Brief Summary: Omar, from Kuwait, who suffered from narcrosis of the
head in the left femur (Perth's disease), came to our
hospital for the herbal treatment. His father Barrack
and uncle Suoud take care of him here for about 70 days.
Operation is avoided after the treatment of herbal tea,
massage and acupuncture. His condition is improved quite
well, and the weight is increased by 6 kilograms. The
pains of the legs disappear. The width between the two
legs is shortened from 1 cm to 0.2 cm. He is the first
patient who is introduced to China by the government of
Kuwait.
¡¡
Record of
Hospitalization
Name: Omar Sex: male
Age: eight years old Height: 1.28m
Weight: 23kg
Nationality: Kuwait
Address: Jahra Block 3, Street 32,
House 19
Time of Hospitalization: October 29,
2005
Major
complaint: The pains of the head of the left femur for 9 months
The father said that in this
January, the boy caught a high fever for one week with headache, runny nose,
sore throat, coughing and diarrhea. The fever is between 39 0C to
40 0C. Western medicine is used. After that, the patient felt
pains of the left hip. Walking is not convenient with limping.
The information we get today
about the patient is as follows. The patient does not feel headache. Slight
dizziness. The left eye is itching and watery. The nose is not blocked. He
drinks a little bit more water. There is no bitter or sour taste in the
mouth. No sore throat. Slight coughing sometimes. No chest oppression. No
palpitations. The liver area is comfortable. The food intake is greatly
reduced after the fever in January. He always feels tired and sleepy. The
sleep time everyday is 12 hours per day. The bowl movement is two to three
times a day, a little bit sloppy stool.
The urine is yellowish. The
night urination is two to three times. When the boy walks, we could see
obvious limps of the left leg. The muscles on the left leg is a little bit
atrophic. There is not obvious pressing pains on the left hip. There is no
edema of the two legs.
The result of CT made in Kuwait
on September 13, 2005 indicates that ¡°Features are consistent with left
perth¡¯s disease with marrow edema in the neck of left femur probably stress
induced.¡±
The father also reported that
one and half years ago, the boy fell down to damage his left leg. After
treatment of injection, the condition is recovered.
Diagnosis: Perth¡¯s Disease
(Western Medicine)
Bone Numbness (Chinese medicine)
Treatment strategy: Tonifying
the spleen, strengthening liver and kidneys, quickening blood circulation,
detoxify.
The pulse is thready and
feeble. The tongue is slightly red. The tongue coating is thin and
yellowish.
Formula for two dosages as
below. Also general body massage is practiced. Acupuncture will be practiced
after two or three days when massage.
codonopsis root 7g, ovate
atractylodes root 7g, dioscorea root 5g, Poria 5g, etc.
Make into tea, drink twice a
day. Eighty milliliters each time.
Suggest father to take care of
him, avoid cold and much walking. Avoid spicy foods.
Dr. Ming
October 30, 2005
The boy gets used to the tea.
He sweats after going to bed. Last evening, for a few hours that he has
discharge from the nose and his nasal orifice is blockaded. This morning the
nasal orifice is open. The night urination yesterday is twice. Yesterday,
lunch is little. The supper is big amount.
Dr. Ming
October 31, 2005
The boy gets used to the tea.
He does not sweat so much. No nasal discharge and no nose blockaded. The
food intake is increasing for lunch and supper.
codonopsis root 7g, ovate
atractylodes root 7g, dioscorea root 5g, Poria 5g, etc.
Dr. Ming
November 1, 2005
He dose not sweat last evening.
No nasal discharge. No itching and watery eyes. The food intake is
increasing. Since he walks only 100 meters yesterday, so he did not feel
pains at the left hip.
Dr. Ming
November 2, 2005
The appetite is increasing.
Sleep is calm. He said this morning he could raise his two legs horizontally
when he takes the seat. This action is impossible in the past. When we touch
the left groin, the pressing pains are less.
codonopsis root 7g, ovate
atractylodes root 7g, dioscorea root 5g, Poria 5g, etc.
Dr. Ming
November 3, 2005
The food intake is increasing.
The face looks better, moist. He could raise the left leg higher. No night
urination.
codonopsis root 7g, ovate
atractylodes root 7g, dioscorea root 5g, Poria 5g, etc.
Dr. Ming
November 4, 2005
The food intake is increasing.
The face looks better. The movement of the left hip is more convenient. No
night urination. The bowl movement is twice yesterday.
Dr. Ming
November 5, 2005
The food intake is increasing.
The movement of the left hip is more convenient. No night urination. The
bowl movement is twice yesterday.
