Records of Hospitalization
Name:
Kim Sex:
Female
Age:
34
Profession: Civil
servant
Nationality:
America Marital
status:
Married
Onset
Season:
Summer
Date of
Admission:
Oct. 2nd, 2006
Complainer of history:
The patient herself Reliability:
Reliable
Chief
complaint:
The patient has suffered from inflexibility of the right hand, left-hand
asthenia, and general joint asthenia accompanied by a staggering gait for one
and a half years.
Present illness:
One and a half years ago the patient began to have right-hand inflexibility,
left-hand asthenia, and general joint asthenia evidenced by her inability to
walk for more than five minutes, without any obvious cause. Because she hadn¡¯t
done anything about her illness due to ignorance, it progressively grew worse.
Then she could no longer juxtapose the right-hand fingers closely and had no
extension in the atrophic middle finger. She had muscular atrophy and jitters
(small irregular movements) in her right hand; therefore, it could not carry
anything without the help of the left one. She had poor ability in making fine
movements evidenced by her inability to use her right or left thumb to touch
other fingers of the same hand or to write stably with a pen or pencil. When she
had only the tip of her foot on the floor, she had shaking in her knees. And
sometimes she had spasmodic pain in her toes. She couldn¡¯t stand on one foot and
had a duck gait in walking due to poor sense of balance. However, the MRI and
the blood test she had in a local hospital showed no abnormality. After her
condition was aggravated, she came to a local hospital for acupuncture.
Past
history:
No history of typhoid, tuberculosis and hepatitis. No history of medicine or
food allergy. No operation or transfusion history. No history of
preventive vaccination provided.
Personal history:
She was born in US, living in a dry environment. No contact history of
schistosomiasis. She has been smoking for 15 years, a packet of cigarettes by
day. No addiction to alcohol or special food. She was gentle.
Menstrual history:
Moderate and red menses without peculiar smell.
Marital history:
She was married at 27 and had given birth to a
son and a daughter. Her husband and children are all healthy.
Family
history:
Her parents are both healthy. No family history of special disease.
Physical examination
T 37¡æ£¬P
80bpm, R 20bpm, BP: 100/70mmHg
She was
mid-nourished and normally developed. Her mind was clear. She was in a positive
position and cooperative in examination. Her skin was moist. No jaundice in the
sclera. No superficial lymph-node enlargement. Bilateral pupils were round and
equal in size and sensitive to light. No thoracic deformity. Sound of breath was
bilaterally normal on auscultation. No respiratory rales or pleural friction
rubs. Heart border was normal. Heart beat 80bpm. Cardiac rhythm was regular. No
pathological murmurs of heart on
auscultation. Abdomen was flat and
soft without tenderness or rebound tenderness. Liver and spleen were not
palpable. No percussion pain on renal region. Bowel sound was
normal. No Spinal and pelvic deformity or tenderness. The development of
the anus or pudendum was normal. Her tongue was dull with thin and yellow
coating, and her pulse is threadlike and weak. (The
condition of four limbs will to be elaborately discussed in special examination
of four limbs.)
Special examination of four limbs:
The patient¡¯s right-hand was inflexible and has poor ability in making fine
movements evidenced by her inability to write stably. Her right hand had mild
amyotrophy and muscular jitters. She could not juxtapose the right-hand fingers
closely and had no extension in the atrophic middle finger. Her left hand was
weak. She had general asthenia of joints and muscles. When she had only the tip
of her foot on the floor, she had shakings in her knees. Sometimes she had
spasmodic pain in her toes. And she couldn¡¯t stand on one foot and had a duck
gait in walking due to poor sense of balance. The myodynamia of her hands was
bilaterally grade IV.
Diagnostic
examination: Not provided.
First
diagnosis:
TCM diagnosis:
Wei-syndrome (flaccidity syndrome)
Symptom
diagnosis: stagnation of qi and blood; liver and kidney asthenia; liver and
spleen asthenia.
