: [aama-cases] AAMA E-mail Case Sharing List Date: Thu, 22 Oct 1998 22:06:24 -0700 MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="---- =_NextPart_000_01BDFE08.39B4B6E0" Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net ------ =_NextPart_000_01BDFE08.39B4B6E0 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: 7bit I have microsoft outlook; can anyone tell me how to setup a filter? -----Original Message----- From: Richard Friedericks [SMTP:richardf@olympus.net] Sent: Friday, October 09, 1998 4:20 PM To: aama-cases@hoh.olympus.net Subject: [aama-cases] AAMA E-mail Case Sharing List Dear Colleague in the AAMA, In order to better serve members we've recently set up an e-mail case sharing list. In the past cases were reviewed by me and then sent out to everyone on the case sharing list. The big change is that all cases submitted to the case sharing list will now be automatically sent to everyone on the list. This bypasses me as "editor" but it facilitates timely distribution of cases and responses to same. To- submit a case you simply need to enter it into an e-mail letter and then send it off addressed to: aama-cases@lists.olympus.net All members subscribed to the list will automatically get a copy sent to them. To respond to a case all you need to do is use the reply function in your e-mail program....this simplifies things significantly. The only further suggestion I have is that if your e-mail program allows for filtering of incoming mail you create a separate mailbox for aama cases and then the cases (once the filter is set) will automatically be delivered to that mailbox rather than your standard "in" box. The the web-based Discussion Board in the Member Only area of the AAMA/MARF web site will remain. Some members took advantage of the Discussion Board to share cases. This is an excellent place to do so, though we've discovered members are unlikely to frequent the Board with their busy schedules and feedback was relatively slow. The bulletin board will remain, it's just another place where we can communicate easily with one another and the subjects addressed can be easily followed and reviewed in their entirety. The assured privacy of the bulletin board will remain another benefit. Anybody with access to your computer can generally have access to your e-mail whereas to read and post to the bulletin board you need to enter your AA# & password. One final note about using our web site for case sharing...we will continue to have available the form for posting cases...it makes standardization of case presentations easier...if you continue to use it we will take the cases posted to it and automatically distribute them to the aama-cases email list. I hope this is all clear enough and will enhance significantly our ability to be of help to one another. Kimber Webdragonmaster webmaster@medicalacupuncture.org http://www.medicalacupuncture.org PS if you haven't been on our case sharing mail list and you would like to now join...hear are the instruction: Please keep a copy for reference. To subscribe to this list send the following command in the BODY of an email message to: aama-cases-request@lists.olympus.net subscribe To remove yourself from this list, follow the same procedure: send the following command in the BODY of an email message to: aama-cases-request@lists.olympus.net unsubscribe James K. Rotchford, MD, MPH 2023 E. Sims Ways #234 Port Townsend, WA 98368 Tel: 360 385-4843 Fax: 360 379-1441 e-mail kimber@olympus.net ------ =_NextPart_000_01BDFE08.39B4B6E0 Content-Type: application/ms-tnef Content-Transfer-Encoding: base64 eJ8+Ih8FAQaQCAAEAAAAAAABAAEAAQeQBgAIAAAA5AQAAAAAAADoAAEIgAcAGAAAAElQTS5NaWNy b3NvZnQgTWFpbC5Ob3RlADEIAQ2ABAACAAAAAgACAAEEkAYA3AEAAAEAAAARAAAAAwAAMAIAAAAL AA8OAAAAAAIB/w8BAAAAUwAAAAAAAACBKx+kvqMQGZ1uAN0BD1QCAAAAAGFhbWEtY2FzZXNAaG9o Lm9seW1wdXMubmV0AFNNVFAAYWFtYS1jYXNlc0Bob2gub2x5bXB1cy5uZXQAAB4AAjABAAAABQAA AFNNVFAAAAAAHgADMAEAAAAbAAAAYWFtYS1jYXNlc0Bob2gub2x5bXB1cy5uZXQAAAMAFQwBAAAA AwD+DwYAAAAeAAEwAQAAAB0AAAAnYWFtYS1jYXNlc0Bob2gub2x5bXB1cy5uZXQnAAAAAAIBCzAB AAAAIAAAAFNNVFA6QUFNQS1DQVNFU0BIT0guT0xZTVBVUy5ORVQAAwAAOQAAAAALAEA6AQAAAAMA cToAAAAAHgD2XwEAAAAbAAAAYWFtYS1jYXNlc0Bob2gub2x5bXB1cy5uZXQAAAIB918BAAAAUwAA AAAAAACBKx+kvqMQGZ1uAN0BD1QCAAAAAGFhbWEtY2FzZXNAaG9oLm9seW1wdXMubmV0AFNNVFAA YWFtYS1jYXNlc0Bob2gub2x5bXB1cy5uZXQAAAMA/V8BAAAAAwD/XwAAAAACAfYPAQAAAAQAAAAA 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IAYAAAAAAMAAAAAAAABGAAAAAAGFAAAAAAAACwAwgAggBgAAAAAAwAAAAAAAAEYAAAAADoUAAAAA AAADADGACCAGAAAAAADAAAAAAAAARgAAAAARhQAAAAAAAAMAM4AIIAYAAAAAAMAAAAAAAABGAAAA ABiFAAAAAAAAHgBCgAggBgAAAAAAwAAAAAAAAEYAAAAANoUAAAEAAAABAAAAAAAAAB4AQ4AIIAYA AAAAAMAAAAAAAABGAAAAADeFAAABAAAAAQAAAAAAAAAeAESACCAGAAAAAADAAAAAAAAARgAAAAA4 hQAAAQAAAAEAAAAAAAAAHgA9AAEAAAAFAAAAUkU6IAAAAAADAA00/TcAAAe7 ------ =_NextPart_000_01BDFE08.39B4B6E0-- From owner-aama-cases@hoh.olympus.net Mon Oct 26 06:40:43 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id GAA15638 for xxx-aama-xxx; Mon, 26 Oct 1998 06:40:43 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo26.mx.aol.com (imo26.mx.aol.com [198.81.17.70]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id GAA15634 for ; Mon, 26 Oct 1998 06:40:40 -0800 (PST) From: Celssman@aol.com Received: from Celssman@aol.com by imo26.mx.aol.com (IMOv16.10) id 1IEZa02302 for ; Mon, 26 Oct 1998 09:39:50 -0500 (EST) Message-ID: <3b981a39.363489b6@aol.com> Date: Mon, 26 Oct 1998 09:39:50 EST To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: Re: [aama-cases] Menopause -Reply Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: AOL 3.0 16-bit for Windows sub 41 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I have been interested in reading the dialogue on treating menopause. I have many patients interested in alternatives, but not enough time to treat them all with acupuncture. I would like to start them with vit E as Lydia Collins recommends, but am wondering what type of foods are high in Phytoestrogens. Thanks, Anita Spitz, Orlando Fl From owner-aama-cases@hoh.olympus.net Mon Oct 26 10:08:15 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id KAA16247 for xxx-aama-xxx; Mon, 26 Oct 1998 10:08:15 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id KAA16243 for ; Mon, 26 Oct 1998 10:08:13 -0800 (PST) Received: from ptpm063.olympus.net ([198.133.237.93] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zXr3s-0002Gr-00 for aama-cases@lists.olympus.net; Mon, 26 Oct 1998 10:08:12 -0800 Message-ID: <002001be010b$cc281700$5ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] Facial Tics Date: Mon, 26 Oct 1998 10:09:38 -0800 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net On 10/26/1998, the following Case Sharing info was submitted to AAMA/MARF: Name of Physician: youngran chung MD Diagnosis/Symptom: facial tics Age and Sex of Patient: adolescents Current Medications: Response to previous therapies: Brief Medical History: Questions or Comments on the Case: Does anyone have a successful approach to treating facial tics with acupuncture? Our pediatric neurologist has a number of teens with tics (facial and body) I would like to try treating. Submitter/Poster: Name: youngran chung, md Address: 1775 Dempster Rd Park Ridge, Ill 60068 Phone Number: 847-723-8409 Email Address: youngran.chung-MD@advocatehealth.com AAMA number: 4465 From owner-aama-cases@hoh.olympus.net Mon Oct 26 11:15:33 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id LAA16561 for xxx-aama-xxx; Mon, 26 Oct 1998 11:15:33 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from verdenet1.verdenet.com (verdenet.com [207.173.5.1]) by hoh.olympus.net (8.8.5/8.7.3) with SMTP id LAA16557 for ; Mon, 26 Oct 1998 11:15:30 -0800 (PST) Received: from verdenet.com (unverified [207.173.5.37]) by verdenet1.verdenet.com (EMWAC SMTPRS 0.83) with SMTP id ; Mon, 26 Oct 1998 12:12:16 -0700 Message-ID: <3634CA4E.5EA0E169@verdenet.com> Date: Mon, 26 Oct 1998 12:15:26 -0700 From: "John J. Adams" Organization: Red Earth Medicine X-Mailer: Mozilla 4.5 [en] (Win95; I) X-Accept-Language: en MIME-Version: 1.0 To: aama-cases@hoh.olympus.net Subject: Re: [aama-cases] Facial Tics References: <002001be010b$cc281700$5ded85c6@default> Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Try 1cc B complex injectable 3x weekly for 2 weeks. > -- John J. Adams MD, MD H Complementary Medicine 299 Van Deren #3 Sedona, Az 86336 voice 520 282 3014 fax 520 282 3934 From owner-aama-cases@hoh.olympus.net Tue Oct 27 07:25:36 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id HAA21846 for xxx-aama-xxx; Tue, 27 Oct 1998 07:25:36 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from mail.med.upenn.edu (MAIL.MED.UPENN.EDU [165.123.128.11]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id HAA21842 for ; Tue, 27 Oct 1998 07:25:33 -0800 (PST) Received: from [130.91.30.213] (HILLS.REHABMED.UPENN.EDU [130.91.30.213]) by mail.med.upenn.edu (8.9.1/8.9.1) with SMTP id KAA24065 for ; Tue, 27 Oct 1998 10:25:31 -0500 (EST) Message-Id: Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Date: Tue, 27 Oct 1998 12:32:30 -0300 To: aama-cases@hoh.olympus.net From: dlbmd@mail.med.upenn.edu (Debra L. Braverman, M.D.) Subject: Re: [aama-cases] Idiopathic Peripheral Neuralgia Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I had one case with severe idiopathic peripheral neuropathy which responded extremely well to the following: - medial two Ba Feng points attached to the negative electrode, positive electrode attached to LR-3 - lateral two Ba Feng points attached to the negative electrode, positive electrode attached to ST-41 - stimulate at 150 Hz for 20 minutes - Tai Yin / Yang Ming circuit My patient had 85% pain relief after 4 treatments. From owner-aama-cases@hoh.olympus.net Wed Oct 28 08:00:44 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id IAA27072 for xxx-aama-xxx; Wed, 28 Oct 1998 08:00:44 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from ohsu.edu (wpsmtp.ohsu.edu [137.53.4.104]) by hoh.olympus.net (8.8.5/8.7.3) with SMTP id IAA27068 for ; Wed, 28 Oct 1998 08:00:41 -0800 (PST) Received: from ohsu-Message_Server by ohsu.edu with Novell_GroupWise; Wed, 28 Oct 1998 08:00:00 -0800 Message-Id: X-Mailer: Novell GroupWise 4.1 Date: Wed, 28 Oct 1998 07:59:29 -0800 From: Lydia Collins To: aama-cases@hoh.olympus.net Subject: Re: [aama-cases] Menopause -Reply -Reply Mime-Version: 1.0 Content-Type: text/plain Content-Disposition: inline Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net If you sent me your snail mail address, I can send you additional information on phytoestrogens. The short reply is : tofu and all soybean products except for soy sauce, pumpkin seeds, green tea, cranberries, flaxseeds, earl grey tea, mung bean sprouts >>> 10/26 6:39 am >>> I have been interested in reading the dialogue on treating menopause. I have many patients interested in alternatives, but not enough time to treat them all with acupuncture. I would like to start them with vit E as Lydia Collins recommends, but am wondering what type of foods are high in Phytoestrogens. Thanks, Anita Spitz, Orlando Fl From owner-aama-cases@hoh.olympus.net Wed Oct 28 08:03:10 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id IAA27084 for xxx-aama-xxx; Wed, 28 Oct 1998 08:03:10 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from ohsu.edu (wpsmtp.ohsu.edu [137.53.4.104]) by hoh.olympus.net (8.8.5/8.7.3) with SMTP id IAA27080 for ; Wed, 28 Oct 1998 08:03:08 -0800 (PST) Received: from ohsu-Message_Server by ohsu.edu with Novell_GroupWise; Wed, 28 Oct 1998 08:02:32 -0800 Message-Id: X-Mailer: Novell GroupWise 4.1 Date: Wed, 28 Oct 1998 08:02:02 -0800 From: Lydia Collins To: aama-cases@hoh.olympus.net Subject: Re: [aama-cases] Idiopathic Peripheral Neuralgia -Reply Mime-Version: 1.0 Content-Type: text/plain Content-Disposition: inline Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I have been doing a preceptorship with an acupuncturist trained to do scalp acupuncture. I have been very impressed with its applications in patients with peripheral neuropathies, MS, strokes. The information on her method is available through the Institute for Traditional Medicine in Portland Oregon. >>> Debra L. Braverman, M.D. 10/27 7:32 am >>> I had one case with severe idiopathic peripheral neuropathy which responded extremely well to the following: - medial two Ba Feng points attached to the negative electrode, positive electrode attached to LR-3 - lateral two Ba Feng points attached to the negative electrode, positive electrode attached to ST-41 - stimulate at 150 Hz for 20 minutes - Tai Yin / Yang Ming circuit My patient had 85% pain relief after 4 treatments. From owner-aama-cases@hoh.olympus.net Thu Nov 19 20:24:41 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id UAA17628 for xxx-aama-xxx; Thu, 19 Nov 1998 20:24:41 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from pol.net ([204.178.220.39]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id UAA17624 for ; Thu, 19 Nov 1998 20:24:38 -0800 (PST) Received: from web1.po.com (web1.po.com [204.178.220.31]) by pol.net (8.8.7/8.8.7) with SMTP id XAA23950 for ; Thu, 19 Nov 1998 23:23:01 -0500 (EST) Received: by web1.po.com (SMI-8.6/SMI-SVR4) id XAA11460; Thu, 19 Nov 1998 23:23:00 -0500 Date: Thu, 19 Nov 1998 23:23:00 -0500 Message-Id: <199811200423.XAA11460@web1.po.com> Mime-Version: 1.0 From: Allen Fein To: aama-cases@hoh.olympus.net Subject: [aama-cases] Re: Re: acupuncture and stroke Content-Type: text/plain Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net My patient who suffered a CVA (previously