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69세 남, 은퇴, Malcolm M.불편사항: 환자는 하반신 오른쪽 측면에 급성 통증을 보고했습니다. 그는 측면으로 회전할 수 있었지만, 전방 및 측방 굴곡을 동반하는 골프채 휘두르기는 큰 통증을 유발했습니다. 통증은 일주일 전 물건을 집으러 앞으로 기울인 때 시작되었습니다.
male, age 69, retired, Malcom M.Complaints: The patient reported acute pain in the right side of the lower back. While he could rotate laterally, swinging a golf club with forward and lateral flexion caused him significant pain. The pain began when he reached forward to grab an object one week ago.
치료: 우측 양천부혈 목화토금수형 족규음, 전곡, 함곡, 양계, 위중.진단: 해당 없음Acupuncture: Right side Yang Horary points in Metal-Order ofWood Order of GB44, SI2, ST43, LI5, and UB40.Diagnosis: n/a
치료: 환자는 총 6회의 침술 치료를 받았으며, 첫 주에 3회, 둘째 주에 2회, 셋째 주에 1회씩 진행되었습니다. 처음 두 번의 치료에서는 금형 순서의 오른쪽 양천부혈인 LI1, UB66, GB41, SI5, ST36을 사용하였으나, 뚜렷한 개선 효과를 보이지 않았습니다. 첫 번째 치료 후, 허리 통증이 완화되지 않았지만, 환자는 배뇨 개선으로 인한 더 강하고 오래 이어지는 방류를 보고했습니다. 환자의 야간 배뇨 빈도가 4-5회에서 3회로 감소했습니다. 그러나 두 번째 치료 후, 환자의 배뇨 빈도가 이전 수준으로 돌아가고, 허리 통증은 개선되지 않았습니다. 세 번째 방문에서, 한의사는 목형을 사용하여 즉각적이고 극적인 완화 효과를 가져왔습니다. 환자의 상태는 매일 개선되어, 다섯 번째 방문시 전반적인 85%의 완화를 보고했습니다. 그는 경미한 악화를 겪고 18홀의 골프를 즐겼으며, 다음날에는 게임 전보다 상태가 더 나아졌습니다. 여섯 번째 방문 시, 환자는 통증이 최소한 95% 완화되었다고 보고했지만, 배뇨 빈도는 침술 이전과 동일했습니다.
토의: 환자의 일일 개선과 악화 후 빠른 회복은 안정적인 진행 상황을 나타냅니다. 부상이 급성이었기 때문에 완화 효과는 더욱 좋았습니다. 서핑과 골프를 즐기는 야외스포츠인 환자는 최소한의 부상으로 은퇴 생활에서 높은 삶의 질을 유지하는 것이 중요합니다. 연령으로 인한 야간 배뇨 빈도가 높은 경우, 한약이 더 효과적입니다. Treatment: The patient received a total of six acupuncture treatments, with three in the first week, two in the second week, and one in the third week. During the first two treatments, the use of right-side Yang Horary points in the Metal-Order of LI1, UB66, GB41, SI5, and ST36 did not result in noticeable improvement. After the first treatment, there was no relief of low back pain, but the patient reported an improvement in urination with a stronger and longer flow. The patient's frequency of urination at night decreased from 4-5 times to 3 times. However, after the second treatment, the patient's urination frequency returned to the previous level, and the low back pain had not improved. On the third visit, the acupuncturist switched to Wood-Order points, resulting in immediate and dramatic relief. The patient's condition improved daily, and by the fifth visit, he reported an overall 85% relief. He played 18 holes of golf with mild aggravation, but by the next day, his condition was even better than before the game. By the sixth visit, the patient reported that the pain was at least 95% gone. But urinary frequency was as bad as before acupuncture. Discussion: The patient's daily improvement with quick recovery after aggravation indicated stable progress. Because the injury was acute, the relief was even better. As an outdoors sports person who surfs and golfs, it was important for the patient to have a high quality of life during his retirement with minimal injuries. For frequent urination at night due to age, herbal medicine is more effective.
토의: 환자의 일일 개선과 악화 후 빠른 회복은 안정적인 진행 상황을 나타냅니다. 부상이 급성이었기 때문에 완화 효과는 더욱 좋았습니다. 서핑과 골프를 즐기는 야외스포츠인 환자는 최소한의 부상으로 은퇴 생활에서 높은 삶의 질을 유지하는 것이 중요합니다. 연령으로 인한 야간 배뇨 빈도가 높은 경우, 한약이 더 효과적입니다. Treatment: The patient received a total of six acupuncture treatments, with three in the first week, two in the second week, and one in the third week. During the first two treatments, the use of right-side Yang Horary points in the Metal-Order of LI1, UB66, GB41, SI5, and ST36 did not result in noticeable improvement. After the first treatment, there was no relief of low back pain, but the patient reported an improvement in urination with a stronger and longer flow. The patient's frequency of urination at night decreased from 4-5 times to 3 times. However, after the second treatment, the patient's urination frequency returned to the previous level, and the low back pain had not improved. On the third visit, the acupuncturist switched to Wood-Order points, resulting in immediate and dramatic relief. The patient's condition improved daily, and by the fifth visit, he reported an overall 85% relief. He played 18 holes of golf with mild aggravation, but by the next day, his condition was even better than before the game. By the sixth visit, the patient reported that the pain was at least 95% gone. But urinary frequency was as bad as before acupuncture. Discussion: The patient's daily improvement with quick recovery after aggravation indicated stable progress. Because the injury was acute, the relief was even better. As an outdoors sports person who surfs and golfs, it was important for the patient to have a high quality of life during his retirement with minimal injuries. For frequent urination at night due to age, herbal medicine is more effective.
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