A 27 year old, male, referred to my clinic on December 2011, complaining of infertility. Patient works as a pizza maker, he has been working for approximately 7 years, a shift of 5 to 6 days weekly, 8 hours a day in a restaurant, where he is exposed to 800+ Fahrenheit degree in the kitchen oven. Patient reports he drinks alcohol beverage occasionally on weekends, but also tries to drink plenty of water throughout the day to maintain him hydrated. States his diet is not the best. Patient and his wife have been trying to conceive for over a year and a half without any luck. Secondary complaint is high stress level, occasionally feel irritable, low libido, nocturnal emission, coldness and pain in the lower back, dry and itchy genitalia area, …show more content…
However, as Kidney yin is depleted the yin of the Liver is also affected, which in turns affect the
Qi of the Liver. As a result the patient’s manifestation of depression, irritability, blurred vision; anxiety and high stress level are present. The deep and weak pulse is also manifestation of Kidney yin and yang deficiency as well as blood vacuity due to Spleen Qi deficiency. The tongue also reflects the disharmony between yin and yang by appearing pink pale (yang deficiency), dark red spot (empty heat), mirror coating (yin deficiency). The final diagnose could be a combination of different patterns, such as Kidney yin, yang and jing deficiency; Liver qi, blood and yin deficiency affecting the Qi of the Spleen.
Biomedical Assessment Prior acupuncture treatment a sperm analysis was performed. Analysis results indicated had not measurable sperm count ( azoospermia). A hormone test was indicated by patient’s primary doctor. Test result indicated high level of prolactin. No proof of the later was provided for this study. No further test was required by his PCP. A second sperm analysis was mandated when patient first came for acupuncture treatment, results confirmed the azoospermia diagnosis.
Methodology
Subject was
There are challenges that Dr. Correia goes through on occasion. One problem he has is working with the patient’s provider and figuring out what exactly the provider wants him to do. Sometimes it’s difficult to figure out what specific tests the provider wants to have Dr. Correia do. Another problem Dr. Correia comes across is when all the tests show nothing wrong so he has to figure out the puzzle of what’s going on with the patient. After figuring out what is wrong with the patient, it also might to difficult to tell the patient if the test results came out bad.
Osteoarthritis is the most common joint disorder, and more than half of all Americans who are older than 65 have been diagnosed with osteoarthritis. However, recent US data has revealed knee osteoarthritis does not discriminate age, and there is growing evidence that osteoarthritis affects individuals at a young age. The annual cost of osteoarthritis due to treatment and loss of productivity in the US is estimated to be more than 65 billion dollars.1 With no cure currently available for osteoarthritis, current treatments focus on management of symptoms. The primary goals of therapy include improved joint function, pain relief, and increased joint stability. Although the exact cause of osteoarthritis is unknown, many risk factors have been identified including increased age, female gender, obesity, and trauma.2 Within these risk factors, the etiology of osteoarthritis has been divided into anatomy, body mass, and gender.
A female patient, age nineteen, going to her gynecologist for assistance in fertility. The patient reported trying to conceive for approximately six months with no success, also reporting no previous pregnancies of any kind. When asked about consistency of her menstrual cycle, the patient reported that she had only four or five cycles a year. Patient also discussed occasional abrupt pain in the pelvic/pubic area. The pain reached an eight on the pain scale, but normally did not last for more than a couple of minutes. Check-in weight and height revealed a B.M.I of 38.3, which according to the National Institutes of Health, is obese. The physician then asked the patient to talk about her weight and diet. The patient revealed struggling with weight loss, even while on an appropriate diet. The physician then asked the patient if she experienced any abnormal or excess body hair growth. The patient, looking a little confused, replied “yes” and showed the physician stubble-like facial hair that was thick and coarse. It was also noted by the physician that the patient had moderate acne. Patient’s paperwork reported an unclear overall family history with an unknown father, but the mother’s side of the family had a history of obesity, heart disease, and severe depressive disorder. Current medications were Zoloft, 100mg daily and a multi-vitamin. Past hospitalizations were two weeks in the Children’s Psychiatric Hospital for a major depressive episode when the patient was 16 years old.
happen: Heart yang may also be deficient and lead to palpitations, Lung chi may become deficient
HPI: 45 year old G2P2 female presents to the office today for a routine gynecologic check including breast, external genital exam, and pelvic exam with no recent medical issues. Patient noted her menstrual cycle occurs every 30 days with bleeding lasting 7 days with associated symptoms. Denies dysmenorrhea, menorrhagia, dyspareunia, pelvic pain, vaginal discharge, itchiness or lesions on external genitalia. LMP 6/1/2017. Admits to abdominal bloating and fullness. States her daughter told her that her abdomen appears to be swollen and has increased in size. Denies any contraceptive use.
Indigestion leads to food hardening and retention in the middle burner, causing weight gain. The result is heat, which enters the Triple Heater, affecting all of the Zang organs. When the Triple Heater does not function properly, the heat dries up the water, then consuming the organs (Yuen, 2017). The dryness leads to hardening of internal organs, and this process gives rise to Xiao Ke. Some of the manifestations of this disease include restlessness, taxation, and insomnia. Overtime the agitation from dryness cause the personality and behavior of the person to change, making mental illness a pre-cursor of Xiao Ke. Therefore, to treat the functioning of the organs, the San Jiao functioning is imperative (Yuen,
Acupuncture infertility treatment can help balance the hormones to encourage ovulation in females and the production of healthy sperm in males. It can also stop the body from producing too many stress hormones, which are thought to decrease the chances of conception. Furthermore it can augment the flow of blood to the reproductive organs. This can help with sexual dysfunction in men and help prepare a woman's uterus for pregnancy. Acupuncture fertility treatment can also help to cure diseases that cause fertility problems such as fibrosis or polycystic ovarian syndrome.
