Name: Zhan Xiaoqing

Sex: Female

Age: 42

June 21, 2005.

April, 2004, the edge of the little toe pained and swelled terribly; the front parts of the phalange of the two feet pained, so they could not touch the ground when walking. In addition, the 8 knuckles are swelling and painful and slightly distorted, and could not bend and extend and could not use power. These 8 fingers are red and swollen. There are pulsating, burning and needling pains. There is no cold sense. When putting the hands in cold or hot water, the pains are almost the same. Yet when the weather changes, the pains become worse. At present, the right joint of the shoulder and the right hip joint are painful. All the red and swollen joints feel painful when pressing them. In these recent two months, the biting joint before the right ear pained; could not use power to eat food; it is painful too when opening the mouth or pressing it locally.

Compared to the right phalanges, the left phalanges pain in the slighter way, also the left knuckles pain in the slighter way compared to the right knuckles. Many years of dizziness and headache which is felt on both temples and the top of the head. It is distending pain. This pain can be relieved by pressing and striking on the head. The eyesight becomes dim slightly. There are often ulcers in the mouth cavity. No bitter and thirsty sense in the mouth. She drinks not too much water daily. She prefers cold drinks. No coughing and expectoration.

There is a distending and discomfortable sense under sternum. Bad appetite. The spirit is not so bad. Every night, she sleeps for 6 to 7 hours. Abdominal distention during menstrual period, liking pressure and warmth on the abdomen. The bowl movement is normal, once a day. Slightly yellowish urine. No nocturnal urination. Waist bones pain. No pains of the generalized muscles over the body.

When the lower limbs are painful, the slight swelling of the lower limbs appears. The feet become heavy. The palms and the soles have the obviously hot sense. She feels aversion to coldness in winter. The laboratory check reveals the RF(匯). After taking herbal products, the pains could be relived. When the pains become the most severe, the patient has to get intravenous injection to control the pains if 3 to 4 days treatment is offered. The left wrist pulse is thready and string-like and the right wrist pulse is feeble and thready. The tip of the tongue is red. The tongue coating is yellowing and greasy. The tongue is a bit dry.

Formula:

codonopsis root 15g,  ovate atractylodes rhizome 10g,  Chinese yam 10g,  poria 10g,  tangkuei root 10g,  ligusticum root 10g,  white peony root 10g,  cooked rehmannia root 20g,  baiwei cynanchum 15g,  phellodendron bark 15g, notopterygium 10g,  duhuo angelica 10g,  chaenomeles root 10g,  siegesbeckia10g, millettia root and stem 10g,  earth worm 10g,  pearch kernel 10g,  carthamus flower 10g,  atractyloes rhizome 10g,  mulberry seed 15g,  eucommia bark 10g,  dandelion 15g

                                                                                                                                                       Dr. Ming

June 24, 2005.

After taking the herbal tea, the stomach accepts the tea well. The dizziness is not worsened. Normal sleep. Appetite is reduced 30%. The spirit is not good. Lassitude of the extremities. Slightly yellowish urine. The stool is not sloppy. The pains of all the knuckles have been relived 20%. The flexibility of them recovers 20%. The hot sense in all joints is reduced.

Formula:

hawthorn 15g,  codonopsis root 15g,  ovate atractylodes rhizome 15g,  Chinese yam 10g,  poria 10g,  tangkuei root 10g,  ligusticum root 10g,  white peony root 10g,  cooked rehmannia root 20g,  baiwei cynanchum 15g,  phellodendron bark 15g,  notopterygium 10g,  duhuo angelica 10g,  chaenomeles root 10g,   siegesbeckia10g,  earth worm 10g,  pearch kernel 10g,  carthamus flower 10g,  atractyloes rhizome 10g,  millettia root and stem 10g,  mulberry seed 15g,  eucommia bark 10g, dandelion 15g,  honey suckle 15g

                                                                                                                                                      Dr. Ming

June 28, 2005.

The agility degree of knuckles movement is improved 50%. The pains of the knuckles are reduced 50%. The redness and swelling of the knuckles are improved obviously. The pains of the occlusal joint of the right face are relieved 80%. It feels much better when chewing and opening the mouth.

The painful points of the sole get relief of 50%. Agility of the joints is being improved obviously. She feels comfortable to walk with all the relief of the feet.

The appetite, sleep and spirit became normal. The intestinal thundering is obvious in the lower abdomen. Much gas passing. The stool is little bit sloppy, twice to three times a day. In the past before taking the tea, the stool is not sloppy and once per day.

The pulse is slightly slippery and soggy. The tip of the tongue is reddish. The tongue coating is yellowish and greasy. The tongue body is slightly dry.

Formula:

codonopsis root 15g,  tangkuei root 10g,  notopterygium 10g,  duhuo angelica 10g, pearch kernel 10g,  mulberry seed 10g,  ovate atractylodes rhizome 15g,  ligusticum root 10g,  carthamus flower 10g, dandelion 15g,  Chinese yam 10g,  white peony root 10g,  chaenomeles root 10g,  millettia root and stem 10g,  honey suckle 15g, poria 10g,  cooked rehmannia root 20g,  siegesbeckia10g,  atractyloes rhizome 10g, hawthorn 15g, phellodendron bark 15g,  earth worm 10g,  eucommia bark 10g

                                                                                                                                                     Dr. Ming

July 7, 2005.

After 4 days of steaming treatment of herbal tea, message half an hour per time, the patient felt her condition is being recovered obviously. Now she could walk easily; the pains of the knuckles disappear. If pressing the knuckles, they are slightly painful. Slightly dry mouth. Slightly yellow and greasy tongue coating. Today, the patient felt 50% general improvement about her condition. It is about 20% improvement about her general condition before steaming treatment.

Formula:

codonopsis root 15g,  notopterygium 10g,  duhuo angelica 10g,  pearch kernel 10g, mulberry seed 10g,  ovate atractylodes rhizome 10g,  ligusticum root 10g,  carthamus flower 10g,  dandelion 15g,  Chinese yam 10g,  chaenomeles root 15g,  millettia root and stem 15g,  honey suckle 10g,  cooked rehmannia root 15g,  siegesbeckia10g,  atractyloes rhizome 10g,  phellodendron bark 10g,  earth worm 10g,  scorpion 4g,  centipede 2 pieces

                                                                                                                                                    Dr. Ming

July 12, 2005.

The knuckles and bones of the soles feel relaxed and comfortable. No obvious pains and swelling of the joints. Convenient to use the fingers and to walk.

At present, the main problem focuses on the pains of the waist bones. The appetite, spirit and sleep are good.

Slightly red tongue body. Thin and white tongue coating with little yellow tongue coating as well. Slight teeth marks are found. Advise to decoct the herbal tea for more than 40 minutes each time.

Formula:

codonopsis root 15g,  carthamus flower 10g,  white peony root 10g,  dandelion 15g,  siegesbeckia10g,  pearch kernel 10g,  Chinese yam 10g,  atractyloes rhizome 10g, mulberry seed 15g,  chaenomeles root 15g,  phellodendron bark 10g,  ovate atractylodes rhizome 15g,  millettia root and stem 15g,  earth worm 10g,  ligusticum root 10g,  honey suckle 15g,  silkworm 10g,  notopterygium 10g, duhuo angelica 10g,  cooked rehmannia root 15g,  centipede 2 pieces

                                                                                                                                                 Dr. Ming

July 18,2005.

The pains of the fingers and sole and the waist bone disappear. She is now walking normally

No dizziness. Normal appetite and sleep. Dreaminess, slightly dry mouth. Normal color of the urine. The stool is little bit sloppy, once a day. Much gas passing.