October 7, 2004

Major complaint:

Painful left hip joint and inconvenient movement for half a year. Male, 60 years old, a resident in our local city Huaihua.

The patient does not feel dizziness, tinnitus. There is a salty taste in the mouth. Slight thirst at night. The appetite is good. Sleep and spirit are good. No coughing and phlegm spitting. Cold drinks or hot drinks both Ok. Recently, the stomach feels slight distention. The stool is neither hard nor sloppy. The urine is not yellowish. The night urine is three to four times each night for half a year. No back pains. The hands and feet are not cool. There is no hot sense in the soles and palms in the afternoon, no night sweating.

The x-ray today reveals that old fracture of the head of the femur of the left hip. It is ischemia and narcrosis locally.

Diagnosis:

Narcrosis of the head of thighbone of the left hip (western medicine)

Qi stagnation and blood stasis (Chinese medicine)

In this case, usually western medicine advices operation to replace the head of the thighbone, yet we try to avoid operation first, thus to use TCM treatment to see the result.

Treatment strategy:

Quickening blood circulation, transforming blood stasis, moving qi, relieving pains, clearing heat.

frankinsence 9g myrrha 9g peach kernel 10g carthamus flower 10g drynaria 15g mistletoe 10g eucommia bark 10g honeysuckle 15g achyranthes root 10g wild chrysanthemum flower 10g dandelion 10g millettia root and stem 10g sausurean root 10g cuscuta seed 20g

To be decocted. Taking 200 milliliters in the morning and another 200 milliliters in the afternoon. To avoid spicy and oily foods.

                                                                                                                                Dr. Zhu Ming

October 11, 2004.

After taking five dosages, the patient feels 30% reduction of pains. The movement is slightly more convenient. Not so much thirsty and salty taste in the mouth now. The night urination is reduced to twice a night.

frankinsence 9g myrrha 9g peach kernel 10g carthamus flower 10g drynaria 15g mistletoe 10g eucommia bark 10g honeysuckle 15g achyranthes root 10g wild chrysanthemum flower 10g dandelion 10g millettia root and stem 10g sausurean root 10g cuscuta seed 20g toosendon fruit  10g

Five dosages are prescribed.

                                                                                                                                 Dr. Ming

October 16, 2004.

After taking the above formula for 5 days, the thirst is more severe. The local pains were relieved. The night urination is three time each night

frankinsence 8g myrrha 8g sausurean root 10g chicken's gizzard  10g peach kernel 10g carthamus flower 10g drynaria 15g mistletoe 10g eucommia bark 10g honeysuckle 15g achyranthes root 10g wild chrysanthemum flower 10g dandelion 10g millettia root and stem 10g glenia   15g ophiopogon tuber 10g

Taking the above dosages for 5 days.

                                                                                                                                 Dr. Ming

October 26, 2004

The walking and movement are much more convenient. Still the patient feels obvious thirst. Frequent urination. The urine is not yellowish. There is slight discomfort in the lower abdomen. There is no constipation. There is no discomfort or pains at the back. The tongue is moist. There is no yellowish and greasy tongue coating.

frankinsence 8g myrrha 8g sausurean root 10g chicken's gizzard  10g peach kernel 10g carthamus flower 10g drynaria 15g psoralea seed 10g mistletoe 10g eucommia bark 10g honeysuckle 15g achyranthes root 10g  dandelion 20g cuscuta seed 20g cuttle-fish bone 20g solomon's seal root 20g trichosanthes root  20g

To take the above formula for another five dosages.

                                                                                                                                   Dr. Ming

November 1, 2004.

The patient said the thirst and frequent urination are being improved. Occasionally there is a slight discomfort at the lower abdomen. The walking is more convenient. The patient reported 40% recovery as to his general condition and pains.

frankinsence 8g myrrha 8g sausurean root 10g chicken's gizzard  10g peach kernel 10g carthamus flower 10g drynaria 15g psoralea seed 10g mistletoe 10g eucommia bark 10g honeysuckle 15g achyranthes root 10g  dandelion 20g cuscuta seed 20g solomon's seal root 20g cyperus root 10g ovate atractylodes rhizome 10g

To take the above formula for 5 dosages.

