TCM China:  

Record of Herbal Treatment Of James from Ireland Improvement Of  MND
 

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Brief Summary: On Nov 25, 2007, James, from Greek, who suffered from muscular contraction and weakness of his lower limbs, accompanied with difficulty in walking, was hospitalized in our Huaihua Red Cross Hospital. After more than three-month TCM treatment here, the muscular contraction and weakness of his lower limbs have got much improvement, so the difficulty in walking. The edema on his lower limbs almost disappeared.

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Record of Hospitalization

Name: James                                                                                                                Sex: Male

Age: 54                                                                                                                         Profession:  Farmer

Nationality: Ireland                                                                                                       Marital Status: Married

Onset Season: Autumn                                                                                                 Date of Admission: Nov 25, 2007

Complainer: The patient himself                                                                                     Reliability: Reliable

Major Complaint: The patient has suffered from muscular contraction and weakness of his lower limbs, accompanied with difficulty in walking for 2 years, and the condition has been aggravated for one month.

Present Illness: In Oct. 2005, the patient began to feel muscular contraction and weakness in his lower limbs, accompanied with difficulty in walking without any obvious causes. But at that time, the patient paid no attention to it, and did no treatment about it. Therefore, the disease was aggravated progressively. In Jan. 2006, the patient went to a local hospital for blood examination and EMG examination. As a result, he was diagnosed with Motor Neuron Disease (MND). Then the patient was given acupuncture treatment for once a week. He kept the treatment until today, but without any obvious improvement. In July 2007, the patient began to take herbal tea from our hospital. After 4-month herbal tea treatment, he felt that his muscular weakness got better. Over the past one month, the patient¡¯s condition has aggravated. He was able to walk slowly with the support of the crutches. To seek for a better treatment, he was hospitalized in Huaihua Red Cross Hospital at 01: 30 on Nov 25, 2007. Since he got the disease, his spirit and appetite were both normal with a sound sleep. His bowel movement and urination were both normal.

Disease History: No history of typhoid, tuberculosis, hepatitis, malaria or other infectious diseases. No allergic history of medicine or food. No history of trauma or operation. No history of blood transfusion. History of preventive vaccination not provided. In 2002, he suffered from asthma. Since then, he has been taking medicine for it.

Personal History: He was born in Ireland. No contact history of schistosomiasis. No addiction to smoking, alcohol or special food. He was mild-tempered and open-minded.

Marital History: He got married at the age of 37. He has four sons. His wife and children have been healthy all the time.

Family History: His father has passed away. His mother keeps healthy. No family history of special disease.

Physical Examination:

T 36.5¡æ£¬P 80 beats/minute, R 20 times/minute, BP 120/80 mmHg.

He grew normally with common nourishment. His mind was clear. He had an expression of chronic illness and languidness. His body was in a positive posture and he was cooperative in examination. His 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 deformity of the skull and the five sense organs. No swollen tonsil. Soft neck and the trachea placed in the middle. No enlargement of the thyroid gland. No congestion of the jugular vein. No thoracic deformity. Sound of breath was bilaterally normal on auscultation. No respiratory rales or pleural friction rubs. Heart border was normal. Heart beat was 80 times/minute. Cardiac rhythm was regular. No pathological murmurs on auscultation. Abdomen touched flat and soft without tenderness or rebounding tenderness. The liver and spleen were not palpable. No percussion pains in the renal region. Bowel sound was normal. No spinal and pelvic deformity or tenderness. His upper limbs were in flexible movement without any abnormality. He has suffered from muscular contraction and weakness, accompanied by difficulty in walking especially serious in his right leg. He had to walk with the support of the crutches. He walked in spastic gaits. The muscles of the quadriceps femoris in his lower limbs were atrophic, and below his double knee joints, there was obviously sunken edema. The examination to his raising straight legs was (+). The muscle strength of his lower limbs was Grade ¢òwith normal muscle hyperthyroidism. The examinations to the anus and pudendum were both normal. His physiological reflex exists. Other pathological symptoms have not been elicited. His tongue was red with little tongue coating. There were cracks in the middle of his tongue with teeth marks at the edge of the tongue. His pulse was deep, thready and weak

Diagnostic examination: Not provided.

First Diagnosis:

TCM diagnosis: 1. Wilting syndrome

2. Asthma

Symptom diagnosis: Liver-Kidney yin vacuity.

