Translation of Medical records from China.

This is the full translation of the medical records from the hospital in China. This was translated from the original documents, which I am in possession of..

Below are the scans of the medical documentation.  The handwriting is hard to read, as with most doctors. But for those with the inclination and ability, you may read/translate them for yourself. If you find an inaccuracy, please tell me!

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10/7/96

Main complaint: Both wrists and fingers achy and painful more than one year. Last year both wrists achy and painful. Sometimes better, sometimes worse. When worse, pain radiates to elbows. When working, both hands feel numb. Patient states that he works on computer long hours for a long time. Pain is not related to weather.


Sometimes neck and back feel achy. No other medical problems. Tongue coating is thin and yellow. Pulse is wirey.

DiagnosisTendonitis
Point PrescriptionLI11, LTW5, LI4, Wai Lau Gon. Both sides.
MethodElectical 20 minutes, Moxibustion 1 cone.

Make 5 appointments once per day
Complete rest for 5 days.

Signed: Zhao Xin Mei

10/11/96

Accupuncture 5 treatments 5 times. Symptoms somewhat improved.

 

Point PrescriptionLII5, LI11, LI10, TW5, LI4
MethodElectical 30 minutes, Moxibustion 1 cone.

Make 5 appointments, once per day (10/14-10/20)
Complete rest for 5 days.


Signed: Zhao Xin Mei

10/17/96

Right forearm limited movement of rotation. Patient denies injury.

Physical ExamRight forearm limited rotation Right forearm turning to outside feels achy and pain immediately
DiagnosisSprain
Point PrescriptionGB21, Jiannei Shu, LI11, TW6, LU6, LI10
MethodElectical 30 minutes, Moxibustion 1 cone

Signed: Zhao Xin Mei

10/18/96

After accupuncture both shoulder and arm achy and numb, is getting better, but not stable. Sometimes better, sometimes worse. Normal x-rays.

Point PrescriptionGB21, Jiannei Shu, LI11, TW6, LU6, LI10, Wai Lau Gon, LI5, LI4. Both sides.
MethodElectical 30 minutes, Moxibustion 2 cones.

Use manual massage accupuncture treatment device twice a day. Continue treatment 3 months. Complete rest 3 months. Massage accupuncture treatment device is 350 each.

Signed: Zhao Xin Mei

 

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Copyright 1998 William Silverstein. All rights reserved.
Revised: February 26, 2004.