presented in this forum) is very happy with his progress. I have been treating him once or twice a week for about two months. He is much brighter and moves his leg better. He is able to move about in his bed much better and his posture in his wheel chair is better. He is probably going to obtain a new prosthesis for his left AK amputation (same leg affected by the stroke) and get rehab to try to start walking again. Have been doing GB 8 bilaterally, connected by electricity at 80 - 120 H (positive on right side) lately instead of GB 14 to 20 on the right side. Have also been doing PENS with points BL-10 and GB 20 connected either to shoulder points (LI and TH) or down to LI4 and SI 4. I have not been doing ear points lately, as my goal is tonification and more tonification. I feel that ear points release too much endorphins and I do not wish him to get more relaxed s this stage. (During the initial treatments which included active ear points, when he was still very upset with the loss of independence from the stroke, both patient and his wife were very happy to have him more tranquil!) He tells me that the sensation improves significantly to the left arm after treatments but does not last. Another outcome of our sessions is that this week he dropped off over 6 pounds of smoked blue fish caught off our beautiful Long Island coast. I will be ordering the various tapes on scalp acupuncture available from AAMA shortly, and would like to know how to get a hold of the Institute for Traditional Medicine for more info on scalp acupuncture. -Allen Fein MD ------------------ Reply Separator -------------------- Originally From: Lydia Collins Subject: Re: [aama-cases] Idiopathic Peripheral Neuralgia -Reply Date: 10/28/1998 08:02am I have been doing a preceptorship with an acupuncturist trained to do scalp acupuncture. I have been very impressed with its applications in patients with peripheral neuropathies, MS, strokes. The information on her method is available through the Institute for Traditional Medicine in Portland Oregon. >>> Debra L. Braverman, M.D. 10/27 7:32 am >>> I had one case with severe idiopathic peripheral neuropathy which responded extremely well to the following: - medial two Ba Feng points attached to the negative electrode, positive electrode attached to LR-3 - lateral two Ba Feng points attached to the negative electrode, positive electrode attached to ST-41 - stimulate at 150 Hz for 20 minutes - Tai Yin / Yang Ming circuit My patient had 85% pain relief after 4 treatments. From owner-aama-cases@hoh.olympus.net Wed Dec 2 08:23:34 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id IAA09735 for xxx-aama-xxx; Wed, 2 Dec 1998 08:23:34 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from ohsu.edu (wpsmtp.ohsu.edu [137.53.4.104]) by hoh.olympus.net (8.8.5/8.7.3) with SMTP id IAA09731 for ; Wed, 2 Dec 1998 08:23:31 -0800 (PST) Received: from ohsu-Message_Server by ohsu.edu with Novell_GroupWise; Wed, 02 Dec 1998 08:22:40 -0800 Message-Id: X-Mailer: Novell GroupWise 4.1 Date: Wed, 02 Dec 1998 08:22:17 -0800 From: Lydia Collins To: aama-cases@hoh.olympus.net Subject: [aama-cases] Re: Re: acupuncture and stroke -Reply Mime-Version: 1.0 Content-Type: text/plain Content-Disposition: inline Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Institute for Traditional Medicine can be reached at 2017 SE Hawthorne, Portland, Oregon 97214. (503) 233-4907. The acupuncturist/naturopath who is trained in scalp acupuncture is Dr. Edythe Vickers and she can be reached at An Hao Clinic 2348 NW Lovejoy Portland, Oregon 97210 (503) 224-7224 From owner-aama-cases@hoh.olympus.net Tue Dec 8 08:51:12 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id IAA08878 for xxx-aama-xxx; Tue, 8 Dec 1998 08:51:12 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from mail.med.upenn.edu (MAIL.MED.UPENN.EDU [165.123.128.11]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id IAA08874 for ; Tue, 8 Dec 1998 08:51:09 -0800 (PST) Received: from [130.91.30.213] (HILLS.REHABMED.UPENN.EDU [130.91.30.213]) by mail.med.upenn.edu (8.9.1/8.9.1) with SMTP id LAA32270 for ; Tue, 8 Dec 1998 11:51:01 -0500 (EST) Message-Id: Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Date: Tue, 8 Dec 1998 13:58:58 -0300 To: From: dlbmd@mail.med.upenn.edu (Debra L. Braverman, M.D.) Subject: [aama-cases]dysesthesias of unclear etiology Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Dear colleagues, I have a case of a 51 yo female with dysesthetic pain primarily located in her buttocks/posterior thighs when sitting. She also has some symptoms in other areas of her skin throughout her body, but this region is most bothersome when sitting. Work-up has included brain MRI, rheumatological work-up, lyme titer, thyroid function tests, electrodiagnostic evaluation, sed rate, CBC, Chem 20 were all within normal limits. I've tried Bladder Tendinomuscular Meridian without results. Any suggestions? Thanks. From owner-aama-cases@hoh.olympus.net Tue Dec 8 12:33:29 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id MAA09806 for xxx-aama-xxx; Tue, 8 Dec 1998 12:33:29 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from worf.spindle.net (mail.spindle.net [207.55.158.20]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id MAA09802 for ; Tue, 8 Dec 1998 12:33:26 -0800 (PST) Received: from spindle.net ([209.12.126.43]) by worf.spindle.net (Post.Office MTA v3.1 release PO205e ID# 0-36907U2500L250S0) with ESMTP id AAA254 for ; Tue, 8 Dec 1998 14:41:44 -0600 Message-ID: <366D8E20.CC2071F5@spindle.net> Date: Tue, 08 Dec 1998 14:37:52 -0600 From: dostephen@spindle.net (dostephen@spindle.net) Organization: The Center for Pain Management X-Mailer: Mozilla 4.04 [en] (Win95; I) MIME-Version: 1.0 To: aama-cases@hoh.olympus.net Subject: Re: [aama-cases]dysesthesias of unclear etiology References: Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Debra, I would like more information about this woman's pain. When is it at it's worst time wise a.m. or p.m. Did she have a rash before the pain started? Has she been imunocompromised? What is the quality of the pain? Burning? Stabbing?Acheing? Does she have allodynia? Hyprealgesia? What helps her? Meds she is on? Sounds to me like zoster in some ways. Debra L. Braverman, M.D. wrote: > Dear colleagues, > I have a case of a 51 yo female with dysesthetic pain primarily located in > her buttocks/posterior thighs when sitting. She also has some symptoms in > other areas of her skin throughout her body, but this region is most > bothersome when sitting. Work-up has included brain MRI, rheumatological > work-up, lyme titer, thyroid function tests, electrodiagnostic evaluation, > sed rate, CBC, Chem 20 were all within normal limits. I've tried Bladder > Tendinomuscular Meridian without results. Any suggestions? Thanks. From owner-aama-cases@hoh.olympus.net Tue Dec 8 22:05:33 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id WAA11776 for xxx-aama-xxx; Tue, 8 Dec 1998 22:05:33 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from m26.boston.juno.com (m26.boston.juno.com [205.231.101.187]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id WAA11772 for ; Tue, 8 Dec 1998 22:05:30 -0800 (PST) From: shazberg@juno.com Received: (from shazberg@juno.com) by m26.boston.juno.com (queuemail) id DVZNNDYB; Wed, 09 Dec 1998 01:04:01 EST To: aama-cases@hoh.olympus.net Date: Tue, 8 Dec 1998 22:55:55 -0700 Subject: Re: [aama-cases]dysesthesias of unclear etiology Message-ID: <19981208.230021.