WM diagnosis:
ALS
First
Medical Record
6:30p.m. Oct. 31st 2006
Kim, a
34-year-old female, has suffered from right-hand inflexibility, left-hand
asthenia, and general joint asthenia accompanied by staggering gait for one and
a half years. She was met by our translator in Zhijiang Airport and arrived in
Huaihua Red Cross Hospital at 5: 30p.m Oct. 31st 2006.
Essentials for diagnosis:
1. The patient
has suffered from a right-hand inflexibility, left-hand asthenia, and general
joint asthenia accompanied by staggering gait for one and a half years.
2. One and a
half years ago the patient began to have right-hand inflexibility, left-hand
asthenia, and general joint asthenia manifested as inability to walk for more
than five minutes, without any obvious cause. As she hadn¡¯t done anything about
her illness, it grew worse progressively. Three months later, she had
involuntary movements in the right thumb, and she had muscular atrophy and
jitters (small irregular movements) in her right hand. Due to this, she could
not carry anything without the help of the left one. She had poor ability in
making fine movements evidenced by her inability to use her right or left thumb
to touch other fingers of the same hand or to write stably with a pen or pencil.
She felt weakness in the left hand and shoulder pain, if she turned the body.
When she had only the tip of her foot on the floor, she had shaking in her
knees. Sometimes she had spasmodic pain in her toes, and she couldn¡¯t stand on
one foot. She also had a duck gait in walking due to poor sense of balance.
However, the MRI and blood test she had in a local hospital showed no
abnormality. After her condition was aggravated, she had been in a local
hospital for acupuncture before she came here. Her tongue was dull with thin and
yellow coating, and her pulse was threadlike and weak.
3. She was
mid-nourished and normally developed. Her mind was clear. She had languid face.
She was in a positive position and cooperative in examination.
4. T 36.8¡æ£¬P
80bpm, R 20bpm, BP: 90/60mmHg
5. No thoracic
deformity. Chest percussion noted resonance. Sound of breath was bilaterally
clear on auscultation. No pleural friction rubs.
6. The
patient¡¯s right-hand was inflexible and has poor ability in making fine
movements evidenced by her inability to write stably. She had mild amyotrophy
and muscular jitters in her right hand. She could not juxtapose the right-hand
fingers closely and had no extension in the atrophic middle finger. Her left
hand was weak. She had general asthenia of joints and muscles. When she had only
the tip of her foot on the floor, she had shaking in her knees. Sometimes she
had spasmodic pain in her toes, and she couldn¡¯t stand on one foot. She also had
a duck gait in walking due to poor sense of balance. The myodynamia of her hands
was bilaterally grade IV.
7. Diagnostic
examination: Not provided
Diagnostic basis
TCM:
Wei-syndrome (flaccidity syndrome)
refers to the
flaccidity and weakness of extremities leading to muscular atrophy and less
liberty in movement. In clinics, amyotrophy and weakness of lower extremities
always leads to failure in walking. There are also cases in which the patient
has amyotrophy and weakness of both upper and lower extremities. At the advanced
stage, some victims may even be unable to stand or to hold an object. As the
disease worsens, the patient becomes so atrophic that he or she will be
paralysed.
The external
cause of Wei-syndrome is mainly pathogenic warmth or damp heat. If the
pathogenesis is damp heat, the disease is always caused by an attack of
pathogenic dampness, due to prolonged stay in humid environment or exposure to
water or rain, after which stagnant dampness accumulate in human body and
transform into heat. It could also be caused by impairment of spleen and stomach
because of irregular diet. In this case, the accumulated dampness and heat
invade the meridians and block the circulation of qi and blood, which causes
insufficient nourishment of sinews, vessels and muscles, finally leading to
amyotrophy.