Volume of distribution: 3L/Kg; increased in the patients with hepatic impairment but effect of renal impairment is not known.
Infertility is a global problem affecting about 8-12% of couples worldwide. Male infertility accounts for about 50 % of such cases (Inhorn, 2003). Several factors contribute to its etiology such as hormonal imbalance, physical and psychological stress, environmental and genetic factors leading to compromised semen parameters (McGrady, 1984; Irvine, 1998). Pathophysiology of male infertility is associated with various abnormalities occurring at the cellular & molecular level. Secondary conditions such as diabetes mellitus and obesity have also been linked to male infertility (Sexton & Jarow,1997; Pasquali et al., 2007; Best & Bhattacharya, 2015). Oligospermia or low sperm count and poor sperm quality have been reported as the major causes of
Pulse:The pulse is thin, slippery, and rapid. The thin and rapid qualities indicates yin deficiency with empty fire according to the tcm clinic aid app and diagnosis study guide. The width of the pulse indicates blood or yin deficiency. The fast rate could indicate exercise, anger, heat,or excessive yang. I suspect the rate is due to heat in the body. The slippery quality indicates phlegm or dampness, food stagnation, or excessive heat. It is likely the patient has dampness and excessive heat but it is not likely she has food stagnation because her appetite is poor and she does not eat much. The wiry pulse indicates phlegm, pain, or malaria. The patient has phlegm and pain but has not caught malaria.
Joint pain is not necessarily always a part of ageing. It can be a serious problem as it can affect our functional capacity. Arthritis is a common term which means inflammation and stiffness of joints leading to joint pains. It can have a number of etiologies including osteoarthritis , gout, rheumatoid arthritis among others. Osteoarthritis is a degenerative disease because of wear and tear of cartilage leading to joint pains and soreness. Rheumatoid arthritis is an inflammatory joint disease which is not benign and can even cause death if not managed properly. Fibromyalgia is a chronic disease which causes pain at numerous points throughout the body.The underlying mechanism is oversensitive
A total of 499 potentially relevant citations were identified through the search strategy on electronic data bases with other reference sources and information provided by relevant experts (Figure 2). 132 articles were collected as full text for quality assessment and inclusion. From the overall pool of full text papers, a total of 20 articles (n = 2450), received the minimum quality assessment score and met the inclusion criteria (Table 2,3,4). Of the 20 studies included, 4 studies (n = 740) evaluated the effect of dietary habits and food intake on semen parameters and quality [2, 25, 27, 33], 4 studies (n = 232) evaluated the effect of carnitine consumption on sperm parameters and quality [39-42], 3 studies (n = 148) investigated the effect of Selenium on sperm parameters [43-45], 2 studies (n = 481) evaluated the effect of Coenzyme Q10 on sperm quality and parameters [46, 47] and each of the remaining articles investigated the effect of saffron, soy based foods, vitamin C, clomiphene citrate, omega-3 poly unsaturated fatty acids, beta carotene and ubiquinol on sperm parameters [48-54]. The 20 articles included patients from 9 different countries including, Iran (6 articles) [2, 46-48, 52, 54], USA (4 articles) [27, 39, 43, 49], Italy (3 articles) [40-42], Egypt (2 articles) [51, 53], UK (1 article) [45], Germany (1 article) [50], Poland (1 article) [44], Spain (1 article) [33] and Brazil (1 article) [25].
For centuries, acupuncture has been widely used in treating erectile dysfunction. This is a safer natural alternative than over-the-counter medications. Acupuncture is said to be very effective if treatment is pursued earlier. Based on Chinese medicine, the acupuncturist assesses erectile dysfunction by addressing the Qi and blood flow in the body. They also look at the integrity of the kidney, spleen, liver, and heart meridians. During the treatment, no acupuncture needles are ever put in the groin
The job of any healthy joint is to distribute the forces encountered with evenly among the loading capacity of the tissues (Anetzberger, Birkenmaier, & Lorenz, 2013). The knee joint consists of many different structures including the tibial-femoral articulation, the patella, and many cartilaginous structures. The meniscus is a fibrocartilaginous, crescent-shaped structure located in the knee between the medial and lateral tibiofemoral articulating surfaces (Mezhov, Teichtahl, Strasser, Wluka, & Cicuttini, 2014). There is both a medial and a lateral menisci, and their function includes loading variable transmissions across the knee joint, shock absorption of tensile and torsion movements, and some joint nutrition. The menisci also
Arthritis in dogs is a degenerative disease that causes stiffness in the joints and muscles, limiting the dog 's mobility. Although it varies in severity, in some cases arthritis in dogs can be extremely painful, just like it can be in people. And arthritis in dogs is a very common condition, afflicting up to one in every three to four dogs. That 's why information about dogs and arthritis is so important. Keep reading for some valuable information on the symptoms of arthritis in dogs, as well as what causes it.