Western medicine diagnosis: Motor Neuron Disease (MND)

First Medical Record

Nov. 25, 2007

James, a 54-year-old male, has suffered from muscular contraction and weakness of the lower limbs, accompanied with difficulty in walking for 2 years, and the condition has been aggravated for one month. He was picked up by our staff in Zhijiang Airport and arrived in Huaihua Red Cross Hospital for further treatment at 01: 23 a.m. on Nov. 25, 2007.

Essentials for Diagnosis:

1. The patient has suffered from muscular contraction and weakness of his lower limbs, accompanied with difficulty in walking for 2 years, and the condition has been aggravated for one month.

2. In Oct. 2005, the patient began to feel muscular contraction and weakness in his lower limbs, accompanied with difficulty in walking without any obvious causes. But at that time, the patient paid no attention to it, and did no treatment about it. Therefore, the disease was aggravated progressively. In Jan. 2006, the patient went to a local hospital for blood examination and EMG examination. As a result, he was diagnosed with Motor Neuron Disease (MND). Then the patient was given acupuncture treatment for once a week. He kept the treatment until today, but without any obvious improvement. In July 2007, the patient began to take herbal tea from our hospital. After 4-month herbal tea treatment, he felt that his muscular weakness got better. Over the past one month, the patient¡¯s condition has aggravated. He was able to walk slowly with the support of the crutches. To seek for a better treatment, he was hospitalized in Huaihua Red Cross Hospital at 01: 30 on Nov 25, 2007. Since he got the disease, his spirit and appetite were both normal with a sound sleep. His bowel movement and urination were both normal.

3. T 36.5¡æ£¬P 80 beats/minute, R 20 times/minute, BP 120/80 mmHg.

4. He grew normally with common nourishment. His mind was clear. He had an expression of chronic illness and languidness. His body was in a positive posture and he was cooperative in examination.

5. He has suffered from muscular contraction and weakness, accompanied by difficulty in walking especially serious in his right leg. He had to walk with the support of the crutches. He walked in spastic gaits. The muscles of the quadriceps femoris in his lower limbs were atrophic, and below his double knee joints, there was obviously sunken edema. The examination to his raising straight legs was (+). The muscle strength of his lower limbs was Grade ¢òwith normal muscle hyperthyroidism.

6. No thoracic deformity. Chest percussion noted clearly. Sound of breath is bilaterally clear on auscultation. No sound of pleural friction.

7. Diagnostic examination: Not provided.

Diagnostic Basis:

TCM: The patient has suffered from muscular contraction and weakness of the lower limbs, accompanied with difficulty in walking for 2 years, and the condition has been aggravated for one month. Due to liver-kidney yin vacuity, the essence-blood could not nourish his sinews and vessels, and then it gradually results in flaccidity. As a result, his essence withers and the sinews become dry, and the muscles of the legs decrease. Then the patient keeps a poor spirit. Since the liver and kidneys are in charge of bones engendering essence. With the deficiency of the marrow-essence, the patient feels aching pains of the lumbus and knees with difficulty in walking. The patient¡¯s tongue was red with little tongue coating. There were cracks in the middle of the tongue with teeth marks at the edge of the tongue. The pulse was deep, thready and weak.

Western medicine: The patient has suffered from muscular contraction and weakness of the lower limbs, accompanied with difficulty in walking for 2 years, and the condition has been aggravated for one month. He has suffered from muscular contraction and weakness, accompanied by difficulty in walking especially serious in his right leg. He had to walk with the support of the crutches. He walked in spastic gaits. The muscles of the quadriceps femoris in his lower limbs were atrophic, and below his double knee joints, there was obviously sunken edema. The examination to his raising straight legs was (+). The muscle strength of his lower limbs was Grade ¢òwith normal muscle hyperthyroidism. In Jan. 2006, he went to a local hospital for a blood examination and EMG examination, and was diagnosed with Motor Neuron Disease (MND).

Diagnostic Differentiation:

TCM: The patient¡¯s wilting syndrome should be differentiated from impediment syndrome. In the late period of impediment syndrome, because of aching limbs joints, the patient can not do any movements. The limbs are out of work for such a long time and the muscles are weak and atrophic, which is similar to flaccidity. But impediment syndrome is generally characterized by painful joints. The patients who suffer from wilting syndrome feel that the limbs are weak and limp. In general, there is no pain in limbs joints. They are not difficult to be distinguished in clinics.