The internal
cause, on one hand, refers to deficiency of the liver and kidney, asthenia of
the spleen and stomach, and deficiency of blood essence and body fluid, which
all lead to insufficient nourishment and affection by pathogenic warmth or toxin
of sinews, vessels and muscles; on the other hand, it is that the pathogenic
heat, not completely removed in the treatment of Heat-Disease, burns and
scorches the lung(Jin-viscera), leading to the lack of production and
transformation of body fluid and qi which further causes insufficient
nourishment of sinews and vessels. Finally both of these two causes lead to Wei-syndrome
manifested as the dysfunction of the limbs. Asthenia of spleen and stomach,
weakness due to chronic illness, or the impairment of the liver and kidney due
to excessive sexual activities, can also cause insufficiency of body fluid and
blood, leading to the insufficient nourishment of sinews, vessels and muscles,
thus, the gradual wasting away of muscles will finally lead to dysfunction of
limbs. In conclusion, the external cause of Wei-syndrome is invasion by
pathogenic warmth, heat, dampness, or toxin, while the internal one is
gastrosplenic asthenia and hepatonephric deficiency due to chronic illness or
excessive sexual activities, for those will cause severe consumption of body
fluid and blood. The pathogenesis is lacking nourishment for sinews and vessels.
The Zang-Fu organs most affected are liver, kidney, lung, stomach and spleen,
especially liver and kidney.
Western medicine:
The patient¡¯s right-hand was inflexible and has poor ability in making fine
movements evidenced by her inability to write stably. She had mild amyotrophy
and muscular jitters in her right hand. She could not juxtapose the right-hand
fingers closely and had no extension in the atrophic middle finger. Her left
hand was weak. She had general asthenia of joints and muscles. When she had only
the tip of her foot on the floor, she had shaking in her knees. Sometimes she
had spasmodic pain in her toes, and she couldn¡¯t stand on one foot. She also had
a duck gait in walking due to poor sense of balance. The myodynamia of her hands
was bilaterally grade IV.
Diagnostic differentiation
TCM: The
patient¡¯s Wei-syndrome should be differentiated from Bi-syndrome. Although they
both fall into the category of limb disease, they are different in pathogeny,
pathogenesis and clinical manifestations. Wei-syndrome is characterized as limp,
weak and emaciated limbs with shriveled muscles. A patient suffering from Wei-syndrome
may even become unable to hold an object or to stand without support. Besides,
the patient¡¯s lower limbs are more often affected, though he or she usually has
no joint pain. On the contrary, Bi-syndrome is generally characterized as aching
pain, fixed heaviness and inflexibility of sinews and bones, muscles and joints,
with occasional numbness or swelling, though, no paralytic manifestations. The
pathogenesis of Wei-syndrome is that the essence and blood in five-fu organs is
insufficient to travel through the whole body leading to malnourish of the
meridians and collaterals; while that of Bi-syndrome is that the obstruction of
meridians and collaterals by pathogenic qi blocks the circulation of qi and
blood.
WM: The
patient¡¯s ALS (amyotrophic lateral sclerosis) should be differentiated from SM (syringomyelia)
which occurs typically between ages 10 and 35. Men are about two times more
affected as women are. The onset of the disease is unpredictable, and it had a
long developmental course. Its clinical manifestation is caused by neural lesion
of affected spinal segments, characterized by dissociated sensory disturbance,
that is, degeneration or loss of pain and warm sense without loss of deep
senses, accompanied by dyskinesia and neural dystrophy due to impairment of
fasciculus of spinal cord, amyotrophia, myasthenia, cutaneous and articular
dystrophy, deformity of spine, and cavus.
First
diagnosis
TCM diagnosis:
Weizheng (flaccidity syndrome)
Symptom
diagnosis: stagnation of qi and blood; liver and kidney asthenia; liver and
spleen asthenia.
WM diagnosis:
ALS
Plan
of treatment and care
1. On routine
care of traditional Chinese internal medicine
2. On grade II
care
3. Regular
diet
4. Herbal tea:
one dosage a day and drink by twice
5. Acupuncture
and massage: once a day
6. Have a
positive and optimistic attitude towards your disease
7. Have more
medical examinations if necessary
Date:
3rd of October 2006
Time: 9:00 a.m.