-391167.2.shazberg@juno.com> X-Mailer: Juno 2.0.11 X-Juno-Line-Breaks: 4-6,8-24 X-Juno-Att: 0 MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Did the electrodiagnostician consider familiar tendency to compression neuropathies? Also what is the inidividuals musculskeletal exam like? Any wasting? Inflexibility? Joint range? Many times folks with tight muscles have adynamic compression of the underlying nerves which can cause the neural dysaesthetic pain. Karen Ksiazek, M.D. On Tue, 8 Dec 1998 13:58:58 -0300 dlbmd@mail.med.upenn.edu (Debra L. Braverman, M.D.) writes: >Dear colleagues, >I have a case of a 51 yo female with dysesthetic pain primarily >located in >her buttocks/posterior thighs when sitting. She also has some >symptoms in >other areas of her skin throughout her body, but this region is most >bothersome when sitting. Work-up has included brain MRI, >rheumatological >work-up, lyme titer, thyroid function tests, electrodiagnostic >evaluation, >sed rate, CBC, Chem 20 were all within normal limits. I've tried >Bladder >Tendinomuscular Meridian without results. Any suggestions? Thanks. > > > From owner-aama-cases@hoh.olympus.net Wed Dec 9 06:49:21 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id GAA14079 for xxx-aama-xxx; Wed, 9 Dec 1998 06:49:21 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo19.mx.aol.com (imo19.mx.aol.com [198.81.17.9]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id GAA14075 for ; Wed, 9 Dec 1998 06:49:17 -0800 (PST) From: Celssman@aol.com Received: from Celssman@aol.com by imo19.mx.aol.com (IMOv18.1) id WWJNa15048 for ; Wed, 9 Dec 1998 09:48:19 -0500 (EST) Message-ID: <66373d58.366e8db3@aol.com> Date: Wed, 9 Dec 1998 09:48:19 EST To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: [aama-cases] vocal chord paralysis Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: AOL 3.0 16-bit for Windows sub 41 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I am interested in writing up my case of a 48 year old patient who had an idiopathic paralysed R vocal chord for about 13 months before I treated him. After 5 tx's over 2 months his voice has now returned to normal. I have checked with one ENT doc who said that paralysis of the vocal chord sometimes spontaneously resolves and didn't think I had a case. The patient had no improvement from the day of onset until I started the acupuncture. Then he got a little better each time but would slide back, we think the acupuncture definitely made the difference. Do you know where I send this write up for publication or suggestions at making it an article that an editor would want to publish? Thanks, Anita Spitz From owner-aama-cases@hoh.olympus.net Wed Dec 9 07:08:24 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id HAA14097 for xxx-aama-xxx; Wed, 9 Dec 1998 07:08:24 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from mail.med.upenn.edu (MAIL.MED.UPENN.EDU [165.123.128.11]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id HAA14093 for ; Wed, 9 Dec 1998 07:08:20 -0800 (PST) Received: from [130.91.30.213] (HILLS.REHABMED.UPENN.EDU [130.91.30.213]) by mail.med.upenn.edu (8.9.1/8.9.1) with SMTP id KAA16818 for ; Wed, 9 Dec 1998 10:08:17 -0500 (EST) Message-Id: Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Date: Wed, 9 Dec 1998 12:16:15 -0300 To: From: dlbmd@mail.med.upenn.edu (Debra L. Braverman, M.D.) Subject: [aama-cases] dysesthesias Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Thanks for your interest. Let me clarify ... the patient's symptoms are at their worst at the end of a long day sitting. She feels dysesthetic pain, maybe something like a burning but not exactly, with deep palpation to any of her limbs. She experiences it most in her buttocks and posterior thighs as the day goes on because she sits for most of her day. She'll feel the same pain if she applies deep pressure to her arms or distal legs. She does not have allodynia or hyperalgesia, She is not immunocompromised. No rash preceded or coincided with symptoms. She has been evaluated by dermatology, who doesn't know what to do. The symptoms are in a non-dermatomal distribution. Current meds are only vitamins (calcium/magnesium, vit E, vit B12, vit C, vit B6, B-complex). She is in excellent health. Her neurologic and musculoskeletal exam are normal, except for the pain she perceives with deep palpation to her limbs. There is no wasting. Joint range of motion is within normal limits throughout without pain. Her flexibility is reasonably good. Any ideas? Capsaicin 0.025% helped a little, so I advanced her to 0.075%. From owner-aama-cases@hoh.olympus.net Wed Dec 9 08:14:17 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id IAA14181 for xxx-aama-xxx; Wed, 9 Dec 1998 08:14:17 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from ohsu.edu (wpsmtp.ohsu.edu [137.53.4.104]) by hoh.olympus.net (8.8.5/8.7.3) with SMTP id IAA14177 for ; Wed, 9 Dec 1998 08:14:14 -0800 (PST) Received: from ohsu-Message_Server by ohsu.edu with Novell_GroupWise; Wed, 09 Dec 1998 08:13:12 -0800 Message-Id: X-Mailer: Novell GroupWise 4.1 Date: Wed, 09 Dec 1998 08:12:50 -0800 From: Lydia Collins To: aama-cases@hoh.olympus.net Subject: [aama-cases] dysesthesias -Reply Mime-Version: 1.0 Content-Type: text/plain Content-Disposition: inline Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I have a very similar patient who is not getting any relief from acupuncture treatments. She gets intense burning pain deep in her buttock which radiates down the side of her leg. She is unable to sit or walk. She has had a similar w/u which has been negative and has been given a tenative questionable diagnosis of fibromyalgia. She continues to come for acupuncture mainly for the relaxation it provides. From owner-aama-cases@hoh.olympus.net Wed Dec 9 09:20:36 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id JAA14380 for xxx-aama-xxx; Wed, 9 Dec 1998 09:20:36 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id JAA14376 for ; Wed, 9 Dec 1998 09:20:33 -0800 (PST) Received: from ptpm068.olympus.net ([198.133.237.98] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0znnHt-0002Ib-00 for aama-cases@hoh.olympus.net; Wed, 9 Dec 1998 09:20:33 -0800 Message-ID: <005801be2398$5caa0500$62ed85c6@default> From: "Richard Friedericks" To: Subject: Re: [aama-cases] vocal chord paralysis Date: Wed, 9 Dec 1998 09:21:29 -0800 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net The AAMA web site has a page with guidelines for publishing cases. Look at the following page in the Member Only area: http://www.medicalacupuncture.org/protect/caseguide.htm It does not have information about getting it published, however. Please let me know what you find out so I can add it to the page. Richard Friedericks AAMA/MARF Website Assistant and aama-cases List Moderator webmaster@medicalacupuncture.org http://www.medicalacupuncture.org >I am interested in writing up my case of a 48 year old patient who had an >idiopathic paralysed R vocal chord for about 13 months before I treated him. >After 5 tx's over 2 months his voice has now returned to normal. I have >checked with one ENT doc who said that paralysis of the vocal chord sometimes >spontaneously resolves and didn't think I had a case. The patient had no >improvement from the day of onset until I started the acupuncture. Then he >got a little better each time but would slide back, we think the acupuncture >definitely made the difference. Do you know where I send this write up for >publication or suggestions at making it an article that an editor would want >to publish? >Thanks, >Anita Spitz > From owner-aama-cases@hoh.olympus.net Wed Dec 9 10:04:25 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id KAA14547 for xxx-aama-xxx; Wed, 9 Dec 1998 10:04:25 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from scaup.prod.itd.earthlink.net (scaup.prod.itd.earthlink.net [207.217.120.49]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id KAA14543 for ; Wed, 9 Dec 1998 10:04:22 -0800 (PST) Received: from default (pool011-max10.ds12-ca-us.dialup.earthlink.net [209.178.14.161]) by scaup.prod.itd.earthlink.net (8.8.7/8.8.5) with SMTP id KAA28916 for ; Wed, 9 Dec 1998 10:04:20 -0800 (PST) Message-Id: <3.0.32.19981127084446.00a734a0@pop.ben2.ucla.edu> X-Sender: ddiehl@pop.ben2.ucla.edu X-Mailer: Windows Eudora Pro Version 3.0 (32) Date: Fri, 27 Nov 1998 08:53:51 -0800 To: aama-cases@hoh.olympus.net From: "David Diehl, M.D." Subject: Re: [aama-cases] vocal chord paralysis Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Anita, I encourage you to write up your case. You could consider sending it to "Medical Acupuncture", the AAMA journal. That would be a very good forum for it. Make sure you do a literature review on similar cases, which you could cite when you write up your case. The Journal of Alternative and Complementary Medicine may be interested in it as a case report. There is a new journal that is being put together, to be published by Harcourt Brace. The Editor is Kevin Ergil, L.Ac. The journal is entitled, "Clinical Acupuncture and Oriental Medicine". This would probably be a good place to send it. You can contact inta_ozols@harcourtbrace.com to ask what address to submit articles to. Make sure to tell them that I referred you to them! Good Luck! David At 09:48 AM 12/9/98 EST, you wrote: >I am interested in writing up my case of a 48 year old patient who had an >idiopathic paralysed R vocal chord for about 13 months before I treated him. >After 5 tx's over 2 months his voice has now returned to normal. I have >checked with one ENT doc who said that paralysis of the vocal chord sometimes >spontaneously resolves and didn't think I had a case. The patient had no >improvement from the day of onset until I started the acupuncture. Then he >got a little better each time but would slide back, we think the acupuncture >definitely made the difference. Do you know where I send this write up for >publication or suggestions at making it an article that an editor would want >to publish? >Thanks, >Anita Spitz > > From owner-aama-cases@hoh.olympus.net Wed Dec 9 11:44:42 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id LAA14920 for xxx-aama-xxx; Wed, 9 Dec 1998 11:44:42 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo15.mx.aol.com (imo15.mx.aol.com [198.81.17.5]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id LAA14916 for ; Wed, 9 Dec 1998 11:44:40 -0800 (PST) From: Celssman@aol.com Received: from Celssman@aol.com by imo15.mx.aol.com (IMOv18.1) id BFIa016639 for ; Wed, 9 Dec 1998 14:35:49 -0500 (EST) Message-ID: Date: Wed, 9 Dec 1998 14:35:49 EST To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: Re: [aama-cases] vocal chord paralysis Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: AOL 3.0 16-bit for Windows sub 41 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I have looked at that site and that is what has me concerned that this may not be "publishable". Overall I found it very useful for a first timer at writing a case study. In the introduction it mentions I need to give brief background info from western and acupuncture treatments along with references, this is what I cannot find. The one specialist I spoke with said that doing nothing is a reasonable tx and that some people will spontaneously get better within the first year. I was unable to find any papers that talk about this specific topic. And without references that support other treatments I'm not this case is worth writing up. Anita From owner-aama-cases@hoh.olympus.net Wed Dec 9 15:49:42 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id PAA15799 for xxx-aama-xxx; Wed, 9 Dec 1998 15:49:42 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from worf.spindle.net (mail.spindle.net [207.55.158.20]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id PAA15795 for ; Wed, 9 Dec 1998 15:49:39 -0800 (PST) Received: from spindle.net ([209.12.126.43]) by worf.spindle.net (Post.Office MTA v3.1 release PO205e ID# 0-36907U2500L250S0) with ESMTP id AAA40 for ; Wed, 9 Dec 1998 17:57:58 -0600 Message-ID: <366F0D97.53DFF6D3@spindle.net> Date: Wed, 09 Dec 1998 17:53:59 -0600 From: dostephen@spindle.net (dostephen@spindle.net) Organization: The Center for Pain Management X-Mailer: Mozilla 4.04 [en] (Win95; I) MIME-Version: 1.0 To: aama-cases@hoh.olympus.net Subject: Re: [aama-cases] dysesthesias References: Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net If capsiacin was helpful then this is a neurogenic pain. As I am sure you know, it works by depleting substance P. Being the CraigPENS guy, I would suggest using it. I would be glad to fax you a protocol. Just send me your e-mail address. Obviously there is something else going on globally, but since she has to sit, the Pens technique might buy you some time and gain the patients confidence. Of course she would have