Western medicine: Wilting syndrome should be differentiated from myasthenia gravis, which is an acquired autoimmune disease with the transferring obstacles of nerve-muscles, and is caused by the autoimmune reaction resulting from the acetylcholine receptor (AchR) of the striated muscle. It can occur at any age and there are about 60 percent people stricken before 30 years old. Women are more often affected than men are. The most obvious characteristics of MG are rapid fatigability of the affected skeletal muscles, and will be improved with rest or medicines that inhibit the activity of cholinesterase. MG patients of different ages often have different clinical manifestations and courses, which are different from those of wilting syndrome patients.

First Diagnosis:

TCM diagnosis: 1.Wilting syndrome

2. Asthma

Symptom identification: Liver-Kidney yin vacuity.

Western medicine diagnosis: 1.Motor Neuron Disease (MND)

2. Asthma

Plans for treatment strategy and nursing:

1. Routine care of traditional Chinese internal medicine.

2. Grade II care.

3. High-protein and low-fat diet.

4. Herbal tea (to enrich and supplement kidneys and liver, to strengthen sinews and free the network channels): taking 3 dosages of the herbal tea and one dosage a day and drink twice.

Prescription: Varied Decoction of the Major Yin-Enriching Supplementation.

Main herbs used in the herbal tea: zexie (alisma tuber), huangqi (astragalus root), baishao (white peony), etc.

5. Acupuncture and massage: once a day.

6. Have more medical examinations if necessary.

 

Date: Nov. 25, 2007                               Time: 10:00 a.m.

He has suffered from muscular contraction and weakness, accompanied by difficulty in walking for 2 years, especially serious in his right leg. He had to walk with the support of the crutches. He walked in spastic gaits. Below his double knee joints, there was obviously sunken edema. He felt that his lower limbs were weak along with aching pains of the lumbus and knees. The muscles of double legs were atrophic, while the movement of his joints was normal. His diet was normal, so were his bowel movement and urination. His mouth was dry and was eager to drink. His tongue was red and tender with little tongue coating. There were cracks in the middle of his tongue with teeth marks at the edge of the tongue. His pulse was deep, thready and weak.

Admittance diagnosis: Wilting syndrome

Symptom diagnosis: Spleen-kidney lungs vacuity.

Western medicine diagnosis: Motor Neuron Disease (MND)

Principle of TCM treatment: enriching and supplementing the liver and kidneys, strengthening the sinews and freeing the network channels.

Doctor¡¯s requirement is to take three dosages of the herbal tea of the same prescription.

 

Date: Nov. 27, 2007                               Time: 9:00 a.m.

Three regular examinations and the examination to the functions of the liver and kidneys are all normal. Doctor¡¯s requirement is to add peach kernel and other herbs into his formal herbal tea for three dosages.

 

Date: Nov. 30, 2007                               Time: 9:00 a.m.

The swellings on his lower limbs lessened. There was no other abnormality. He was in a good condition. The doctor advised him to take another five dosages of the herbal tea of the former prescription.

 

Date: Dec. 5, 2007                               Time: 9:00 a.m.

The patient¡¯s sleep and diet are almost normal. His lower limbs were heavy and weak with difficulty in walking. He felt that his limbs were cold. The doctor advised him to take five dosages of the herbal tea of the following prescription, including the following herbs: huangqi (astragalus root), baisheng (white ginseng), baji (morinda root), and so on.

 

Date: Dec. 10, 2007                               Time: 9:00 a.m.

The muscles of his legs were atrophic. Below his knee joints, the symptoms of edema and weakness both lessened. The doctor advised him to keep 4 dosages of the herbal tea of the above prescription.

 

Date: Dec. 14, 2007                               Time: 9:00 a.m.

Below his knee joints, the symptoms of edema disappeared. The symptoms of losing balance lessened when he walked. Doctor¡¯s requirement is to take five dosages of the herbal tea of the same formula.

 

Date: Dec. 19, 2007                               Time: 9:00 a.m.

The patient¡¯s sleep was poor, so the doctor added spiny jujube kernel, polygala root, etc. into the former herbal tea. He will take one dosage a day for further examination.

 

Date: Dec. 25, 2007                               Time: 9:00 a.m.

