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PatternofDisharmony:CardiacAlarmVisceral 1. Patterns of Disharmony Agitation (Face/s of Fatigue Zone or KidneyyangnotcontrollingFire TM Dysfunction) ClinicalManifestations:Insomnia,Headaches, 2. Clinical Manifestations profuseseating,anxietytofullblownpanicattacks, 3. Palpatory Findings dreamdisturbedsleep,fearfulness,tightnessand 4. Treatment Principles constrictioninchest,,fatigue,depression,anger, 5. Treatment Strategies shallowbreathing,gastricdisturbances 6. Treatment Plan PalpatoryFindings:YangmingZone 7. Patient Palpatefortighttenderpointsatthefollowingareas Education/Recommendations ofthezone:Pectoralismajor&minorfromSpleen 8. Prognosis 20toLung1andsternalismuscle,areasofKidney 1121,platysma,SCM,Kidney15bilaterally,CV10 13,GB22area,Liver14 Taiyangzone:Palpatethetighttenderpointsatthe followingareas:Rhomboids,Paraspinalsmusclesof theupperback,Infraspinatus,withfacialsymptoms andrigidity,palpatethemasseterandzycomaticus nearStomach56andSI18 Askingthepatientwhereintheirbodytheyholdtheir stressandconsiderareasoftheirholdingpatterns TreatmentPrinciples:Disperseexcessinthechannel andmoveObstructedQiintheupperHeater,Clear heatandtonifyKidneyyang TreatmentStrategies:APMTCMstyleAcupuncture Imagingprotocol: Yangming/VentralZone JingLevel:DistalSp4andPc6,LocalCV1217 YingLevel:DistalSp2and3,Kd2and3,LR3or 5,LocalLu1andLiver13,Kd15bilaterally WeiLevel:DistalPc4and5Pectoralismuscle,Li4 and10masseterandSCM,LocalpalpateforTTP, performtriggerpointreleaseorVanNghitechnique asperpatientstoleranceonthemusclesinitially palpatedwheretighttenderpointswerenoted.( SCM,Pectoralismajorandminor,subclavious, masseter,rectusabdominis,brachialis) Treatmentplan: 1. Discusswithpatientnumberoftreatmentasit relatestothecumulativeeffectsoftreatmentin
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relationtoitsprognosis(57treatments?) acutenessorchronicityofproblem. 2. Discusstopatientimportanceoffollowup withpsychiatristorpsychologist 3. ImportanceofMeditation,Stressmanagement techniques,BreathingExercisesandDietary Approaches,Psychotherapy,Biofeedbackor Hypnotherapy PatientEducation/Recommendations: TeachabdominalBreathingExercisesorFocusing Recommendlearningmeditation,stress managementandFocusingtechniques Prognosis: AccordingAPMstyleoftreatmenttheprognosisof thisillnessisverygoodwhenthepatients involvementintreatmentisactiveandwillingto involvelifestylechanges,familysupport, psychiatristorpsychologistinterventions,dietary therapyandcompliancewiththerecommended numbersofacupuncturetreatment.
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