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Posts Tagged ‘chorea’

Cervical dystonia case

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https://www.youtube.com/my_videos?o=U

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On November 21, 2011, Dr.Fan got a special call from a patient’s close friend, invited Dr.Fan to see a deep coma patient in INOVA Fairfax hospital neuroscience ICU ward. The visit was approved by that facility and its attending doctor.

The patient is a 67-years old gentleman who is a main minister of a local Indian Sikh temple. He got a hemorrhagic stroke in his brain stem area seven days ago when he did some home repairing.  The hematoma was large and he had an emergency surgery when he was sent to ER by an ambulance. When I saw him, he had no any reflection and no any reaction to strong stimulation. His respiration was irregular and had to use breath machine. He had fever, 102 degree F. He was under antibiotics and respiration stimulating medication.

Considering: Stroke, Bi Pattern(闭证).

I gave him An Gong Niu Huang pills(dissolve in warm water, once every 8 hours, i.g.), and did acupuncture for him.

Acupuncture points were: Ren Zhong, Yin Tang, Feng Chi, He Gu, Qu Chi, Ba Xie, Ba Feng, Zu San Li, Yong Quan. The stimulation was about one hour.

November 22, 2011: seemed have some effects. patient very occasionally move his leg slightly when I stimulated his Yong Quan points.

November 23, 2011: patient had more reaction to acupuncture, the frequency of moving his leg, fingers, head, slight more than one day ago.

November 24, 2011: condition was same as before. The tube from skull to test ICP removed.

November 25, 2011(5th treatment): patient was still in deep coma, responding to acupuncture stimulation more often, seem every 5-10 stimulation he could have a responding.  Stopping use antibiotics and respiration stimulating medication. The iv tube to central vein was removed and only used iv tube in arm vein.

November 26, 2011(6th treatment): patient was moved to Intermediate Unit from ICU. The condition was not good as yesterday. The doctor there discussed patient’s condition with his family members, suggested that this patient was still in very critical condition and his future was not so optimistic. Patient’s family members seemed considering give-up.

I did not give patient more treatments since then.

During six days I involved in his treatments, I feel Chinese medicine, included in An Gong Niu Huang Pills and acupuncture did show some effects, such as some responds to pain stimulation(relection recovered a little bit). However, this patient’s condition is too severe, he didn’t recover from the deep coma.

Although this invitation was by patient’s family and close friends, the facility and doctor in ICU did allow the doctor or practioner in Chinese medicine /acupuncture to see and treat patient. This is much open than a few years ago.

I remember, I saw a coma patient in Johns Hopkins Hospital two years ago, that facility did not allow patient to use Chinese herbal medicine, which needs special approval by hospital administration (the procedure would take half-year).

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Last Sunday I had a lecture for alumni Association of Chinese Medicine in Washington DC. The topic is Liu Wei Di Huang Wan 六味地黄丸.

Here is my Power Point file.六味地黄

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Case 1. from New Jersey State,Mom’s e-mail: d….M……i@aol.com

The patient- C…… is a 10 year old girl with Dystonia in her right leg and foot.  The (LiuJunSan Capsule) pills seem to improve tics that are related (facial and neck, arms). Not too much improved for her leg dystonia yet.

She only used two bottles of capsule (dose: 2 capsule, 3 time a day), did not use acupuncture and Chinese herbal tea.
Case 2. From California,
Before using our Chinese herbal tea and LiuJunSan Capsule, patient had one month treatment in local. Used acupuncture and Chinese herbal tea from local doctors, he felt not so satisfactory.
Use two month Chinese herbal tea we provided, he feels much better.
Case 3. From Washington State.
He has got “better”, but both patient or any healthcare provider could not assess the effectiveness because he has used almost all therapies in same time, included in Chinese herbal tea we provided(did not use very seriously), LiuJunSan capsule we provided, two “western” medications, Botox injections, massage, acupuncture(3 times a week), and work less hours. He seems too anxious, and try to cure it very soon.
Case.4 From Virginia State,
Patient see me and use acupuncture and Chinese herbal tea with the LiuJunSan capsule, yesterday was the second visit, her neck movement ranges have been improved.

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Everyday, I answer many questions from visited patients or online inquiries, such as:

For some chronic or difficult-to-treat conditions, such Dystonia, or Parkinson Disease, or diabetes, or a mix of many conditions,

“How many sessions’ acupuncture could cure my condition?”

“How much percentage of cure rate of your treatment?”

“I have infertility, how many sessions’ acupuncture could help me get pregnant?”

And, “If you say you could cure it, I will see you.”

Actually, many conditions or illness,disorders are chronic conditions, many of them are difficult-to-treat also, and patients may use conventional medicine for years too.

Frankly, I say “we could not cure most of them”,  in 8 sessions, even in 16 sessions’acupuncture; Or in one month herbal tea treatment. Many of them need long-term management.

We do see some magic results in some cases; we did cure some patients in a very short-term treatments. In a few cases, we even cure the patients’ condition, which they had that for years, with only one or two sessions’ acupuncture or in one day’s herbal tea treatment!

We did see pregnant only after one acupuncture treatment in a few patients with infertility. We did stop the dystonia in one week.

However, for most of the cases, we could improve them; some patients also did get disappointed with our treatments, because their aims did not become the real in one or two month, or other short period of time.

We do tell patients who have difficult-to- treat illness or disorders, they will see some of improvements over the time, some illness or disorders could not be cured in 100% of patients:  some may get “cure”(this is clinically cure, not absolute cure as patient hoped, sometime may get relapse if patients get some trigger), some get improved, some get slight better(or other condition get better, for example, overall condition better), some no result, some worse (please note, the illness, or disorder will get worse under some conditions by itself, not related to acupuncture or Chinese herbs at all).

We could not imagine how many percentage of the patients get “cure”.  For example, we have over 40 patients get pregnant in recent 4 years. We may say about 40-50% of patients (if they had 2 month or more serious treatments) get pregnant!

However, this is a very rough answer. Why? the condition is very complicated.

In these patients who seek acupuncture/herbs for fertility, patients had different causes of infertility, such as FSH high, POCS, ovulation issue, progesterone issue, tube issue, husband sperm issue, etc; many patients had medications, some of them did acupuncture alone, some of them had Chinese herbs too; some of them followed regular treatment strategy, some of them didn’t follow our strategy very well(due to work, due to personal issue, due to something else–subjective or objective reasons); some of them had IVF, IUI etc(with acupuncture or herbs). We could not tell you very detail in a statistic work.

However, it does work!

For acupuncture and Chinese herbology, to many difficult-to-treat illness or disorders, it works! at least it improves patients’ condition in most of the cases.

Importantly, acupuncture basally has little adverse effect. Chinese herbology also has very less side effect if patients see a trained Chinese medicine doctor.

For most of patients with chronic or difficult-to-treat conditions, no.one thing is adjusting the aim based on understanding their own condition well, don’t see a Chinese medicine doctor – he or she promised you–you will get a cure in several treatments(except for some pain condition). Most of time, patients will need more longer treatments.

Be patient.

For the cost-effectiveness, don’t see a provider who promise you have a good result but you pay very little.Most of well-trained, experienced Chinese medicine doctors offer patients a reasonable, affordable fee schedule. For better result, don’t see a provider who had less training and over low fee.

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I find a website which reports me using my several videos.

http://wn.com/DrArthurFan

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