to be willing to receive a series of treatments and to understand that she will get worse before she gets better. Stephen Taylor Debra L. Braverman, M.D. wrote: > Thanks for your interest. Let me clarify ... the patient's symptoms are at > their worst at the end of a long day sitting. She feels dysesthetic pain, > maybe something like a burning but not exactly, with deep palpation to any > of her limbs. She experiences it most in her buttocks and posterior thighs > as the day goes on because she sits for most of her day. She'll feel the > same pain if she applies deep pressure to her arms or distal legs. She > does not have allodynia or hyperalgesia, She is not immunocompromised. No > rash preceded or coincided with symptoms. She has been evaluated by > dermatology, who doesn't know what to do. The symptoms are in a > non-dermatomal distribution. Current meds are only vitamins > (calcium/magnesium, vit E, vit B12, vit C, vit B6, B-complex). She is in > excellent health. Her neurologic and musculoskeletal exam are normal, > except for the pain she perceives with deep palpation to her limbs. There > is no wasting. Joint range of motion is within normal limits throughout > without pain. Her flexibility is reasonably good. Any ideas? Capsaicin > 0.025% helped a little, so I advanced her to 0.075%. From owner-aama-cases@hoh.olympus.net Thu Dec 10 23:01:27 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id XAA22045 for xxx-aama-xxx; Thu, 10 Dec 1998 23:01:27 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id XAA22041 for ; Thu, 10 Dec 1998 23:01:24 -0800 (PST) Received: from pt19481.olympus.net ([207.149.194.81] helo=kimber) by olympus.net with smtp (Exim 2.02 #1) id 0zoMZn-00038d-00 for aama-cases@hoh.olympus.net; Thu, 10 Dec 1998 23:01:24 -0800 Message-Id: <4.1.19981210110056.00add520@mail.olympus.net> X-Sender: kimber@mail.olympus.net X-Mailer: QUALCOMM Windows Eudora Pro Version 4.1 Date: Thu, 10 Dec 1998 11:03:00 -0800 To: aama-cases@hoh.olympus.net From: "James K. Rotchford, MD" Subject: Re: [aama-cases]dysesthesias of unclear etiology In-Reply-To: Mime-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Clearly I'd open up dai mo in a patient like this...I'd also palpate all along the liver channel and needle those points which were tender...especially lr 10.... Kimber Rotchford, MD At 01:58 PM 12/8/98 -0300, you wrote: >Dear colleagues, >I have a case of a 51 yo female with dysesthetic pain primarily located in >her buttocks/posterior thighs when sitting. She also has some symptoms in >other areas of her skin throughout her body, but this region is most >bothersome when sitting. Work-up has included brain MRI, rheumatological >work-up, lyme titer, thyroid function tests, electrodiagnostic evaluation, >sed rate, CBC, Chem 20 were all within normal limits. I've tried Bladder >Tendinomuscular Meridian without results. Any suggestions? Thanks. > > James K. Rotchford, MD, MPH 1334 Lawrence Street Port Townsend, WA=A0 98368 Tel: 360 385-4843 Fax: 360 379-1441 e-mail=A0 kimber@olympus.net =20 From owner-aama-cases@hoh.olympus.net Sun Dec 13 19:04:15 1998 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id TAA04682 for xxx-aama-xxx; Sun, 13 Dec 1998 19:04:15 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from m26.boston.juno.com (m26.boston.juno.com [205.231.101.187]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id TAA04678 for ; Sun, 13 Dec 1998 19:04:11 -0800 (PST) From: shazberg@juno.com Received: (from shazberg@juno.com) by m26.boston.juno.com (queuemail) id DWD7U8VK; Sun, 13 Dec 1998 21:55:44 EST To: aama-cases@hoh.olympus.net Date: Sun, 13 Dec 1998 19:18:32 -0700 Subject: Re: [aama-cases] dysesthesias Message-ID: <19981213.195229.-288523.4.shazberg@juno.com> X-Mailer: Juno 2.0.11 X-Juno-Line-Breaks: 5-7,9-40 X-Juno-Att: 0 MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net It may be postural in that when muscles get tight (have to stretch l little more than usual) they can dynamically compress the nerves. i.e. ther are trigger areas in the forearm muscles for early carpal tunnel before classic carpal tunnel symptoms appear. Lomilomi massage often works well on these types of presentations. Acupuncture wise I would work on the element with attention to GB34. On Wed, 9 Dec 1998 12:16:15 -0300 dlbmd@mail.med.upenn.edu (Debra L. Braverman, M.D.) writes: >Thanks for your interest. Let me clarify ... the patient's symptoms >are at >their worst at the end of a long day sitting. She feels dysesthetic >pain, >maybe something like a burning but not exactly, with deep palpation to >any >of her limbs. She experiences it most in her buttocks and posterior >thighs >as the day goes on because she sits for most of her day. She'll feel >the >same pain if she applies deep pressure to her arms or distal legs. >She >does not have allodynia or hyperalgesia, She is not >immunocompromised. No >rash preceded or coincided with symptoms. She has been evaluated by >dermatology, who doesn't know what to do. The symptoms are in a >non-dermatomal distribution. Current meds are only vitamins >(calcium/magnesium, vit E, vit B12, vit C, vit B6, B-complex). She is >in >excellent health. Her neurologic and musculoskeletal exam are >normal, >except for the pain she perceives with deep palpation to her limbs. >There >is no wasting. Joint range of motion is within normal limits >throughout >without pain. Her flexibility is reasonably good. Any ideas? >Capsaicin >0.025% helped a little, so I advanced her to 0.075%. > > > From owner-aama-cases@hoh.olympus.net Mon Jan 4 08:27:56 1999 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id IAA00829 for xxx-aama-xxx; Mon, 4 Jan 1999 08:27:56 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo20.mx.aol.com (imo20.mx.aol.com [198.81.17.10]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id IAA00825 for ; Mon, 4 Jan 1999 08:27:53 -0800 (PST) From: Celssman@aol.com Received: from Celssman@aol.com by imo20.mx.aol.com (IMOv18.1) id 1XNCa19764 for ; Mon, 4 Jan 1999 11:27:11 -0500 (EST) Message-ID: Date: Mon, 4 Jan 1999 11:27:11 EST To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: [aama-cases] needle shock Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: AOL 4.0 for Windows 95 sub 230 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I have a friend who is 48, male, a martial artist and a vietnam vet. He heard that I do acupuncture and wants me to help him with knee pain. Then he added he is nervous about it because many years ago he had acupuncture and felt very ill and the person had to suddenly remove all the needles. It sounded to me like needle shock. Is there any thing I should do different knowing he had this reaction in the past? Thanks, Anita Spitz From owner-aama-cases@hoh.olympus.net Mon Jan 4 11:18:24 1999 