Patients Name: Ms. H. M. Age: 45 years old
Date of visit: 26-06-2018
Chief complaint: The foot sag is accompanied by swelling of the ankle for 43 years.
History of present illness: When the patient was 18 months old, he had fallen. At the time, the left-brain injury, the right lower limb is weak, right ankle dorsiflexion does not reach normal position. Even done three operations and multiple physical therapy, now the lateral ankle joint still swelling, dorsiflexion limit, powerless.
Physical examination: This patient’s ankle and foot disease involves the meridians of the gallbladder and the bladder. The right knee lift is weaker than the left side, and the right toe lift is obviously weaker than the left side.
Pulse diagnose: The pulse of left side is weaker.
Mechanism of disease: deficiency: Meridian dysfunction
Therapy：Acupuncture on Tong Li, Yu Ji, both right side.
Result: right foot palm dorsiflexion, immediately returned to normal position.
Second visit: 02-07-2018:
The swelling of the right ankle is basically disappeared, the right foot palm dorsiflexion, can reach the normal position.
Consolidation treatment, acupuncture points: Yu Ji, Tong li (right side), both side of Tai Xi.