The patient
complained to Dr. Yan about her right-hand inflexibility and poor ability in
making fine movements evidenced by her inability to use her right or left thumb
to touch other fingers of the same hand or to write stably. She had a weak left
hand, general asthenia of joints, and involuntary muscular jitters. Sometimes
she had spasmodic pain in her toes. No aversion to cold. No fever. No nausea or
vomit. No headache or dizziness. Her spirit and sleep were good. Her bowel
movement and urination were normal. Her tongue was dull with thin and yellow
coating. Her pulse was fine and weak.
Dr. Yan¡¯s
analysis:
1. The
treatment of Wei-syndrome should be focused on stomach meridian of foot-yangming,
which means treating Wei-syndrome by nourishing the spleen and stomach. The
spleen and stomach are the source of the pulmonary fluids, and also governs the
transformation of the vital essence and blood of liver and kidney; therefore,
one should nourish yin and stomach when gastric thin fluid is deficient,
replenish qi and invigorate spleen when spleen and stomach are deficient. Only
if the patient¡¯s spleen and stomach are full of vigor can he or she have enough
food to ensure the supply of qi, blood and body fluids, which in turn will keep
the Zang-Fu organs functioning vigorously, so the sinews and vessels will have
sufficient nourishment which is beneficial to the recovery of the patient. The
treatment of deficiency syndrome should be focused on nourishing healthy qi,
while that of liver and kidney asthenia should be focused on nourishing liver
and kidney. The treatment of excessive syndrome should be focused on expeling
pathogenic qi and activating collaterals. The treatment of lung heat attacking
thin fluids should be focused on clearing heat and dryness, that of pathogenic
damp heat on clearing heat and removing dampness through diuresis, that of
stasis blocking the meridians and collaterals on activating blood circulation
and removing stasis. If it is deficiency-excess complication, the treatment
should not be focused on only one aspect.
2. Principle
of TCM treatment: Strengthening the spleen and supplementing qi; Tonifying the
liver and nourishing yin essence. Herbal tea prescribed for three days included
Astragalus, Dipsacus, Cooked Rehmannia, Eucommia, Ovate Atractylodes, White
Peony, Poria, Cornus, and so on. A daily dosage should be decocted twice.
Date:
4th of October 2006 Time:
9:00 a.m.
The patient
complained that she had an inflexible right hand, a weak left hand and general
asthenia of joints. No aversion to cold. No fever. No nausea or vomit. No
headache or dizziness. She was presented with a good spirit. Her sleep was good.
Her bowel movement and urination were normal. Her tongue was dull with thin and
yellow coating. Her pulse was fine and weak.
Date:
5th of December 2006
Time: 9:00 a.m.
Today the
patient had some improvement in the right-hand flexibility and had more
extension in the right middle finger. She was still unable to juxtapose the
right-hand fingers closely or to write without difficulty. She had a weak left
hand and general asthenia of joints. She still had muscular jitters in her hands
now and then, though the spasmodic pain in her toes became less. No aversion to
cold or fever. No nausea or vomit. No headache or dizziness. She was presented
with a good spirit. Her sleep was good. Her bowel movement and urination were
normal. Her tongue was dull with thin and yellow coating. Her pulse was fine and
weak.
Date:
8th of December 2006
Time: 9:00 a.m.
The patient
complained that she had two red swellings on her neck, itching and a little
aching, which may be caused by an insect creeping across her neck last night. No
headache or dizziness. No aversion to cold or fever. No nausea or vomit. We gave
her Fuyangshuang to treat the swellings.
Examination:
T 37¡æ£¬P
80bpm, R 20bpm, BP: 100/70mmHg
Today the
patient¡¯s right-hand flexibility was better. She had full extension in the right
middle finger. She became able to juxtapose the right-hand fingers closely or
wrote with less difficulty. She had more stability to use her thumb to touch
other fingers of the same hand. She had pain and obvious tenderness in the
metacarpophalangeal joint of her right thumb when she used her right hand. The
weakness in her left hand and joints was less. Her muscular tension was
increased. Her hands had obviously less muscular jitters, and her toes also
became less painful. Her tongue was dull with thin and yellow coating. Her pulse
was fine and weak.