                                                                                                                                   Dr. Ming

November 8, 2004

The patient said that the local pains have been relieved 50%. Still slight thirst. The tongue coating is thin and yellowish. These two days, the night urination is 4 times each night.

frankinsence 8g myrrha 8g sausurean root 10g chicken's gizzard  10g peach kernel 10g carthamus flower 10g drynaria 15g psoralea seed 10g mistletoe 10g eucommia bark 10g honeysuckle 15g achyranthes root 10g  dandelion 20g complanate astragalus seed  20g ligustrum seed 10g eclipta 10g  solomon's seal root 20g cyperus root 10g

Five dosages of the above formula were offered to the patient.

                                                                                                                                    Dr. Ming

November 19, 2004

The patient said there is a slight distention in the lower abdomen. The appetite is normal. Sleep is normal. Thirst is not obvious. The night urination is three to four times. The patient feels 60% improvement of the pains and inconvenience of movement.

peach kernel 10g codonopsis root 15g psoralea seed 10g dandelion 20g mulberry seed 15g carthamus flower 10g ovate atractylodes rhizome 10g eucommia bark 10g complanate astragalus seed  15g sausurean root 12g ligusticum root 10g earth worm  10g honeysuckle 15g ligustrum seed 15g barley sprout  15g red peony root 15g drynaria 10g achyranthes root 10g eclipta  10g

Offer 5 dosages for the patient.

                                                                                                                                     Dr. Ming

November 29, 2004

The patient said that the local area has good feeling. The patient could carry a heavy article. Walking is more convenient. Slight thirst. Slight distention in the lower abdomen.

peach kernel 10g dandelion 20g ovate atractylodes rhizome 10g sausurean root 12g ligustrum seed 15g eclipta  10g phragmites root 10g codonopsis root 15g mulberry seed 15g eucommia bark 10g ligusticum root 10g barley sprout15g red peony root 15g ophiopogon tuber 10g psoralea seed 10g carthamus flower 10g complanate astragalus seed  15g earth worm  10g drynaria 10g achyranthes root 10g

To give 5 dosages to the patient.

                                                                                                                                         Dr. Ming

December 3, 2004

The patient reported the condition has improved 70%. The appetite is good. The spirit is good. Night urination twice each night. Slight thirst. Slightly yellowish tongue coating. Liking cold drinks.

peach kernel 10g sausurean root 1g phragmites root 10g eucommia bark 10g red peony root 15g carthamus flower 10g  drynaria 15g dandelion 20g ligustrum seed 10g codonopsis root 15g ligusticum root 10g  ophiopogon tuber 10g complanate astragalus seed  15g achyranthes root 10g ovate atractylodes rhizome 10g eclipta 10g mulberry seed 15g barley sprout15g psoralea seed 10g earth worm  10g 

To offer 6 dosages, a dosage a day.

                                                                                                                                        Dr. Ming

December 21,2004

The patient said that the spirit, appetite and sleep are normal. Generally, 80% recovery has been felt. Slight thirst.

The tongue is moist. There is no yellowish coating.

The patient likes cold drinks.

peach kernel 10g phragmites root 10g eucommia bark 10g red peony root 15g carthamus flower 10g  drynaria 10g dandelion 20g  codonopsis root 15g  complanate astragalus seed  15g mulberry seed 15g earth worm  10g  millettia root and stem 10g ligustrum seed 15g ligusticum root 10g  achyranthes root 10g  eclipta 10g  psoralea seed 10g silk worm 15g

To offer 3 dosages for the patient.

                                                                                                                                        Dr. Ming

January 5, 2005

The patient said that the current appetite, sleep and spirit are normal. Slight thirst. The night urination is once or twice each night. The left hip has no abnormal feeling. The patient could carry heavy article. The walking and movement are normal. Having stopped using our herbal tea for a few days. The x-ray made today finds much newly-growing bone cells at the head of the femur.

So after about three months herbal treatment, the patient has very good improvement. All the symptoms have been cured and the operation is avoided successfully. Now the patient will go home. Advice the patient taking care of daily life, do not carry heavy article, do not take spicy foods. Offer another three dosages as below to adjust the general body.

peach kernel 10g carthamus flower 10g phragmites root 20g glenia   10g ophiopogon tuber 10g codonopsis root 15g ovate atractylodes rhizome 15g drynaria 15g achyranthes root 10g mulberry seed 10g cuscuta seed 10g lycium berry 10g Chinese yam 10g