Dr. Ming
November 6, 2005
The boy said he is feeling
better when he walks upstairs. When pressing the left hip, the pains
disappear at the other side of the hip. When pressing the left hip at the
left groin part, the pains are reduced a little bit. The appetite is quite
OK.
Dr. Ming
November 7, 2005
The pains of the left hip is
reducing. The appetite is very good. Blocked nose and snoring in sleep
disappears.
codonopsis root 7g, ovate
atractylodes root 7g, dioscorea root 5g, Poria 5g, etc.
Dr. Ming
November 8, 2005
The pains of the left hip is
reducing. In the morning, when he gets up, he feels pains locally for half
an hour. This is always the same. No night urination. Walking upstairs is
easier. The tongue coating is slightly whitish. The bowl movement is twice a
day.
Dr. Ming
November 9, 2005
He could stand on his left leg.
In the morning, when gets up, he feels local pains on the left hip. No night
urination. Walking upstairs is easier. The tongue coating is slightly
whitish. The bowl movement is twice a day.
codonopsis root 7g, ovate
atractylodes root 7g, dioscorea root 5g, Poria5g, etc.
Dr. Ming
November 10, 2005
In the morning, when he gets
up, he feels no pains on the left hip. Very good appetite and no night
urination. Once bowl movement.
Dr. Ming
November 11, 2005
When I press on the left groin,
the pains locally are less. This morning, when he gets up, he does not feel
pains on the left hip. No night urination. Once bowl movement. Slightly thin
tongue coating.
Dr. Ming
November 12, 2005
The local pains are reduced.
The appetite is very good. No night urination. Twice bowl movement.. Sleep
11 hours.
Dr. Ming
November 13, 2005
The weight is 26 kilos, so it
is 2 kilos increase. He walks and we start to see his balance state is
better.
Dr. Ming
November 14, 2005
He walks in a better balance
since the limping is not so much obvious. Appetite and sleep are fine.
Dr. Ming
November 15, 2005
Sleep and appetite are fine.
Once night urination. Pressing the left groin. The pains are obviously less.
codonopsis root 7g, ovate
atractylodes root 7g, dioscorea root 5g, Poria 5g, etc.
Dr. Ming
November 16, 2005
Sleep and appetite are fine.
Once night urination. The pains at the left hip is less.
November 17, 2005
All the condition is fine
including sleep, spirit. No obvious pains of the left hip when pressing on
the left groin. The tongue coating is thin and whitish. Three dosages as
above.
Dr. Ming
November 18, 2005
He is walking in a much
balanced way. No obvious pains of the left hip. Food intake and spirit are
normal.
Dr. Ming
November 19, 2005
He is walking in a more
balanced way. No pains of the left hip. The tongue coating is thin and
whitish. The same formula for Omar.
Dr. Ming
November 20, 2005
He walks in a much more
balanced way. No pains of the left hip. A little bit dry mouth. Thin and
whitish tongue coating.
November 24, 2005
Omar could run now. In the
past, her almost could not run. The appetite is normal. The sleep is fine.
Thin tongue coating. No night urination. Once bowl movement. Slight thirst.
codonopsis root 7g, ovate
atractylodes root 7g, dioscorea root 5g, Poria 5g, etc.
Dr. Ming
November 25, 2005
Omar¡¯s weight today becomes
27.5kilos. So it is 4 kilos increase compared to when he was here.
Dr. Ming
November 27, 2005
Omar¡¯s weight today is 28
kilos. He eats good food and sleep is fine. The stomach feels comfortable.
Twice bowl movement. The urine is whitish. The tongue coating is whitish and
thin.
codonopsis root 7g, ovate
atractylodes root 7g, dioscorea root 5g, Poria 5g, etc.
Dr. Ming
November 30, 2005
Today we make a CT for Omar,
from the CT result, the local blood circulation of the left hip is better.
codonopsis root 7g, ovate
atractylodes root 7g, tangkuei 7g, ligusticum root 7g, etc.
Dr. Ming
December 2, 2005
He is in good condition.
Appetite and sleep are both fine. He could walk for 40 minutes everyday.
Slight limps when walking. The boy said that the left lower limb is higher
than the lower limb at the right side.
astragalus root 15 g, deerhorn
glue 5 g, cooked rehmannia root 10g, tangkuei 10g, etc.
Dr. Ming
December 4, 2005
There is no obvious changes
today.
astragalus root 20g, deerhorn
glue 6g, cooked rehmannia root 10g, tangkuei 10g, etc.
Dr. Ming
December 6, 2005
His food intake and sleep are
both in a normal state.
astragalus root 20g, deerhorn
glue 6g, cooked rehmannia root 10g, tangkuei 10g, etc.