Date:
11th of October 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. She was presented with a good spirit. Her sleep was good. Her
bowel movement and urination were normal. The patient¡¯s right-hand flexibility
was better. She could fist and open it easily. She had more stability to use her
thumb to touch other fingers of the same hand. She had more muscular strength,
but her right hand trembled obviously when she spread her palm. It was still
difficult for her to hold a pen without the left hand¡¯s support and to write
without twisting. She had poor ability to make fine movements. When she used her
right hand, she had pain and obvious tenderness in the metacarpophalangeal joint
of her right thumb. The weakness in her left hand and joints was less. Her
muscular tension was increased. She still had unobvious muscular jitters in her
hands, though the spasmodic pain in her toes became less. Her tongue was dull
with thin and yellow coating. Her pulse was fine and weak. The herbal tea had
been benefit, so the patient was asked to take another five dosages.
Date:
14th of October 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. She was presented with a good spirit. Her sleep was good. Her
bowel movement and urination were normal. The patient¡¯s right-hand flexibility
was better. She could fist and open it easily. She had more stability to use her
thumb to touch other fingers of the same hand, and she had more muscular
strength. But her right hand trembled slightly when she opened the fist. It was
still difficult for her to hold a pen without the left hand¡¯s support and to
write. She had poor ability to make fine movements. When she used her right
hand, she had pain and obvious tenderness in the metacarpophalangeal joint of
her right thumb. She had a little weakness in her left hand and joints, and her
muscular strength was increased. And she had clear improvement in her gait. Her
tongue was dull with thin and yellow coating. Her pulse was fine and weak.
Doctor¡¯s requirement: to take five dosages of herbal tea of the same
prescription.
Date:
17th of October 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were a little bad. Her appetite was good.
Her urination was normal but she had no bowel movement in the latest three days.
The patient¡¯s right-hand flexibility was better. She could fist and open it
easily. She had more stability to use her thumb to touch other fingers of the
same hand, and she had more muscular strength. But her right hand trembled
slightly when she opened the fist. It was still difficult for her to hold a pen
without the left hand¡¯s support and to write. She had a little improvement in
writing. She had much difficulty in making fine movements. When she used her
right hand, she had pain and obvious tenderness in the metacarpophalangeal joint
of her right thumb. She had a little weakness in her left hand and joints. Her
muscular strength was increased a bit. Her gait was much better. Her tongue was
dull with thin and yellow coating. Her pulse was fine and weak. Doctor¡¯s
Requirement: to do more functional trainings for the right hand. Main herbs
used in the new prescription are Shudi (Cooked Rehmannia), Duzhong (Eucommia),
Shengqi (Fresh Astragalus), Xuduan (Dipsacus), Danggui (Tangkuei), Huainiuxi (Achranthes),
Zaopi (Cornus), Guijiao (Tortoise Planstron), Lujiao (Deerhorn glue), Baishao
(White peony), etc.
Date:
20th of October 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were a little bad. Her appetite was good.
Her urination and bowel movement were normal. The patient¡¯s right-hand
flexibility was better. She could fist and open it easily. She had more
stability to use her thumb to touch other fingers of the same hand, and she had
more muscular strength. But her right hand trembled slightly when she opened the
fist. It was still difficult for her to write or to hold a pen without the left
hand¡¯s support. She had a little improvement in writing. She had much difficulty
to make fine movements. When she used her right hand, she had less pain in the
right-thumb metacarpophalangeal joint than before. She had a little weakness in
her left hand and joints. Her muscular strength was increased a bit. Her gait
was much better. Her tongue was dull with thin and yellow coating. Her pulse was
fine and weak. Doctor¡¯s requirement: to do more functional trainings for the
right hand.
Date:
23rd of October 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were good. Her bowel movement and
urination were normal. The patient¡¯s right-hand flexibility was much better. She
had more stability to use her thumb to touch other fingers of the same hand, and
she had more muscular strength. But her right hand trembled slightly when she
opened the fist. Her right hand shook obviously when she stretched her right
hand. Her grasping ability was better, though she still needed the help of the
left hand to hold a pen. She had a little better ability to make fine movements.
