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<?php session_start(); ?> <BODY background="http://www.wallsave.com/wallpapers/1920x1080/zen-garden/212876/zen-garden-p-hd-taringa-x-picture-212876.jpg"> <FONT face=Helvetica> <CENTER><H2>Insert a Record into the Database</H2></center> <FORM action="insertaction.php" method=POST> <hr> <b>What is the name of the pressure point?</b><br> <INPUT type=text name=Pname><p> <b>What is the chinese name of the pressure point?</b><br> <INPUT type=text name=Cname><p> <b>What is the link to the acupressure point?</b><br> <INPUT type=text name=Link><p> <b>What is the priority for this pressure point (1 or 0)?</b><br> <INPUT type=radio name=priority value=0>0<br> <INPUT type=radio name=priority value=1>1<p> <b>Please select the symptoms associated with this point:</b> <p> <b>Headache and Migraine:</b> <BR> <INPUT type=checkbox name=S1 value=1> Frontal Headache<BR> <INPUT type=checkbox name=S2 value=1> Back of the Head<BR> <INPUT type=checkbox name=S3 value=1> Side of the Head<BR> <INPUT type=checkbox name=S4 value=1> Top of the Head<BR> <INPUT type=checkbox name=S5 value=1> Pain in the Eye (Migraine behind the eye)<p> <b>Local Pain:</b><p> <INPUT type=checkbox name=S6 value=1> Jaw<BR> <INPUT type=checkbox name=S7 value=1> Toothache<BR> <INPUT type=checkbox name=S8 value=1> Ear<BR> <INPUT type=checkbox name=S9 value=1> Neck<BR> <INPUT type=checkbox name=S10 value=1> Shoulder<BR> <INPUT type=checkbox name=S11 value=1> Wrist<BR> <INPUT type=checkbox name=S12 value=1> Hand<BR> <INPUT type=checkbox name=S13 value=1> Backache<BR> <INPUT type=checkbox name=S14 value=1> Hip<BR> <INPUT type=checkbox name=S15 value=1> Knee<BR> <INPUT type=checkbox name=S16 value=1> Ankle<BR> <INPUT type=checkbox name=S17 value=1> Foot<P> <b>Cold and Flu:</b><P> <INPUT type=checkbox name=S18 value=1> Sore Throat<BR> <INPUT type=checkbox name=S19 value=1> Sinusitis<BR> <INPUT type=checkbox name=S20 value=1> Loss of Voice<BR> <INPUT type=checkbox name=S21 value=1> Earaches<BR> <INPUT type=checkbox name=S22 value=1> Allergy<P> <b>Nervous System:</b><P> <INPUT type=checkbox name=S23 value=1> Anxiety Attacks and Nervousness<BR> <INPUT type=checkbox name=S24 value=1> Depression<BR> <INPUT type=checkbox name=S25 value=1> Insomnia<BR> <INPUT type=checkbox name=S26 value=1> Fainting<BR> <INPUT type=checkbox name=S27 value=1> Hiccoughs<BR> <INPUT type=checkbox name=S28 value=1> Memory and Concentration Improvement<P> <b>Cardiovascular:</b> <P> <INPUT type=checkbox name=S29 value=1> Angina<BR> <INPUT type=checkbox name=S30 value=1> Palpitations<BR> <INPUT type=checkbox name=S31 value=1> High Blood Pressure Treatment<P> <b>Abdominal Discomfort:</b><P> <INPUT type=checkbox name=S32 value=1> Constipation<BR> <INPUT type=checkbox name=S33 value=1> Diarrhea<BR> <INPUT type=checkbox name=S34 value=1> Heartburn<BR> <INPUT type=checkbox name=S35 value=1> Stomachache<P> <b>Women Only:</b><P> <INPUT type=checkbox name=S36 value=1> PMS and Painful Periods<BR> <INPUT type=checkbox name=S37 value=1> Hot Flashes<BR> <INPUT type=checkbox name=S38 value=1> Acupressure During Pregnancy<P> <b>Urinary Problems:</b><P> <INPUT type=checkbox name=S39 value=1> Bed-wetting<BR> <INPUT type=checkbox name=S40 value=1> Incontinence<BR> <INPUT type=checkbox name=S41 value=1> Urinary Retention<P> <b>Other:</b> <P> <INPUT type=checkbox name=S42 value=1> Weight Loss<BR> <INPUT type=checkbox name=S43 value=1> Nose Bleeding<BR> <INPUT type=checkbox name=S44 value=1> Allergy<BR> <INPUT type=checkbox name=S45 value=1> Itching<BR> <INPUT type=checkbox name=S46 value=1> Asthma<BR> <INPUT type=checkbox name=S47 value=1> Decreased Libido<BR> <INPUT type=checkbox name=S48 value=1> Hangover Treatment<P> <P> <INPUT type=submit name=submit> <INPUT type=reset name=reset> <HR> <a href= "acupressureindex.html">Back to the Homepage?</A> </FONT> </BODY>