Patients Name Mr. D Amara, 31-years-old
Date of visit: 30/09/2017
Chief complaint: vertigo two months and two weeks.
History of present illness: suffered vertigo have been for over 6 weeks when bend forward left side down, accompanied with spin of around, no vomiting, nausea, tinnitus, and deafness, etc. Before the onset, no history of flu.
Deny any similar history of prior dizziness.
physical examination:
No tenderness in the mastoid, frontal sinus and other parts. Cervical C2-C5, left transverse process tenderness, C3-C4, right transverse process tenderness.
Obesity
Pulse: Cun, Guan, Chi, faint.
Mechanism of disease: Qi deficiency
suffered vertigo:Acupuncture plus Tui Na.
acupoints: left Mei Chong, Baihui, Zu San Li, Tai Xi
Result: vertigo disappeared at once after acupuncture.