Her gait was better. Her tongue was dull with thin and yellow coating. Her pulse
was fine and weak. Doctor¡¯s requirement: strengthen functional training.
Date:
26th of October 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were good. Her bowel movement and
urination were normal. The patient¡¯s right-hand flexibility was much better. She
had no difficulty in using her thumb to touch other fingers of the same hand,
and her right hand had more muscular strength. Her right hand shook
involuntarily less obviously when she stretched her right hand. Her grasping
ability was better, though she still needed the help of the left hand to hold a
pen. She had a little better ability to make fine movements. Her gait was
better. Her tongue was dull with thin and yellow coating. Her pulse was fine and
weak. Doctor¡¯s requirement: strengthen functional training.
Date:
29th of October
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were good. Her bowel movement and
urination were normal. The patient¡¯s right-hand flexibility was much better. She
had no difficulty in using her thumb to touch other fingers of the same hand,
and her right hand had more muscular strength. Her right hand shook
involuntarily less obviously when she stretched her right hand. Her grasping
ability was better, though she still needed the help of the left hand to hold a
pen. She had a little better ability to make fine movements. Her gait was
better. Her tongue was dull with thin and yellow coating. Her pulse was fine and
weak. Doctor¡¯s requirement: to strengthen functional training and take herbal
tea of the same prescription.
Date:
2nd of November
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her bowel movement and
urination were normal. The patient¡¯s right-hand flexibility was much better. She
had no difficulty in using her thumb to touch other fingers of the same hand,
and her right hand had more muscular strength. Her right hand shook
involuntarily less obviously when she stretched her right hand. Her grasping
ability was better, though she still needed the help of the left hand to hold a
pen. She had a little better ability to make fine movements. Her gait was
better. Her tongue was dull with thin and yellow coating. Her pulse was fine and
weak. Doctor¡¯s requirement: to strengthen functional training and take herbal
tea of the same prescription.
Date:
3rd of November
2006
Time: 9:00 a.m.
Yesterday the
patient had gone to Guangzhou for a four-day travel.
Date:
6th of November
2006
Time: 6:30 p.m.
Today the
patient came back from Guangzhou at 5:30 p.m. She had no discomforts such as
headache, dizziness, nausea, vomit, fever or aversion to cold. She was a little
tired. Her appetite was normal. Her bowel movement and urination were normal.
Examination:
T 37¡æ£¬P
80bpm, R 20bpm, BP: 100/70mmHg Her heart and lungs were normal. Her abnormal
was flat and soft.
The patient¡¯s
right-hand flexibility was better. Her right hand strength increased. She had no
difficulty in using her thumb to touch other fingers of the same hand, and her
right hand had more muscular strength. The involuntary shake of her right hand
was less than before when she stretched her right hand. She still needed the
help of the left hand to hold a pen. She had a little better ability to make
fine movements. Her gait was better. Her tongue was dull with thin and yellow
coating. Her pulse was fine and weak. Doctor¡¯s requirement: to strengthen
functional training and take herbal tea of the same prescription.
Date:
9th of November
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was normal. Her
bowel movement and urination were normal. The patient¡¯s right-hand flexibility
was much better. She had no difficulty in using her thumb to touch other fingers
of the same hand, and her right hand had more muscular strength. The involuntary
shake of her right hand was obviously less than before when she stretched her
right hand. Her ability of grasping a pen and writing was better. She had a
little better ability making fine movements. Her gait was better. Her tongue was
dull with thin and yellow coating. Her pulse was fine and weak. Doctor¡¯s
requirement: to strengthen functional training and take herbal tea of the same
prescription.
Date:
12th of November
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was normal. Her
bowel movement and urination were normal. The patient¡¯s right-hand flexibility
was much better. She had no difficulty using her thumb to touch other fingers of
the same hand, and her right hand had more muscular strength. The involuntary
shake of her right hand was obviously less than before when she stretched her
right hand. Her ability of grasping a pen and writing was better. She had a
little better ability making fine movements. Her gait was better. Her tongue was
dull with thin and yellow coating. Her pulse was fine and weak. Doctor¡¯s
requirement: to strengthen functional training and take herbal tea of the same
prescription.
