cluster headaches

[Guest guest]

Hello everyone,

I could use some help treating my male patient who has cluster headaches, anyone

treated anyone for specifically cluster headaches? which are different from

migraines.

My patient is 56 year old male, smokes 1 pack a day (something he would like to

work on quitting)? Tongue:? all over purplish, semi dry, scallops, lots

horizontal cracks, small vertical crack in tip but doesnt extend to end of

tounge (is this still considered heart area or more of lung area of tongue??)?

Pulse:? full and push usually on heart/small intestine and liver/gallbladder

pulses and sometimes additionally on lung/large intestine and spleen/stomach

pulses.? Headaches:? occur behind the left eye (always and only on left side of

face) as dull when first start and always progress to extremely sharp stabbing

intense and severe pain which behind eye and can travel out toward temple and

sometimes to tooth pain.? My patient describes it like a nail coming from inside

his eye outward.? Usually occur about 9 pm, feels slightly better when he moves

around and worse when he lays still.?Also is helpful to eliminate light when

haveing attack.? ?Oxygen tank brings quick relief but will almost always get a

second attack if uses oxygen, if uses his very expensive nasal spray (zomig)then

it will go away completlely.? He is having an attack every night and the meds

are $35 a use.??? Headaches are not weather related, although he does think a

cool rag may help temporarily alleviate some pain, nothing else seems to help

but his medications, that his doctor has to keep increasing the dosage on.?

Bowels are normal, Urine is normal, Sleep is fine except for if he gets one

while he is sleeping.? After a headache he feels exhausted and the next day

(which is almost every day) he feels very fatigued, not drowsy but physically

weak.? He also has bad essential tremors in both of his hands and peripheral

neuralgia in his feet (numbness, tingling in front half of both feet). He is

frequently thirsty for very cold drinks, and has some excess sweating, high

blood pressure (under control with meds) a hiatal hernia which he says is under

control with meds as well.? Any thoughts or suggestions on acupuncture would be

appreciated, I do not practice chinese herbs so I am unable to use any herbal

suggestions.

thanks

 

 

?Beth Grubb

Licensed Acupuncturist

www.bethgrubb.com

beth

410-591-2644

 

 

 

dr_namnguyen58 <dr_namnguyen58

Chinese Medicine

Fri, 17 Aug 2007 9:35 am

Re: Treating adolecents/minors

 

 

 

 

 

 

Hi Jean,

This is how I conduct a business. I do not see why their parents

can not be present with them all the time during the history taken or

the treatment.

For our safety someone must always be there with a child besides us.

 

Nam Nguyen

 

Chinese Medicine , " Jean "

<greypal wrote:

>

> Dear Group,

> As a new practitioner, I am looking for your collective

> wisdom and opinions on how to approach treating young adults

> regarding privacy and parental presence.

>

> I am being requested to treat kids in the early to mid-teens

> for various reasons - abdominal pain, headache, acne, etc.

>

> Many of these have a stress-related component that may or

> may not include home life, or other stressful teenage issues.

>

> While I " treat what I see " , I want the patient to know

> they can trust me and speak freely of their fears, worries, etc.

> as they do play an important role in my treatment plan.

>

> At the same time, I want to protect myself from ANY

> claim of perceived inappropriateness on my part

>

> My question is this:

> do you require the parent/guardian to be in the treatment room at

> all times?

> during the treatment but not the history?

>

> Any insight is greatly appreciated.

>

> Best,

> Jean Dombroski, L.Ac.

> upstate NY

>

 

 

 

 

 

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