A 25 year-old male reports a life-long history of upper respiratory tract infections which occur about twice a year. Three weeks ago, he came down with the “flu,” with coughing of yellowish-green and difficult to expectorate sputum, fever and chills, shortness of breath, and slight chest pain. He saw a biomedical physician who diagnosed acute asthmatic bronchitis and prescribed a course of Amoxicillin for 10 days and a metered dose Albuterol inhaler, 2 puffs every 4 hours for a week. He stopped taking the inhaler after 4 days because he seemed to be getting palpitations, nervousness, and sleeplessness from taking it; besides, he was no longer short of breath. He did complete the course of Amoxicillin. He smokes marijuana daily and consumes about 3-4 beers nightly. He denies tobacco use. He has a steady diet of fast food and particularly enjoys very spicy Mexican food.
The cough has decreased gradually and the sputum has gradually become lighter in color; however he is still coughing. The cough is most prominent in the morning and after meals. Although there is no longer any yellow sputum, there is now a copious amount of whitish-grey sputum throughout the day. He also reports fatigue and loose stools since taking the antibiotic, as well as slight nausea and decreased appetite. His tongue is pale, tooth marked, and coated with a thick slimy white fur. His pulse is soft (Ru Mai).
Biomedical Examination
Upon auscultation, there are some slight wheezes and faint crackles. He does not appear short of breath at rest. His blood pressure is 115/62 and his pulse rate is 70. His respiratory rate is 15/min. His temperature is 98.1F.
1. TCM name. Explain (etiology, general facts, prognosis)
Based on the signs, symptoms and his history,...
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The risk factors that Jessica presented with are a history that is positive for smoking, bronchitis and living in a large urban area with decreased air quality. The symptoms that suggest a pulmonary disorder include a productive cough with discolored sputum, elevated respiratory rate, use of the accessory respiratory muscles during quite breathing, exertional dyspnea, tachycardia and pedal edema. The discolored sputum is indicative of a respiratory infection. The changes in respiratory rate, use of respiratory muscles and exertional dyspnea indicate a pulmonary disorder since there is an increased amount of work required for normal breathing. Tachycardia may arise due to the lack of oxygenated blood available to the tissue stimulating an increase in heart rate. The pedal edema most probably results from decreased systemic blood flow.
R.S. has chronic bronchitis. According to the UC San Francisco Medical Center “Chronic bronchitis is a common type of chronic obstructive pulmonary disease (COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, leading to scarring of the bronchi walls. As a result, excessive amounts of sticky mucus are produced and fill the bronchial tubes, which become thickened, impeding normal airflow through the lungs.” (Chronic Bronchitis 2015) There are many things that can be observed as clinical findings. R.S. will have a chronic cough that has lasted from 3 months to two years or more, and a lot of sputum. The sputum is due to
The EB’s case study said the female patient is 50 years old with symptoms of fever, chills, congestion, three weeks of coughing, shortness of breath when walking. The study implies that the patient is now seeking medical advice due to vital signs recording and the noting of decreased breath sounds and wheezing. She denies smoking and not taking any chronic medication.
Gentian reports a history of childhood asthma and frequent upper respiratory tract infections. Over the last couple of years, he has been aware of intermittent wheeze, a cough productive of small amounts of thick discoloured phlegm and intermittent dyspnoea. There has also been sino-nasal congestion with post-nasal drip. Gentian does not report typical allergic rhinitis symptoms. He also experiences frequent reflux symptoms.
Traditional Chinese Medicine (TCM) is quite complex and can be difficult for some people to comprehend. This is because TCM is based, at least in part, on the Daoist belief that we live in a universe in which everything is interconnected. What happens to one part of the body affects every other part of the body. The mind and body are not viewed separately, but as part of an energetic system. Similarly, organs and organ systems are viewed as interconnected structures that work together to keep the body
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TCM, or Traditional Chinese Medicine, can be traced as far back as 1000 BC, where stone acupuncture needles were believed to be used. Texts from that period also talked of Yin and Yang and other concepts. The first written work on TCM is titled the Yellow Emperor’s Inner Classic, Huangdi Newijing (Gascoigne 11). This book was written in 300 BC, but entries date back to the early 2700’s BC. The book is still used in universities of Chinese Medicine around the world and is often called the bible of TCM. Today, TCM is still thriving in China and all of Asia. In recent years, information on TCM has become available to people in the United States. The United States has several schools of TCM, and it is now much easier to buy the necessary supplies needed for correct practice of TCM (Gascoigne 11-7).
Concepts from Daoism, Confucianism, and other schools of Chinese thought found their way into the philosophy and theory of medicine. "Qi, for example, which meant air or breath, ca...
Acupuncture originated in China and it has been practice for more than 2000 years now. This modality is considered the main treatment within the traditional Chinese medicine. Its main concept is the conviction that the body possesses hidden channels identified as meridians. These channels allows for the flow of energy which is considered a vital life force through all the body. Acupuncture modality believes that when this energy becomes obstructed or imbalanced, sickness and symptoms can build up. It is only when this energy becomes unblocked by stimulating focal points in the meridians that health can be achieved again (Cherry & Jacob, 2010).
Traditional Chinese Medicine: An Introduction [NCCAM Backgrounder]. (n.d.).National Center for Complementary and Alternative Medicine [NCCAM] - nccam.nih.gov Home Page. Retrieved December 11, 2011, from http://nccam.nih.gov/health/whatiscam/chinesemed.htm
Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.
Acupuncture doesn’t allow people to get ahead of themselves like Victor did; the way of thinking brought about is that of a natural sense. The techniques of the alternative medicine allow people to remember how magnificent and sacred the human body is and realize that it cannot be created through lab work or perfected through medicine. With Western medicine, patients can take up to four or five medications before finding one that suits their needs and most can have many life threatening side effects. With acupuncture, it is one procedure and one attempt to heal a patient with NO major side effects. Acupuncture is a unique ancient art that is backed by thousands of years of Chinese thought and research and has been proven affective for many people and their illnesses.
When you are sick you take medicine, but there are many remedies for the same problems. The use of herbal remedies traces back to the Chinese in the use of Traditional Chinese Medicine, as well by a compiled book in China written back more than 2,000 years ago (Wachtel-Galor & Benzie, 2011). Modern medicine has roots that are more recent in the development and production of synthesize drugs (Wachtel-Galor & Benzie, 2011). The old generations took herbal remedies to improve their health, but now as time and people, progressed modern medicine comes on top. Herbal and modern medicines have good and bad points, but one has qualities that are more effective.
The patient has high temperature-sign of fever, a very fast pulse rate (tachycardia), and chest wheezing when listened to using a stethoscope (Harries, Maher, & Graham, 2004, p.