|
Other Related Symptoms
|
|
|
Facial Focus Areas
|
Previous Facial Tx(s)
|
|
|
|
|
Chills/Fever
|
Abnormal Sweating
|
|
Appetite
|
Food Preferences
• • •
|
|
Thirst
|
Drink Preferences
• • •
|
|
Digestion
|
Bowel Movements
|
|
Urination
|
EENT
|
|
Sleep
|
Stress
|
|
Exercise
|
Energy
|
|
Emotional Health
|
Libido
|
|
Musculoskeletal
|
Menarche
|
|
|
|
|
Pulse (Right)
|
Pulse (Left)
|
|
Tongue
|
Shen
|
|
|
|
|
TCM Diagnosis
|
Treatment Principle
|
|
Biomedical Diagnosis/ICD9
|
Course of Treatment
|
|
|
|
|
Facial Points
|
Facial Herbs
|
|
|
|
|
Points
|
No Acupuncture Given
|
|
E-Stim
|
Moxibustion
|
|
Myofascial Work
|
Tui Na
|
|
Infrared Therapy
|
Gua Sha
|
|
|
|
|
Herbs/Formulas
|
No Herbs Given
|
|
|
|
|
Recommendations
|
Referrals
|