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id LAA01825 for xxx-aama-xxx; Mon, 4 Jan 1999 11:18:24 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from imo13.mx.aol.com (imo13.mx.aol.com [198.81.17.3]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id LAA01821 for ; Mon, 4 Jan 1999 11:18:20 -0800 (PST) From: HSMedAcu@aol.com Received: from HSMedAcu@aol.com by imo13.mx.aol.com (IMOv18.1) id 7MTZa05309 for ; Mon, 4 Jan 1999 14:15:53 -0500 (EST) Message-ID: <61256798.36911369@aol.com> Date: Mon, 4 Jan 1999 14:15:53 EST To: aama-cases@hoh.olympus.net Mime-Version: 1.0 Subject: Re: [aama-cases] needle shock Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7bit X-Mailer: AOL 4.0 for Windows 95 sub 214 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Go slow with needles. Try ear acupuncture first so that he can not see the needles. R. Ancker, MD From owner-aama-cases@hoh.olympus.net Mon Jan 4 20:23:09 1999 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id UAA04397 for xxx-aama-xxx; Mon, 4 Jan 1999 20:23:09 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from m26.boston.juno.com (m26.boston.juno.com [205.231.101.187]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id UAA04393 for ; Mon, 4 Jan 1999 20:23:06 -0800 (PST) From: shazberg@juno.com Received: (from shazberg@juno.com) by m26.boston.juno.com (queuemail) id DX6ZLKFY; Mon, 04 Jan 1999 23:22:51 EST To: aama-cases@hoh.olympus.net Date: Mon, 4 Jan 1999 20:59:21 -0700 Subject: Re: [aama-cases] needle shock Message-ID: <19990104.211942.-378099.2.shazberg@juno.com> X-Mailer: Juno 2.0.11 X-Juno-Line-Breaks: 1 X-Juno-Att: 0 MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net The standard is to include ST 36 for needle shock which most likely will be part of your knee pain protocol. KKsiazek From owner-aama-cases@hoh.olympus.net Mon Jan 4 22:03:13 1999 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id WAA04563 for xxx-aama-xxx; Mon, 4 Jan 1999 22:03:13 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from avocet.prod.itd.earthlink.net (avocet.prod.itd.earthlink.net [207.217.120.50]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id WAA04559 for ; Mon, 4 Jan 1999 22:03:09 -0800 (PST) Received: from default (pool020-max12.ds12-ca-us.dialup.earthlink.net [209.178.15.20]) by avocet.prod.itd.earthlink.net (8.8.7/8.8.5) with SMTP id WAA02492 for ; Mon, 4 Jan 1999 22:03:03 -0800 (PST) Message-Id: <3.0.32.19990104194825.00993db0@pop.ben2.ucla.edu> X-Sender: ddiehl@pop.ben2.ucla.edu X-Mailer: Windows Eudora Pro Version 3.0 (32) Date: Mon, 04 Jan 1999 22:00:00 -0800 To: aama-cases@hoh.olympus.net From: "David Diehl, M.D." Subject: Re: [aama-cases] needle shock Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I would recommend going really slowly; I would use neutral needling at first without major manual stimulation; certainly no electro-stimulation! As he gets used to things, you can expand what you do! If he is sufficiently motivated, he will hang in there with you! David Diehl At 11:27 AM 1/4/99 EST, you wrote: >I have a friend who is 48, male, a martial artist and a vietnam vet. He heard >that I do acupuncture and wants me to help him with knee pain. Then he added >he is nervous about it because many years ago he had acupuncture and felt very >ill and the person had to suddenly remove all the needles. It sounded to me >like needle shock. Is there any thing I should do different knowing he had >this reaction in the past? >Thanks, >Anita Spitz > > From owner-aama-cases@hoh.olympus.net Tue Jan 5 19:14:09 1999 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id TAA09516 for xxx-aama-xxx; Tue, 5 Jan 1999 19:14:09 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from pol.net (sigma.po.com [204.178.220.39]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id TAA09508 for ; Tue, 5 Jan 1999 19:14:00 -0800 (PST) Received: from web2.po.com (web2.po.com [204.178.220.34]) by pol.net (8.8.7/8.8.7) with SMTP id WAA13578; Tue, 5 Jan 1999 22:12:08 -0500 (EST) Received: by web2.po.com (SMI-8.6/SMI-SVR4) id WAA08284; Tue, 5 Jan 1999 22:12:07 -0500 Date: Tue, 5 Jan 1999 22:12:07 -0500 Message-Id: <199901060312.WAA08284@web2.po.com> Mime-Version: 1.0 From: Allen Fein To: shazberg@juno.com, aama-cases@hoh.olympus.net Subject: Re: Re: [aama-cases] needle shock Content-Type: text/plain Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I would recommend using short tiny plastic handle needles (the company claims that they hurt less??!!) as well as place the patient with legs elevated with pillows propped up under knees and lower legs until it is clear to both patient and you that all is well. This posture would allow ample access to all those great points like LR3, LR8 and the rest of the knee points. Have a cold compress handy. Make sure that the patient isn't fasting/hypoglycemic before starting. Keep the conversation pleasant and ongoing to keep the patient from moments of introspection/panic. If you are really concerned, why not make the first session just using a shallow poke with narrow needle into bilateral ST 36. -Allen Fein From owner-aama-cases@hoh.olympus.net Tue Jan 5 19:14:04 1999 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id TAA09515 for xxx-aama-xxx; Tue, 5 Jan 1999 19:14:04 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from pol.net (sigma.po.com [204.178.220.39]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id TAA09507 for ; Tue, 5 Jan 1999 19:14:00 -0800 (PST) Received: from web2.po.com (web2.po.com [204.178.220.34]) by pol.net (8.8.7/8.8.7) with SMTP id WAA13539; Tue, 5 Jan 1999 22:12:03 -0500 (EST) Received: by web2.po.com (SMI-8.6/SMI-SVR4) id WAA08224; Tue, 5 Jan 1999 22:12:02 -0500 Date: Tue, 5 Jan 1999 22:12:02 -0500 Message-Id: <199901060312.WAA08224@web2.po.com> Mime-Version: 1.0 From: Allen Fein To: shazberg@juno.com, aama-cases@hoh.olympus.net Subject: Re: Re: [aama-cases] needle shock Content-Type: text/plain Content-Transfer-Encoding: 7bit Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net I would recommend using short tiny plastic handle needles (the company claims that they hurt less??!!) as well as place the patient with legs elevated with pillows propped up under knees and lower legs until it is clear to both patient and you that all is well. This posture would allow ample access to all those great points like LR3, LR8 and the rest of the knee points. Have a cold compress handy. Make sure that the patient isn't fasting/hypoglycemic before starting. Keep the conversation pleasant and ongoing to keep the patient from moments of introspection/panic. If you are really concerned, why not make the first session just using a shallow poke with narrow needle into bilateral ST 36. -Allen Fein From owner-aama-cases@hoh.olympus.net Wed Jan 