Dr. Ming
December 7, 2005
There is no obvious discomfort.
Massage locally practiced as well as.
December 8, 2005
His condition is fine. We could
see his body slightly
inclines to the left
while walking.
astragalus root 20g, deerhorn
glue 6g, cooked rehmannia root 12g, tangkuei 10g, etc.
Dr. Ming
December 10, 2005
The patient is fine. Yesterday,
he walked 200 meters or so, and the body slightly
inclined to the left.
Slightly red tongue body and whitish tongue coating. Reddish tongue tip. The
pulse is thready.
astragalus root 20g, deerhorn
glue 6g, cooked rehmannia root 12g, tangkuei 10g, etc.
Dr. Ming
December 12, 2005
We could see his condition is
stable. The tip of tongue is reddish. Whitish tongue coating. Deep and
thready pulse.
December 14, 2005
The patient said that last
night sleep was good, slept for 10 hours. Normal food intake and free
movement. We just see his body slightly incline to the left while walking.
Reddish complexion. No pressing pains around in
the left hip joint. Slight muscle atrophy of the left hip and thigh. His
left lower limb is 0.6 cm shorter than the right one. It is due to the
femur density loss, so it becomes
malformed. Pale tongue. The tongue coating is thin and whitish. Deep and
thready pulse.
astragalus root 20g, deerhorn
glue 6g, cooked rehmannia root 12g, tangkuei 10g, etc.
Dr. Ming
December 16, 2005
The boy feels fine. Good sleep.
He slept for nine hours last night. Normal food intake and drink. No thirst.
The urine and stool are both normal. The bowl movement is once a day. Dry
skin on his face due to the weather is a bit dry. He walked 300 meters
yesterday, and no abnormity appeared. No fatigue
when standing for a long time. No cold pains on the knees. Reddish
complexion. Slightly red tongue. The tongue coating is thin and
whitish. Pulse is deep and thready and more powerful.
astragalus root 20g, deerhorn
glue 6g, cooked rehmannia root 12g, tangkuei 10g, etc.
Dr. Ming
December 18, 2005
His condition is normal. Good
sleeping. He slept for 12 hours last night. Normal food intake and drink. No
thirst. He walked about 300 meters, and no changes of his walking condition.
Reddish complexion. No cold pains in the lower limbs. The patient said that
the urine is yellowish and the frequency is normal. Slightly red tongue
body. The tongue coating is thin and whitish. Pulse is more powerful.
astragalus root 15,g deerhorn
glue 6g, cooked rehmannia root 12g, tangkuei 10g, etc.
Dr. Ming
December 20, 2005
Today his temperature is 36.5
C. Breath frequency is 22 times per minute. Pulse is 88 times per minute.
His condition is stable. Good sleep. No thirst and normal drink. He could
walk about 400 meters. His physical examination indicates that free movement
of the left lower limbs. No pressing pains around the
femur.
Normal bowl movement.
The urine is a bit yellowish. Pale tongue. The tongue coating is thin and
whitish. Pulse is more powerful.
astragalus root 15g, deerhorn
glue 5g, cooked rehmannia root 12g, tangkuei 10g, etc.
His family said that the
patient couldn¡¯t go out. Bad mood. We advise the boy go out every two or
three days. He could not walk with a burden, not jump and not run. Prevent
accident or heavy burden of his ill leg, which will slow down his recovery.
December 22, 2005
His condition is fine. Good
sleep. He slept about 9 hours. Normal drink and no thirst. Less bowl
movement. The urine is a bit yellowish and three to 4 times a day. Free of
passive movement in the left lower limb. No pressing pains in the lower
limbs. Pale tongue. The tongue coating is thin and whitish. Pulse is more
powerful.
His parents said that the
patient previously need bow and squat to lace up his shoes, but in the
recent two days, he could lace up the shoes without squatting. Obviously,
limps while walking in the past time, but now there are only slight limps.
astragalus root 15g, deerhorn
glue 6g, cooked rehmannia root 12g, tangkuei 10g, etc.
Dr. Ming
December 24, 2005
The patient is fine. The sleep
and food intake are fine. No thirst. Normal drink. He walks about 20 meters
with stability. Pale tongue. The tongue coating is thin and yellowish. Pulse
is more powerful.
astragalus root 15g, deerhorn
glue 6g, cooked rehmannia root 12g, tangkuei 10g, etc.