Date:
15th of November
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was normal. Her
bowel movement and urination were normal. The patient¡¯s right-hand flexibility
was much better, and her right hand had more muscular strength. The involuntary
shake of her right hand was obviously less than before when she stretched her
right hand. Her ability of grasping a pen and writing was better. She had a
little better ability making fine movements. Her gait was better. Her tongue was
dull with thin and yellow coating. Her pulse was fine and weak. Doctor¡¯s
requirement: to strengthen functional training and take herbal tea of the same
prescription.
Date:
18th of November
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was normal. Her
bowel movement and urination were normal. The patient¡¯s right-hand flexibility
was much better. She had no difficulty in using her thumb to touch other fingers
of the same hand, and her right hand had more muscular strength. The involuntary
shake of her right hand was obviously less than before when she stretched her
right hand. Her ability of grasping a pen and writing was much better. She was
able to write slowly. She had much better ability making fine movements. Her
gait was much better. Her tongue was red with thin and yellow coating. Her pulse
was fine and weak. Doctor¡¯s requirement: to strengthen functional training of
affected limbs. The main herbs used in the herbal tea include Shengqi (Fresh
Astragalus), Zaopi (Cornus), Baishao (White peony), Xuduan (Dipsacus), Baji (Morinda),
Danggui (Tangkuei), Lujiao (Deerhorn glue), Tubei (Wingless Cockroach), Duzhong
(Eucommia), Shudi (Cooked Rehmannia), Dayun (Cistanche), Guijiao (Tortoise
Planstron), and so on.
Date:
21st of November
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was normal. Her
bowel movement and urination were normal. The patient¡¯s right-hand flexibility
was much better, and her right hand had more muscular strength. The involuntary
shake of her right hand was obviously less than before when she stretched her
right hand. She was able to write slowly. She had much better ability making
fine movements. Her gait was much better. Her tongue was red with thin and
yellow coating. Her pulse was fine and weak. Doctor¡¯s requirement: to strengthen
functional training and take herbal tea of the same prescription.
Date:
24th of November
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was normal. Her
bowel movement and urination were normal. The patient¡¯s right-hand flexibility
was much better. She had no difficulty in using her thumb to touch other fingers
of the same hand, and her right hand had more muscular strength. The involuntary
shake of her right hand was obviously less than before when she stretched her
right hand. She was able to write slowly. She was able to write slowly. She had
much better ability making fine movements. Her gait was much better. Her tongue
was red with thin and yellow coating. Her pulse was fine and weak. Doctor¡¯s
requirement: to strengthen functional training of affected limbs and take herbal
tea of the same prescription.
Date:
27th of November
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her bowel movement and
urination were normal. The patient¡¯s right-hand flexibility was much better, and
her right hand had more muscular strength. The involuntary shake of her right
hand was obviously less than before when she stretched her right hand. She was
able to write slowly. She had much better ability making fine movements. Her
gait was much better. Her tongue was red with thin and yellow coating. Her pulse
was fine and weak. Doctor¡¯s requirement: to strengthen functional training and
take herbal tea of the same prescription.
Date:
30th of November
2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her bowel movement and
urination were normal. The patient¡¯s right-hand flexibility was much better, and
her right hand had more muscular strength. The involuntary shake of her right
hand was obviously less than before when she stretched her right hand. She was
able to write slowly. She had much better ability making fine movements. Her
gait was much better. Her tongue was red with thin and yellow coating. Her pulse
was fine and weak. Doctor¡¯s requirement: to strengthen functional training and
take herbal tea of the same prescription.
Date:
3rd
of December 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her bowel movement and
urination were normal. The patient¡¯s right-hand flexibility was much better, and
her right hand had more muscular strength. The involuntary shake of her right
hand was obviously less than before when she stretched her right hand. She was
able to write slowly. She had much better ability making fine movements. Her
gait was much better. Her tongue was red with thin and yellow coating. Her pulse
was fine and weak. Doctor¡¯s requirement: to strengthen functional training and
take herbal tea of the same prescription.
