referral for Budapest

[Guest guest]

Hello,

I started seeing a patient in December who at the end of January will be

traveling to Budapest for his spring semester in college.  Does anyone know of

any practitioners over there?  I am not sure exactly where in Budapest

(spelling?) he will be, and thought any reference may be helpful.  Thanks,

Beth

 

 Beth Grubb

Licensed Acupuncturist

www.bethgrubb.com

beth

410-591-2644

 

 

 

Janis Egan <janis3934

Chinese Medicine

Tue, 25 Dec 2007 3:09 pm

Phantom Limb Pain case update

 

 

 

 

 

 

12/25/07

Phantom Pain Case

 

The patient’s left arm, just below the elbow, and the

right hand (except the thumb) were ripped off in a

corn picker farm accident 30 years ago. Since, he has

phantom pains in streaks, sometimes every 3 – 4

minutes, especially in the left arm which

re-experiences the twisting, pulling, turning,

burning, and finally release of the limb. The pain is

worse in the fall and when he is idle. The right hand

is tolerable with the tingling annoyance of

neuropathy.

 

Initially after the accident he also had a constant

excruciating headache in the right shao yang area.

Years ago, seeking relief, the patient had surgery,

consisting of cutting the nerves in the left arm,

snapping them back into the shoulder. The headache

went away immediately. All other pain remained. He

tried many other avenues, including hypnosis. The

last doctor said pain medication is all he can do. Pt

refused, claiming it didn’t help.

 

Other findings: Occ night sweats with severe phantom

pain, arthritic body aches which he reduces by

drinking aloe vera juice, gets winded when overworked,

occ heartburn, frequent urination, wife passed away 2

½ years ago – after which patient broke wrist,

gallbladder removed, hernia, cataract surgery both

eyes. Hearing is “so-soâ€, no ringing. Worry and over

thinking predominate.

 

Using the suggestions and expertise of the TCM

group, I administered treatment.

 

First session: expel invasion of evil qi

1. Surround dragon Lt shoulder with mild stimulation.

1st needle elicited sensation in phantom limb. 10

minutes.

2. Moxa limbs, especially right hand. 5 minutes.

3. Boundary disorder tx: KD23, 25, LV4, SP5, ST41, GB

40. 10 minutes.

4. Total Qi exchange, Earth to Heaven tx: KD1, DU 20.

15 minutes.

 

Pt reported left phantom hand received drainage

sensation from shoulder and it felt more like his

right hand (less severe pain). Also to be

relaxed/stationary for that length of time was unusual

for him.

 

Instructed pt to report in 3-4 days later. Pt

reported pain subsided quite a bit. It was now out of

left elbow and into the wrist at a tolerable level.

 

Second session: internal wind and bi pain

1. Lt ear points: shenmen, brain, subcortex,

sympathetic nerve, arm.

2. Rt ear shenmen with electro to Rt LI4. Patient

felt tingling in absent Rt. Fingers.

3. Both GB39 and Lt. SP21.

4. Dr. Zhu Scalp needling – 9 needles, stimulated,

passive movement of Lt. arm. Lt ST36, stimulated.

 

Pt report 3 days post tx: Rt hand is different, pain

now moved to fingertips. Lt arm is manageable.

 

Third session: Repeat session 1 treatment.

 

4 day post tx pt. report: “It’s a miracle - had

cortisone shots in legs since 1958 for pain in calves

and Lt foot (@ GB41). Now it’s gone and I didn’t even

tell you about itâ€. Pt’s fear is it’s not going to

last. Arm, hands haven’t changed much, pain is still

greatly reduced and limited to finger tips.

 

Fourth session: Patient looks real healthy today, but

fears relief won’t last.

Modify tx based on anxiety and leg pain:

1. 7 Emotions, LI11, Lt GB39, Rt LI4, Rt LV2

2. Surround dragon Lt shoulder, Rt TW5, Lt GB41, GB24

& 26

3. Send pt home with Kan formula Release Constraint, ½

dropper- twice/day

 

Fifth session: Patient threw Lt knee out opening

garage door. Incorporate new symptoms into tx’s which

are continuing once/week with phone in 3-4 days later.

Patient is improving, stabilized, looking healthy and

happy.

 

I thank you all for your input, encouragement,

resources, etc. This is a wonderful forum.

 

Hugs to all,

 

Janis

 

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