¡¡

Brief Summary: On Apr. 2, 2009, Martin from Switzerland, who has suffered from ALS, accompanied by the inactive walking and loss of his balance of the two lower limbs for a year and a half, was hospitalized in our hospital. He has achieved much improvement after 28-days TCM treatment here. Compared with before, his walking has achieved obvious improvement in the balance quality. When walking, his right foot could touch the ground. The weakness of the lower limbs improved. The muscular spasms became better. It was more serious in the right thigh.

 

Record of Hospitalization

Name:   Martin                                                                                                    Birthplace: Switzerland

Sex: Male                                                                                                            Profession: Businessman

Age: 44                                                                                                               Date of Admission: Apr. 2, 2009

Religion: Switzerland                                                                                          Date of Record: Apr. 2, 2009

Marital Status: Married                                                                                     Onset Season: the Summer Solstice

Complainer: The patient himself

 

First Medical Record

Date: Apr. 2, 2009                                       Time: 20: 00 p. m.

Martin, a 44-year-old male, has suffered from ALS, accompanied with the inactive walking and loss of his balance of the two lower limbs for a year and a half. He was hospitalized in our hospital at 20:00 on Apr. 2, 2009.

Essentials for Diagnosis:

1. The patient has suffered from ALS, accompanied by the inactive walking and loss of his balance of the two lower limbs for a year and a half.

2. In August, 2007, the patient began to feel the feet prolapsing without obvious reasons. He felt weakness of the lower limbs especially the right lateral position. The muscles of the four limbs occasionally twitched, and that of the two legs twitched more obvious. So he went to the local hospital (name unknown). After the inspection of CT, he was firstly diagnosed as ALS. He didn't take any treatment apart from taking Rilutek capsules. So he came to our hospital on Apr. 2, 2009 for treatment.

3. T 36.3¡æ, P 80 times/minute, R 20 times/minute, BP 130/70mmHg.

4. He grew normally with medium-level nutrition. His mind was clear. He had an expression of chronic illness and tiredness. His body was cooperative with his mind.

5. No thoracic deformity. The sound of breath was bilaterally normal on auscultation. No sound of pleural friction. The heart border was not enlarged. The heart beat was 80 times/minute. The cardiac rhythm was regular. No pathological murmurs on auscultation.

6. The atrophy of the right thigh was obvious. The right feet prolapsed. He couldn't walk very smoothly. The muscles of the four limbs occasionally twitched. The myodynamia of the two lower limbs was of Grade¢òwith reduced muscular tension.

7. Accessory examinations: Absent.

Diagnostic Basis:

TCM: The patient's two lower limbs are inactive. He has lost his balance for a year and a half. He has spleen-stomach vacuity. Lack of qi and blood makes it unable to supplement nutrition to the body and sinews. So the body is weak, and then the atrophy worsens gradually. The waist is the house of the kidneys, the kidneys govern the bones. Lack of the essence causes the limp waist and knees as well as emaciation of the muscles, which results in wilting pattern.

Western Medicine: The patient's two lower limbs are inactive. He has lost his balance for a year and a half. The atrophy of the right thigh was obvious. The right foot prolapsed. He was unable to walk very smoothly. The muscles of the four limbs occasionally twitched. The myodynamia of the two lower limbs was of Grade¢òwith reduced muscular tension.

 

Diagnostic Differentiation:

TCM: The patient's wilting pattern should be differentiated from impediment pattern. Wilting pattern is mainly characterized by limp, weak, and emaciated limbs with the numbness of the muscles. But the patient usually has no joint pains. On the contrary, impediment pattern is generally characterized by the joint pains. So they are not difficult to be distinguished.

Western Medicine: ALS should be differentiated from tumor of spinal cord, which is characterized by nerve root pains of the upper limbs, but without extensive trembling of the muscles. Besides, there is disturbance of sensation and obstruction of the subarachnoid cavity. The disease can be diagnosed clearly by the examination of CT or MRI.

First Diagnosis:

TCM diagnosis: Wilting pattern

Symptom identification: Spleen-stomach vacuity, obstruction of qi and blood .

