Upon palpation patient showed pressure pain at the centre of the sacrum and the lateral bladder meridian region at sacrum region. Dai Mai region was painful at left side and inguinal ligament at left side. Abdomen revealed slight Oketsu, strong immune, bi-lateral adrenal and tight GB 21 region bi-lateral.
Treatment began by releasing Oketsu with Liv-4 & Li-11 bi-laterally. Kidney meridian treatment included Kidney 9 & 7 left side with Kidney 9 right side and Kid 27 bi-lateral. This released the left sided pressure pain at Dai Mai region and the inguinal ligament as well as the adrenal reflective zone at Kid 16. SP-9 and SP-6 were needled bi-laterally with the addition of under the third toe for regulation of blood pressure and the subsequent release of the GB-21 pressure pain.
Once all the needles were in I re-palpated the reflection zones mentioned above and found significant release at all regions except for the immune reflection zone (right ST-26 to 27) region (Lung region - Nan Jing). I proceeded to add okyu moxibustion at the immune points. Once 12 or more grains of moxa had been administered I re-palpated the stubborn immune region and found it has completely softened.
On the back, treatment included needling the sacroiliac region, T-11 Huato bi-lateral & Du-2. Once the needles were removed and the patient moved around and tested out how she felt, she reported no pain on movement or on self-palpation of the sacrum/lower back. Treatment effect lasted two weeks with a slight regression by the end of the second week.
Follow-up treatment consisted of similar acupuncture points as above with the addition of LI-15 with direct moxa. Reason being that LI-15 paired with KID-9 constitutes detox treatment (history of medications) which further ameliorated both the patients symptom and palpatory findings.
Giancarlo Nerini - Acupuncturist (Melbourne & Mornington Peninsula)