Dr. Ming
December 26, 2005
His condition is stable. Good
sleep. He slept for 10 hours last night. Good food intake. Normal drink. The
urination and bowl movement are normal. Free movement. Since the short
distance, we do not see his body inclines to the left while walking. No
other discomfort. The tongue coating is thin and whitish. Pulse is more
powerful. Today, the acupuncture and massage practiced.
astragalus root 15g, deerhorn
glue 6g, cooked rehmannia root 12g, tangkuei 10g, etc.
Dr. Ming
December 28, 2005
His condition is stable. Good
sleep. He slept for 9 hours last night. Good appetite. No thirst. Normal
drink. The urination and bowl movement are normal. Slightly incline to the
left while walking. From the result of CT, his condition compared to the
result in November 29, 2005 is that no obvious changes of the malformed
femur and the edge is rough. The substance of
bone density increased. The abnormal sacs under the joint surface becomes
smaller. The width of joint space is the same as before. The other condition
is also the same as before. No abnormal condition in hip joint.
He is 30kg in weight. The left
lower limb is 75.3cm in long, and the right lower limb is 75.6cm long.
In recent days, he has slight
cough and nasal obstruction due to catching cold. Today, acupuncture and
massage practiced.
astragalus root 15g, deerhorn
glue 6g, cooked rehmannia root 12g, tangkuei 10g, etc.
Dr. Ming
December 30, 2005
His condition is fine. Appetite
and sleep are good. He sleeps 10 hours. No thirst. Nasal obstruction. Slight
discomfort of the throat. So
sichuan fritillaria bulb, aster
root and platycodon root are added into the original formula. The urination
and bowl movement are normal. Deep pulse. Reddish tongue tip.
Pale tongue. Today, acupuncture
and massage practiced.
astragalus root 15g, tortoise
plastron glue 5g, cooked rehmannia root 10g, tangkuei 10g, etc.
Dr. Ming
January 1, 2006
His condition is fine. Good
sleep. He slept for 10 hours last night. Good appetite. No thirst. Normal
drink. He walks 300 meters, the body slightly incline to the left. Free
movement. The patient said that no obvious improvement of coughing. Slightly
sore throat. Reddish
tongue tip. The tongue
coating is thin and yellowish. The pulse is floating and thready and
powerful. Today, acupuncture and massage practiced.
astragalus root 15g, tortoise
plastron glue 5g, cooked rehmannia root 10g, tangkuei 10 g, etc.
Dr. Ming
January 3, 2006
His condition is stable. Good
sleep and food intake. Normal drinking. No thirst. The spirit is fine and
very active. He walked 500 meters or so yesterday. No obvious change. Today,
acupuncture and massage practiced. The formula is the same.
The patient said that after
taking the above formula, there is no cough and nasal obstruction, and the
sore throat is improved obviously.
Reddish tongue tip.
The tongue coating is thin and
whitish. The pulse is thready and powerful.
astragalus root 15g, tortoise
plastron glue 5g, cooked rehmannia root 10g, date bark 10g, etc.
Dr. Ming
January 5, 2006
His condition is fine. Good
sleep. He slept for 9 hours last night. Normal drinking. No thirst. The
appetite is fine. He feels comfortable. The bowl movement is normal. The
urination frequency is normal and the urine is yellowish. No hot sense.
Since he did not walk for a long distance, we couldn¡¯t see any abnormality
while walking.
The weather becomes colder
today, temperature is 0-4 0C, so the boy catches cold again and
slight nasal obstruction and runny nose. From the physical examination, we
could see the free movement of his left lower limb. No pressing pains.
Today, acupuncture and massage practiced. The formula is the same.
astragalus root 12g, tortoise
plastron glue 5g, cooked rehmannia root 10g, date bark10g, etc.
Dr. Ming
January 7, 2006
His condition is fine. Good
sleep and appetite. Normal drinking. No thirst. The urination and bowl
movement are normal. The spirit is fine. Free of movement. He walked 400
meters, and no any discomfort. Dry and fissured lips due to the cold
weather. His other condition is fine. Today, acupuncture and massage
practiced. The formula is the same.
astragalus root 12g, deerhorn
glue 6g, tortoise plastron glue 5g, cooked rehmannia root 10g, date
bark10g, etc.
Dr. Ming
January 9, 2006
His condition is fine. Good
sleep. He slept for 9 hours last night. The food intake is fine. The
urination and bowl movement are normal. From the physical examination, we
could see the free passive movement of his lower limbs. No pressing pains
around the ill limb. The left lower limb is 0.2
cm shorter than the right one. Today, acupuncture and massage
practiced. The formula is the same. He continue with the herbal tea for two
dosages.
astragalus root 12g, deerhorn
glue 6g, tortoise plastron glue 5g, cooked rehmannia root 10g, date
bark 10 g, etc.
Dr. Ming