Western Medicine diagnosis: ALS

Plans for treatment strategy and nursing:

1. Routine care of traditional Chinese internal medicine.

2. Grade II care.

3. Accompanied by assistants.

4. Low-fat and high-protein diet.

5. TCM treatment strategy: Fortify the spleen and boost the kidneys, move qi and supplement the blood.

6. Herbal tea: one dosage a day and drink twice.£¨180ml once£©

7. Acupuncture and massage: once a day.

8. Supplement each examination for admission.

 

Date: Apr. 3, 2009                                       Time: 11: 00 a. m.

The patient felt inactive in walking by the two lower limbs, and he has lost his balance for a year and a half. In August, 2007, the patient began to feel prolapsing of the feet without obvious reasons. He felt weakness of the lower limbs especially in the right leg. The muscles of the four limbs occasionally twitched, and that of the two legs twitched more. So he went to the local hospital (name unknown). After the inspection of CT, he was firstly diagnosed as ALS. Then he has taken Rilutek capsules up to now. Presently the patient began to feel prolapsing of the right foot. He felt weakness of the lower limbs. His sleeping was normal. His appetite was ok. His urine and stool were regular. After the inspection, the patient's atrophy of the right thigh was obvious. The right foot prolapsed. He had floating pulse in the left wrist. His tongue body is thin and fissured. He had tooth-marks on the edges of the tongue. According to the symptoms of the tongue and pulse, Professor Yang believed that the patient had suffered from wilting pattern due to the spleen-kidneys vacuity and obstruction of qi and blood. So the treatment strategy for him was to fortify the spleen and boost the kidneys, move qi and quicken the blood.

The prescription was as follows: baizhu (ovate atractylodes root), chuanxiong (ligusticum root), etc. 4 dosages in total.

 

Date: Apr. 4, 2009                                       Time: 15: 00 p. m.

The feedback of the examination today was as follows: Blood R (£­), Urine R (£­), Stool R (£­). The function of the liver and kidneys was normal. 

 

Date: Apr.6, 2009                                        Time: 9: 00 a. m.

The patient said that his muscles of the lower limbs occasionally prolapsed. His walking was not so good. His sleep was normal. The appetite was ok. His urine and stool were regular. The prescription was changed a little bit. 4 dosages in total.

 

Date: Apr. 10, 2009                                       Time: 9: 00 a. m.

The patient's right ankle became much better in acting. He said that the little finger and the third finger had the feeling of numbness for 3 years. There was not muscular jumping up to now. So the prescription was changed a little bit. 5 dosages in total.

 

Date: Apr. 14, 2009                                      Time: 8: 40 a. m.

The patient said that the walking of the lower limbs were better. The right ankle was more active than before. The muscles of the two limbs had occasional spasms and jumping. The other conditions were ok. So the prescription was the same as before. 4 dosages in total.

 

Date: Apr. 18, 2009                                       Time: 8: 40 a. m.

The patient said that the muscular jumping of the lower limbs lessened, but that of upper limbs occurred again. The numbness of the fingers was better. His walking continued to become better. His right foot still can't upturn. Continue to take the same prescription. 4 dosages in total.

 

 Date: Apr. 22, 2009                                       Time: 9: 00 a. m.

His condition was stable. There was no obvious change. The prescription was changed a little bit. 4 dosages in total.

 

Date: Apr. 25. 2009                                       Time: 9: 00 a. m.

Yesterday he walked for 3-4 hours and he felt good. But he felt uncomfortable in the outer side of the right foot today. After walking, the muscular jumping of the right thigh was obvious. The other conditions were ok. Continue to take the same prescription as Apr. 18. 4 dosages in total.

 

Date: Apr. 30, 2009                                       Time: 10: 00 a. m.

 His condition was stable. There was no obvious change. Continue to take the same prescription. 2 dosages in total.

 

Date: May 2, 2009                                        Time: 9: 00 a. m.

His condition was stable. He was very happy. He decided to leave our hospital for the expired visa in the afternoon. Continue to take the same prescription after going back to his own country. 60 dosages in total.

 

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  Case-13  Case-14  Case-15  Case-16  Case-17  Case-18  Case-19   Case-20  Case-21  Case-22  Case-23  Case-24  Case-25  Case-26  Case-27   Case-28      Case-29  Case-30  Case-31 

¡¡