📝 TCM Case Summary (with Acupuncture)
Name: Anonymous (F, 44)
Occupation: Office worker (sedentary)
Date: July 4, 2025
Clinic: Dr Hao TCM Healthcare
📍 16 Fulham High St, London SW6 3LQ
📞 020 3633 8886
🔗 Book Here
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🩺 Main Complaint
Fatigue, neck/shoulder pain, leg swelling (7 days), light menstruation, hair loss, dry mouth, tinnitus.
Labs: high cholesterol, low WBC.
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🧠 TCM Diagnosis
Spleen/kidney yang deficiency, kidney yin deficiency, heart fire, qi & blood deficiency, dampness retention.
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🌿 Herbal Formula (13 herbs)
Huang Qi, Dang Shen, Bai Zhu, Fu Ling, Shu Di Huang, Shan Zhu Yu, Ba Ji Tian, Du Zhong, Niu Xi, Ze Xie, Zhi Mu, Dan Shen, Yuan Zhi
→ Tonify qi & blood, warm yang, clear fire, nourish yin, drain damp, support menstruation and hair growth.
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🪡 Acupuncture (6–8 points/session)
Points: Guanyuan, Zusanli, Sanyinjiao, Shenshu, Pishu, Xinshu, Baihui, Fengchi
Moxibustion: Guanyuan, Shenshu, Zusanli, Mingmen, Sanyinjiao (2–3x/week)
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🔮 Expected Results
Week 1: Less edema/fatigue, improved sleep
Week 2–3: More menses, knees warmer, less tinnitus/dry mouth
Week 4+: Reduced hair loss, better WBC/lipids, improved vitality
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📌 Lifestyle Advice
Warm, light meals; avoid cold/raw/greasy food. Move hourly. Sleep before 11 p.m. Use warm packs, soak feet. Take herbs 2–4 weeks and reassess.
