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China Observation - Gynecology Department

Beijing Dongzhimen HospitalHey everyone!

I'm no longer going to label the days by 3 and 4 or whatever; instead im just going to group information based on info from class and info from the hospital observation.

This week Jong and I were grouped with a couple people and were placed in the gynecology department. It was very interesting to see how procedures were carried out with such efficiency and speed. The treatment room consisted of 10 beds and for the 3 hours in the morning we would see 40-50 patients. At the same time, this didn't include the cases we didn't get to observe while others were being treated - meaning there were almost double the amount of patients being treated while we were there - and this was just the morning! It was very difficult to ask questions about one patient before the doctors had to move on to the next patients. Either way, for the time that we did get to ask questions they were extremely helpful. We managed to feel the pulse and see the tongue while the doctor would needle. We were also able to discuss anything with them while the needled as well (mostly about pulse or diagnosis).

I could get into the details about each case, but there is no way im typing all that out. So if there is any specific case that anyone is interested in, please feel free to ask questions! I'm going to summarize how many cases of which there are, and explain a bit about the point selection.

Regardless of etiology, the doctors needle MANY points in which they are able to start and finish needling in less than 1 minute. The primary complaints from one day were as follows:

- 13 cases of irregular menstruation, 7 cases of insomnia, 7 cases of weight loss, 5 cases of amenorrhea, 3 cases of ovarian cysts, 3 cases of palpitations and issues related to menopause, 3 cases of infertility, 2 cases of stomach ache, 2 cases of herpes zoster, 2 cases of depression, 2 cases of acne, and 8 other random cases varying from tinnitus to headache/dizziness to lung cancer. NOT A SINGLE CASE OF SCIATICA!!!

Regardless of etiology or complaint, the following points were selected in nearly every treatment:

Ren4, Ren6, Ren12, ST25, ST36, SP6, PC6, KD3 on one side with KD6 on the other, EX-CA1, L.I.4, LV3. With these selections in nearly every point prescription (at least 90% of the time), the other most common points included DU20 or EX-HN1, L.I.11, ST29, KD14, KD15, and Ren3. There were lots of variations in a few of the extra points that were chosen, but regardless of treatment, most of these points i've listed were nearly always present.

For each patient there is a system in which they are treated as well. The procedure goes as follows:

1. Patient lies on the bed while doctor feels pulse and looks at tongue as the patient explains primary complaint, at which point the doctor translates what the patient is going through in addition to secondary complaints.

2. Doctor inserts needles (always starts with front treatment) in which case about 20-30 needles total are inserted in under 1 minute (without guide tubes).

3. Doctor ALWAYS hooks up electro-stimulation and places heat lamp on abdomen.

4. Once 20-30 minutes pass, doctor takes out the needles and turns them on their back and does very fast needling with needles retained for less than 1 minute on various jaiji and back shu points. (Primarily U.B.23, sacrum points, and jaiji around U.B.18, 19, 20, and 21).

5. Doctor does fast cupping across entire back and leaves about 10 cups on the back of patient for roughly 10 minutes while letting them rest.

6. Moxa boxes or blood cupping/bloodletting/plumblossom are performed at this point if needed.

Remember that even though the primary complaints were as I stated, there were lots of mixed secondary or tertiary complaints as well including dryness of eyes or soreness of knees etc. The most common underlying causes of syndromes were SP Xu with LV invading, LV and KD Xu, and Qi and Blood Xu.

I'm not sure which department we are in next, but our schedule consists of class in the afternoons and clinic in the mornings, with tuesday and thursday all in clinic. Come the 20th of April, I believe we are in clinic full time. Other areas we will be observing include Pain, Neurology, Skin Diseases, Digestion, and the Tui Na department. There are others as well, but at this point in time we only have the schedule until the 15th.

I'll continue to keep you all posted and if you have any questions please feel free to ask! I'll post more info about class topics as well when I get time - we have covered various case analysis, meridian diagnosis, special scalp acupuncture treatment, and five elements with diet therapy. We will further be learning diet therapy in addition to specific treatments in patients with deficiency and treatments of motor injuries plus many more! Cheers!

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