6 10:06:03 1999 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id KAA12896 for xxx-aama-xxx; Wed, 6 Jan 1999 10:06:03 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id KAA12892 for ; Wed, 6 Jan 1999 10:06:00 -0800 (PST) Received: from ptpm095.olympus.net ([198.133.237.125] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zxxLE-0005jA-00 for aama-cases@lists.olympus.net; Wed, 6 Jan 1999 10:06:00 -0800 Message-ID: <002501be399f$50e7bba0$7ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] Depression Date: Wed, 6 Jan 1999 10:06:41 -0800 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Name of Physician: Frank A.Bohmer Diagnosis/Symptom: Depression Age and Sex of Patient: 34 female Current Medications: nothing Response to previous therapies: in therapy and on prozac times 6 years with mixed results Brief Medical History: patient is in 6th month of pregnancy. Has stopped antidepressive medication in the beginning of pregnancy. Worsening depress.symptoms now. She does not want to take any meds. Her psychotherapist suggested acupuncture. Questions or Comments on the Case: My treatment plan is to needle GV 20 ++ 24.5(Yin Trang)2Hz times 30 min. And add ear needle antidepress. I and II etc. I am a "little" afraid of stimulating labor via increasing oxytocin level. Who has experience concerning acupuncture treatment during pregnancy?? Submitter/Poster: Name: Frank A. Bohmer M.D. Address: P.O.Box 953 Bath, ME. 0453o Phone Number: 207-389-2248 Email Address: fbohmer@clinic.net AAMA number: 6716 From owner-aama-cases@hoh.olympus.net Wed Jan 6 10:08:30 1999 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id KAA12914 for xxx-aama-xxx; Wed, 6 Jan 1999 10:08:30 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: majordom set sender to owner-aama-cases@lists.olympus.net using -f Received: from olympus.net (olympus.net [198.133.237.1]) by hoh.olympus.net (8.8.5/8.7.3) with ESMTP id KAA12910 for ; Wed, 6 Jan 1999 10:08:28 -0800 (PST) Received: from ptpm095.olympus.net ([198.133.237.125] helo=default) by olympus.net with smtp (Exim 2.02 #1) id 0zxxNb-0005mH-00 for aama-cases@lists.olympus.net; Wed, 6 Jan 1999 10:08:27 -0800 Message-ID: <002a01be399f$a89d0a80$7ded85c6@default> From: "Richard Friedericks" To: Subject: [aama-cases] Red, Raw, burning tongue x 14 yrs Date: Wed, 6 Jan 1999 10:09:09 -0800 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Sender: owner-aama-cases@hoh.olympus.net Precedence: bulk Reply-To: aama-cases@hoh.olympus.net Name of Physician: Tony DeLorenzo Diagnosis/Symptom: Red, Raw, burning tongue x 14 yrs Age and Sex of Patient: 69 Current Medications: Synthroid, Estrace, trazadone Response to previous therapies: None after 5 treatments. But I've been distracted by complaints of back pain. Brief Medical History: Mrs. Z. was referred for acupuncture by her dermatologist. She is a 69 year old woman who has seen many doctors over the past 14 years for a red, raw, and painful tongue. She had undergone biopsies and had been presented to the local chapter of the american college of dermatology to the University of Illinois. No treatment to date has brought her any relief. She also complains of low back pain in the left lumbar region and down the right leg as sciatica. Past Med Hx: PUD, Hypothyroidism, Osteoarthritis, migraines, Low back pain, R leg pain. Past Surg Hx: Thyroidectomy, septoplasty, repair of perforated peptic ulcer, lumbar laminectomies x 2 Meds: Synthroid50 mcg QD, Trazadone 50mg QHS, Estrace 1mg QD Allergies: Keflex, "Turesol?" Soc Hx: Married x 52 years. 2 sons. One son died of lymphoma and her tongue symptoms began shortly after this. On examination she is well nourished, well developed, and thin. She speaks quickly but no forced. She seems self assured and hopeful that acupuncture will be of help. At the first visit she is anxious and tense. Her skin is warm and dry. She has no lymphadenopathy. Her HEENT exam is remarkable for a red georaphic appearing tongue with a red tip. It is dry. No scalloping on the edges. Her lips are also notably dry. With surrounding reddness. The Left tympanic membrane is a bit cloudy. Heart, lungs, abdomen unremarkable. Skeletal exam demonstrated decreased lumbar lordosis with well healed, pale midline cicatrix. Tenderness and chronic tissue texture changes in the lumbar paravertebral muscles and the upper trapezius muscles. At her initial evaluation CBC, B12, Folate, ferritin, and H.Pylori Ab were obtained. All was normal except the H.Pylori which was markedly elevated at 4.90. The patient was seen 6 times from 11/5/98 to 11/28/98. My initial assessment was of a significant Yin deficiency. With the red tongue manifesting as relative yang excess. Patient was given a bottle of Kahn herbal "Calm Dragon" to take 1 dropper full in hot water TID. On the second visit she was prescribed a Prevpac for the treatment of H.Pylori x 14 days. Acupuncture at this visit inlcuded only LI4(-) ST 39(+) bilaterally for general tonification. On the third visit the patient complained of significant low back pain. The pain being longstanding but particularly severe on this day. Paired local needles on the inner bladder line were used 4hz x 20 min. Local facial points SI 18 and SI 19. A trigger point injection into the painful lumbar region using 20mg Kenalog and 20mg 1% Xylocaine. As well as osteopathic manipulation to the lumar region using muscle energy, soft tissue and mobilization techniques. On the 4th visit the patient had developed a cold sore on the upper lip. SH realted that they occur regularly. She was given Denavir cream. Treatment concntrated on the severe back pain using Craig PENS lumbar montageand local needle to T4-T6 bilaterally. Also tonificaiton LI4 to K23 bilaterally 4Hz electrical stimulation x 15min. She also received OMT to the thoracic and lumbar regions. The fifth visit electroacupuncture to the large intestine TMM was used in addition to N(N+1) Tonification of Kidney (K1', K4, K25, HT9) On the 6th visit N(N+1) Shoa Yin was used to tonify kidney. K6, K19 Bilaterally and Ht 7, LI4. In addition, local facila points: St4, SI19. Throughout this time the patient had minimal decrease in lumbar pain and No change in her burning tongue symptoms. Questions or Comments on the Case: Has any one treated glossopyrosis. Looking for suggestions on a logical approach and estimated length of treatment. Thanks! Submitter/Poster: Name: Tony DeLorenzo Address: 5727 S. Monroe Hinsdale, IL 60521 Phone Number: 630-789-1899 Email Address: td1994@pol.net AAMA number: AA-3321 From owner-aama-cases@hoh.olympus.net Wed Jan 6 11:01:52 1999 Received: (from majordom@localhost) by hoh.olympus.net (8.8.5/8.7.3) id LAA13116 for xxx-aama-xxx; Wed, 6 Jan 1999 11:01:52 -0800 (PST) X-Authentication-Warning: hoh.olympus.net: major