The strength of his lower limbs increased, and his edema lessened significantly. Other conditions were normal. The doctor arranged his herbal tea as following formula: shudi (cooked rehmannia root), huangqi (astragalus root), and huainiuxi (achyranthes root), etc, and take 7 dosages.

 

Date: Dec. 26, 2007                Time: 9:00 a.m.

Summary Stage

James, a 54-year-old male, has suffered from muscular contraction and weakness of his lower limbs, accompanied with difficulty in walking for 2 years, and the condition has been aggravated for one month. He was hospitalized in Huaihua Red Cross Hospital for TCM treatment at 01: 23 a.m. on Nov. 25, 2007. So far, he has been hospitalized for 30 days.

Admission Condition:

T 36.5¡æ£¬P 80 beats/minute, R 20 times/minute, BP 120/80 mmHg.

His heart and lungs were normal, and his abdomen was soft and flat. He has suffered from muscular contraction and weakness, accompanied by difficulty in walking especially serious in his right leg. He had to walk with the support of the crutches. He walked in spastic gaits. The muscles of the quadriceps femoris in his lower limbs were atrophic, and below his double knee joints, there was obviously sunken edema. The examination to his raising straight legs was (+). The muscle strength of his lower limbs was Grade ¢òwith normal muscle hyperthyroidism. His spirit, appetite and sleep were all poor. His bowel movement and urination were both normal. His tongue was red with thin and white tongue coating. His pulse was thready and weak.

Admission Diagnosis:

TCM diagnosis: Wilting syndrome

Symptom diagnosis: Liver-Kidney yin vacuity

Western medicine diagnosis: Motor Neuron Disease (MND)

The Course of Diagnosis:

Since the patient was hospitalized here, he was prescribed herbal tea to enrich and supplement liver and kidneys, to strengthen the sinews and free the network channels.

Prescription: Varied Decoction of the Major Yin-Enriching Supplementation.

One dosage a day and drink twice. 100ml each time, accompanied with acupuncture and massage once a day for a comprehensive treatment. The patient¡¯s condition got some improvement.

The Current Condition:

T 36.4¡æ£¬P 80 beats/minute, R 20 times/minute, BP 120/82 mmHg.

His heart and lungs are normal, and his abdomen is soft and flat. The strength of his lower limbs has increased. The edema in his lower limbs has lessened obviously. The patient still has difficulty in walking and needs the support of crutches. The atrophy in the muscles of the quadriceps femoris also has got much obvious improvement. The examination to his raising straight legs was (+). The muscle strength of his lower limbs was Grade ¢òwith normal muscle hyperthyroidism. His spirit, appetite and sleep were all poor. His bowel movement and urination were both normal. His tongue was red with thin and white tongue coating. His pulse was thready and weak.

The Current Diagnosis:

TCM diagnosis: Wilting syndrome

Symptom diagnosis: Liver-Kidney yin vacuity.

Western medicine diagnosis: Motor Neuron Disease (MND)

Plans for treatment strategy:

1. Continue to take the herbal tea.

2. Acupuncture and massage for once a day.

3. Keep a pleasant mood and open-minded spirit.

4. Take some functional exercise properly.

 

Date: Dec. 30, 2007                               Time: 9:00 a.m.

The strength of his lower limbs has increased. The edema on his lower limbs has lessened obviously. His heart and lungs were normal, and his abdomen was soft and flat. His spirit, appetite and sleep were all good. His bowel movement and urination were both normal. His tongue was red with white tongue coating. His pulse was deep, thready and weak. The doctor advised him to follow the former formula.

 

Date: Jan. 5, 2008                               Time: 9:00 a.m.

The strength of his lower limbs has increased. The edema on his lower limbs has lessened obviously. His heart and lungs were normal, and his abdomen was soft and flat. His spirit, appetite and sleep were all good. His bowel movement and urination were both normal. His tongue was red with white tongue coating. His pulse was deep, thready and weak. The doctor advised him to take another 5 dosages of the herbal tea of the former formula.

 

Date: Jan. 11, 2008                               Time: 9:00 a.m.

Since the patient was hospitalized in our hospital, he has increased four kilograms in weight. The strength of his lower limbs has increased a lot, and his limbs have become more flexible. The edema on his lower limbs has lessened obviously. So far, He kept a pleasant mood. He would continue to take another 5 dosages of the herbal tea of the former formula.

