Female, 57 years old

Chief complaint

Sciatic nerve pain (the pain changes location and form).

Clinical history

• Almost the entire left side of the body hurts.
• Smoker
• Takes ibuprofen for pain
• Gets very tired
• Chest oppression
• No longer has uterus
• Skin problems (psoriasis)
• Constipation

Pulse

• Right Cun: Deep, convex and resistant.
• Right Guan: Medium and Wiry
• Right Chi: No pulse

• Left Cun: No pulse
• Left Guan: No pulse
• Left Chi: No pulse

Diagnosis

• LU-Qi deficiency
• LR-Qi stagnation

Therapeutic principles

• Eliminate stagnation
• Tonify LU-Qi

Treatment

• Tonify: KI-10, LR-8
• Disperse: LU-8
• BL-62, SI-3, LI-4, LU-7, TE-5

Evolution

Five days passed from the first to the second appointment.

• The sciatic nerve pain disappeared.
• A very intense pain appeared in the left shoulder and right ribs.
• Has not defecated for 4 days.
• The following points were added: ST-42, BL-64, GB-40

It was decided to schedule subsequent appointments with one or two days in between.

• The obstructed pulses appeared almost all except the Left Chi.
• The shoulder pain continues but without much discomfort and the same with the rib pain
• Has been able to defecate daily.