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!
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.
| Diagnosis | Tendonitis |
| Point Prescription | LI11, LTW5, LI4, Wai Lau Gon. Both sides. |
| Method | Electical 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 Prescription | LII5, LI11, LI10, TW5, LI4 |
| Method | Electical 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 Exam | Right forearm limited rotation Right forearm turning to outside feels achy and pain immediately |
| Diagnosis | Sprain |
| Point Prescription | GB21, Jiannei Shu, LI11, TW6, LU6, LI10 |
| Method | Electical 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 Prescription | GB21, Jiannei Shu, LI11, TW6, LU6, LI10, Wai Lau Gon, LI5, LI4. Both sides. |
| Method | Electical 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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