 

Date: Jan. 16, 2008                               Time: 9:00 a.m.

His condition was the same as the above. Therefore, the doctor advised him to take another 5 dosages of the herbal tea of the former formula.

 

Date: Jan. 21, 2008                               Time: 9:00 a.m.

The strength of his lower limbs has increased significantly, and the limbs turned out to be more flexible than before. The edema on the limbs has almost disappeared. The patient was very excited and also built the confidence of the TCM treatment. He demanded to extend time for further treatment. The doctor adjusted his formula a little and asked him to take another 5 dosages.

 

Date: Jan. 26, 2008                               Time: 9:00 a.m.

The patient¡¯s condition has kept stable. The doctor adjusted his herbal tea a little, adding Lycium into the former herbal tea and advised the patient to take another 5 dosages.

 

Date: Jan. 26, 2008                 Time: 9:00 a.m.

Summary Stage

James, a 54-year-old male, has suffered from muscular contraction and weakness of the lower limbs, accompanied with difficulty in walking for 2 years, and the condition has been aggravated for one month. He was hospitalized in Huaihua Red Cross Hospital for TCM treatment at 01: 23 a.m. on Nov. 25, 2007. So far, he has been hospitalized for 60 days.

 

Admission Condition:

T 36.5¡æ£¬P 80 beats/minute, R 20 times/minute, BP 120/80 mmHg.

His heart and lungs were normal, and his abdomen was soft and flat. He has suffered from muscular contraction and weakness, accompanied by difficulty in walking especially serious in his right leg. He had to walk with the support of the crutches. He walked in spastic gaits. The muscles of the quadriceps femoris in his lower limbs were atrophic, and below his double knee joints, there was obviously sunken edema. The examination to his raising straight legs was (+). The muscle strength of his lower limbs was Grade ¢ò with normal muscle hyperthyroidism. His spirit, appetite and sleep were all poor. His bowel movement and urination were both normal. His tongue was red with thin and white tongue coating. His pulse was thready and weak.

Admission Diagnosis:

TCM diagnosis: Wilting syndrome

Symptom diagnosis: Liver-Kidney yin vacuity.

Western medicine diagnosis: Motor Neuron Disease (MND)

The Course of Diagnosis:

Since the patient was hospitalized here, he was prescribed herbal tea to enrich and supplement liver and kidneys, strengthen the sinews and free the network channels.

Prescription: Varied Decoction of the Major Yin-Enriching Supplementation.

One dosage a day and drink twice. 100 ml each time, accompanied with acupuncture and massage once a day for a comprehensive treatment. The patient¡¯s condition got some improvement.

The Current Condition:

T 36.5¡æ£¬P 80 beats/minute, R 20 times/minute, BP 120/80 mmHg.

His heart and lungs are normal, and his abdomen is soft and flat. The strength of his lower limbs has increased a lot. The edema on his lower limbs has almost disappeared. The difficulty in walking has got some improvement. The muscle strength of his lower limbs was Grade ¢òwith normal muscle hyperthyroidism. His spirit, appetite and sleep were all good. His bowel movement and urination were both normal. His tongue was red with thin and white tongue coating. His pulse was thready and weak.

The Current Diagnosis:

TCM diagnosis: Wilting syndrome

Symptom diagnosis: Liver-Kidney yin vacuity.

Western medicine diagnosis: Motor Neuron Disease (MND)

Plans for treatment strategy:

1. Continue to take the herbal tea.

2. Acupuncture and massage for once a day.

3. Keep a pleasant mood and open-minded spirit.

4. Take some functional exercise on his lower limbs properly.

 

Date: Feb. 1, 2008                               Time: 9:00 a.m.

The patient said that his right knee joint was painful, but the movement was normal. The doctor required him to keep the formula of Jan. 26th and take 5 dosages.

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Date: Feb. 5, 2008                               Time: 9:00 a.m.

The patient¡¯s condition has kept stable. The doctor adjusted his herbal tea a little and told him to take another 5 dosages.

 

Date: Feb. 10, 2008                               Time: 9:00 a.m.

The patient told the doctor that there were no special changes. Therefore, he will continue to take another 5 dosages of the herbal tea of the same formula.

 

Date: Feb. 15, 2008                               Time: 9:00 a.m.