Date:
6th
of December 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was normal. Her
bowel movement and urination were normal. Her heart and lungs were normal. Her
abdomen was flat. The patient¡¯s right-hand flexibility was much better, and her
right hand had more muscular strength. The involuntary shake of her right hand
was obviously less than before when she stretched her right hand. She was able
to write slowly. She had much better ability making fine movements. Her gait was
much better. Her tongue was red with thin and yellow coating. Her pulse was fine
and weak. Doctor¡¯s requirement: to strengthen functional training and take
herbal tea of the same prescription.
Date:
10th
of December 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was normal. Her
bowel movement and urination were normal. Her heart and lungs were normal. Her
abdomen was flat. The patient¡¯s right-hand flexibility was much better, and her
right hand had much more muscular strength. The involuntary shake of her right
hand was obviously less than before when she stretched her right hand. Her
tongue was red with thin and yellow coating. Her pulse was fine and weak.
Doctor¡¯s requirement: to strengthen functional training and take herbal tea of
the same prescription.
Date:
13th
of December 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was normal. Her
bowel movement and urination were normal. Her heart and lungs were normal. Her
abdomen was flat. The patient¡¯s right-hand flexibility was much better, and her
right hand had much more muscular strength. The involuntary shake of her right
hand was obviously less than before when she stretched her right hand. She was
able to write slowly or grasp small stuff like a key ring. She had much better
ability making fine movements. Her gait was much better. Her tongue was red with
thin and white coating. Her pulse was fine and weak. Doctor¡¯s requirement: to
strengthen functional training and take herbal tea of the same prescription.
Date:
16th
of December 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her bowel movement and
urination were normal. Her heart and lungs were normal. Her abdomen was flat.
The patient¡¯s right-hand flexibility was the same as that of last time. Her gait
was much better. Her tongue was red with thin and white coating. Her pulse was
fine and weak. Doctor¡¯s requirement: to strengthen functional training and take
herbal tea of the same prescription.
Date:
19th
of December 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was good. Her
bowel movement and urination were normal. Her heart and lungs were normal. Her
abdomen was flat. The patient¡¯s right-hand flexibility was the same as that of
last time. Her gait was much better. Her tongue was red with thin and white
coating. Her pulse was fine and weak. Doctor¡¯s requirement: to strengthen
functional training and take herbal tea of the same prescription.
Date:
22nd
of December 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite was good. Her
bowel movement and urination were normal. Her heart and lungs were normal. Her
abdomen was flat. The patient¡¯s right-hand flexibility was the same as before,
but her gait was much better. Her tongue was red with thin and white coating.
Her pulse was fine and weak. Doctor¡¯s requirement: to strengthen functional
training and take herbal tea of the same prescription.
Date:
24th
of December 2006
Time: 9:00 a.m.
Today the
patient had no discomforts such as headache, dizziness, nausea, vomit, fever or
aversion to cold. Her spirit and sleep were normal. Her appetite is normal. Her
bowel movement and urination are normal. Her heart and lungs are normal. Her
abdomen is flat. The patient¡¯s right-hand flexibility is much better, and her
right hand had much more muscular strength. And the muscular tension was normal.
She had no involuntary shake of her right hand when she stretched it. She was
able to write slowly. She had much better ability making fine movements. Her
gait was better. She was able to walk for 1,000m without feeling tiredness. Her
tongue was red with thin and yellow coating. Her pulse is fine and weak.
Doctor¡¯s advice: to strengthen functional training. The patient, rather
satisfied with her condition, was going to leave hospital on 25th of December
2006.
Based upon our very successful help
to many ALS patients, ALS is now one of the significant focuses of our hospital.
More ALS cases that we helped
well:
Case-1
Case-2
Case-3
Case-4 Case-5
Case-6
Case-7
Case-8
Case-9
Case-10
Case-11
Case-12
¡¡
