Subjective
|
|
Subjective
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Subjective
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Objective
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|
Objective
|
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Physical Exam Findings
|
No abnormal physical exam findings
|
General Comments
|
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HEENT WNL
|
HEENT Comments
|
Neck WNL
|
Neck Comments
|
Cardiovascular WNL
|
Cardiovascular Comments
|
Lungs WNL
|
Lungs Comments
|
Abdomen WNL
|
Abdomen Comments
|
Extremities WNL
|
Extremity Comments
|
MSK WNL
|
MSK Comments
|
Cranial Neuro WNL
|
Cranial Neuro Comments
|
Skin WNL
|
Skin Comments
|
Psych WNL
|
Psych comments
|
Lab Results reviewed
|
Lab Results Reviewed Comments
|
Acupuncture Medicine Diagnosis
|
|
AIM Pattern Dx
• • •
|
Biopsychotype
|
Biopsychotype
|
Oriental Medical Diagnosis
|
Abdominal Diagnosis
|
Pulse
|
Tongue Diagnosis
|
|
|
|
Treatment
|
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Auricular
|
|
Volf Auricular Dx
|
Root
• • •
|
Ear pic #1
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Ear pic #2
|
Ear pic #3
|
|
Ear points
|
|
Which Ear?
|
Ear Stud type
|
Ear points
• • •
|
Additional Ear Points
|
Battlefield Acupuncture
|
ATP protocol
|
NADA Protocol
|
Homunculus Image
|
Local and Regional
|
|
Local and Regional with Point Selection
|
Local and Regional
• • •
|
Simple Neuromuscular Protocol
|
Extensive Neuromuscular Protocol
|
|
|
Energy Movement
|
|
Diagrams
|
|
Acupuncture picture
|
Yin Yang Drawing
|
Fire/Earth/Metal/Water/Wood
|
|
Principal
|
|
N/N +1
|
|
Shao-Yin/Tai-Yang
• • •
|
Tai-Yin/Yang-Ming
• • •
|
Jue-Yin/ Shao- Yang
• • •
|
|
Principal
|
|
Kidney
• • •
|
Kidney Energy Moving Points
• • •
|
Heart
• • •
|
Heart Energy Moving Points
• • •
|
Small Intestine
• • •
|
Small Intestine Energy Moving Points
• • •
|
Bladder
• • •
|
Bladder energy moving points
• • •
|
Liver
• • •
|
Liver Energy Moving Points
• • •
|
Pericardium/Master of the Heart
• • •
|
Pericardium/Master of the Heart
• • •
|
Triple Heater/Warmer
• • •
|
Triple Heater/Warmer Energy Moving Points
• • •
|
Gallbladder
• • •
|
Gallbladder Energy Moving Points
• • •
|
Spleen
• • •
|
Spleen Energy Moving Points
• • •
|
Lung
• • •
|
Lung Energy Moving Points
• • •
|
Large Intestine
• • •
|
Large Intestine Energy Moving Points
• • •
|
Stomach
• • •
|
Stomach Energy Moving Points
• • •
|
Conception Vessel/Ren Mo
• • •
|
|
Governor Vessel/Du Mo
• • •
|
|
Distinct
|
|
Distinct
|
DM diagram
|
KI-BL
• • •
|
LR-GB
• • •
|
SP-ST
• • •
|
SI-HT
• • •
|
TW-PC
• • •
|
LI-LU
• • •
|
Curious
|
|
Curious
|
Curious Diagram
|
Chong Mo
• • •
|
Dai Mo
• • •
|
Yin Wei
• • •
|
Yang Wei
• • •
|
Yin Qiao
• • •
|
Yang Qiao
• • •
|
Ren Mo Helms
• • •
|
Du Mo Helms
• • •
|
Ren Mai Volf
• • •
|
Du Mai Volf
• • •
|
Other Curious Points
• • •
|
|
Tendinomuscular
|
|
Tendinomuscular
|
|
Tendinomuscular Area
|
TM diagram
|
Ting Points
• • •
|
Gathering Points
• • •
|
Specialized Protocols
|
|
Specialized Protocols
|
|
Mu Shu
|
Mu Shu
|
Mu
• • •
|
Shu
• • •
|
Hui Points
• • •
|
|
Tan
|
Tan Simple Treatments
|
Low back and neck ipsilateral
|
Low back and neck Contralateral
|
Abdomen
|
Face
|
Tan Fatigue Treatment
|
Tan Insomnia Treatment
|
Tan Viral Illness treatment
|
Tan Anxiety Treatment
|
Tan Complex Treatment
|
Tan comments
|
Japanese Needling
|
Japanese Needling point selection
• • •
|
Japanese Needling location
|
|
Cerebral
|
Cerebral Circulation choices
• • •
|
Dragons I/E
|
|
Windows of the Sky
|
Windows of the Sky choices
• • •
|
Scalp
|
GV star/Si Shen Cong
|
Ba Feng Points
|
Ba Feng laterality
|
Ba Xie points
|
Ba Xie laterality
|
Scar deactivation
|
Scar location
|
CV-GV
|
4 Needle
|
Niemtzow Salivary Technique
|
|
Rong Qi Circulation/Acupuncture Clock
|
|
Other Points
|
|
|
|
Energy Stimulation
|
|
Moxa
|
|
FSM
|
FSM #1
|
FSM #1 program
|
FSM #1 Frequency (mHz) / Area
/
|
FSM #2
|
FSM #2 program
|
FSM #2 Frequency (mHz) /area
/
|
FSM with ACE
|
FSM with ACE program
|
FSM with ACE Frequency (mHz) /area
/
|
FSM NO CHARGE
|
FSM No Charge program
|
FSM No Charge Frequency (mHz) /area
/
|
|
Electrical Stimulation
|
|
E-stim points (- to +)
|
E-stim frequency
|
TENS / PENS
|
|
Cervical Pens
|
Lumbar Pens
|
Localized joint treatment
|
|
Laterality
• • •
|
Electrical Stimulation
• • •
|
Ankle
• • •
|
Knee
• • •
|
Shoulder
• • •
|
Elbow
• • •
|
Wrist
• • •
|
Hip
• • •
|
Cervical
• • •
|
Lumbar
• • •
|
Other
|
|
Ion Cords
|
Ion Cord Points
|
Cupping
|
|
Cupping
|
Cup location
• • •
|
|
|
Assessment
|
|
Assessment:
|
|
Plan
|
|
Plan/Notes
|
Follow up
|
Supervising Physician
|
Supervising Physician
|