The patient sometimes feels that his knee joints are painful. It is considered as the changes of the weather. Therefore, he will continue to take another 5 dosages of the former prescription.

 

Date: Feb. 20, 2008                               Time: 9:00 a.m.

The strength of his lower limbs has increased, and the difficulty in walking has improved a lot than before. There was still a slight swelling and dumbness in the lower limbs. The doctor adjusted his herbal tea as following: shudi (cooked rehmannia root), huangqi (astragalus root), niuxi (achyranthes root), etc. and take 5 dosages.

 

Date: Feb. 25th 2008                               Time: 9:00 a.m.

Recently, the patient sat for much more time, so the swelling on his lower limbs has been aggravated. The doctor adjusted the above herbal tea a little and required him to take 4 dosages.

 

Date: Feb. 26, 2008                 Time: 9:00 a.m.

Summary Stage

James, a 54-year-old male, has suffered from muscular contraction and weakness of his lower limbs, accompanied with difficulty in walking for 2 years, and the condition has been aggravated for one month. He was hospitalized in Huaihua Red Cross Hospital for TCM treatment at 01: 23 a.m. on Nov. 25, 2007. So far, he has been hospitalized for 90 days.

Admission Condition:

T 36.5¡æ£¬P 80 beats/minute, R 20 times/minute, BP 120/80 mmHg.

His heart and lungs were normal, and his abdomen was soft and flat. He has suffered from muscular contraction and weakness, accompanied by difficulty in walking especially serious in his right leg. He had to walk with the support of the crutches. He walked in spastic gaits. The muscles of the quadriceps femoris in his lower limbs were atrophic, and below his double knee joints, there was obviously sunken edema. The examination to his raising straight legs was (+). The muscle strength of his lower limbs was Grade ¢ò with normal muscle hyperthyroidism. His spirit, appetite and sleep were all poor. His bowel movement and urination were both normal. His tongue was red with thin and white tongue coating. His pulse was thready and weak.

Admission Diagnosis:

TCM diagnosis: Wilting syndrome

Symptom diagnosis: Liver-Kidney yin vacuity.

Western medicine diagnosis: Motor Neuron Disease (MND)

The Course of Diagnosis:

Since the patient was hospitalized here, he was prescribed herbal tea to enrich and supplement the liver and kidneys, to strengthen the sinews and free the network channels.

Prescription: Varied Decoction of the Major Yin-Enriching Supplementation

One dosage a day and drink twice. 100 ml each time, accompanied with acupuncture and massage once a day for a comprehensive treatment. The patient¡¯s condition got some improvement.

The Current Condition:

T 36.4¡æ£¬P 80 beats/minute, R 20 times/minute, BP 120/82 mmHg.

His heart and lungs are normal, and his abdomen is soft and flat. The strength of his lower limbs has increased a lot. The difficulty in walking has got much more improvement than before. The muscle strength of his lower limbs was Grade ¢òwith normal muscle hyperthyroidism. His spirit, appetite and sleep were all good. His bowel movement and urination were both normal. His tongue was red with thin and white tongue coating. His pulse was deep and thready.

The Current Diagnosis:

TCM diagnosis: Wilting syndrome

Symptom identification: Liver-Kidney yin vacuity.

Western medicine diagnosis: Motor Neuron Disease (MND)

Plans for treatment strategy:

1. Continue to take the herbal tea.

2. Acupuncture and massage for once a day.

3. Keep a pleasant mood and open-minded spirit.

4. Take some functional exercise on his lower limbs properly.

 

Date: Feb. 29, 2008                               Time: 9:00 a.m.

The edema in the patient¡¯s lower limbs has lessened. Doctor¡¯s requirement is that he should continue to take five dosages of the herbal tea of the same prescription.

 

Date: Mar. 4, 2008                               Time: 9:00 a.m.

The patient¡¯s condition has kept normal. He will continue to take another 4 dosages of the herbal tea of the same prescription.

 

Date: Mar. 9, 2008                               Time: 9:00 a.m.

After the hospitalization in our hospital and the treatment of enriching and supplementing the liver and kidneys, accompanied by strengthening the sinews and freeing the network channels, the muscular contraction and weakness of his lower limbs have got some improvement, so has the difficulty in walking. The edema on his lower limbs has lessened significantly. He demanded to leave the hospital with three-month herbal tea of the former prescription and 10-day honey pills for home taking.

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