Brief Summary:
The patient Mrs. Kim, from America, has
suffered from inflexibility of the right hand, asthenia of the
left hand, and general joints asthenia accompanied by a
staggering gait for one and a half years. After three-month
treatment here, her condition has been improved quite a lot.
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
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
¡¡
