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Record of Hospitalization
Name:
Jonathan Slaughter Gender: Male
Age:
38
Marital State: Married
Profession:
Ballet Dancer Address of Birth: Worthing, UK
Nationality: British
Current Address: see below*
Date of
Hospitalization: August 1, 2004. Record Date: August 1, 2004
Major
complaint: Dry skin for 38 years, severe itching, 24 hours scratching everyday,
multiple skin ulcers, past treatments no help.
Disease
history: Jonathan complained that when he was born, mother found cuts on his
arms and dry skin. So his mother tried to use western cortisone and steroid
external use cream for him to relieve the dryness of the skin. When he was 18
years old, he went to Central Ballet School in London and studied Ballet
techniques for two years. During this period, he still was using the cream,
pills and injections.
*Chibashi Chuouku
Aoba Cho 1269
Aoba Cho No Mori
Koen Dori 7-401
Japan
When he was
25 years old, he tried to stop steroid, then he felt pretty much worse. The
symptoms are fatigue, sorness of the joints, joint stiffness, thick skin, even
could not turn his neck.. When he was 32 years old, he went to Tokyo, Japan to
teach the local people the techniques of Ballet. He used quite a lot herbal
treatment in Japan for two years, yet no obvious improvement was found; he was
given fire-purging Chinese herbal medications and this even made him feel cold
in hot summer.
Currently,
the major complaint is dry sense of the skin which feels like hard paper,
fatigue, itching very severely, and has to scratch all the time, falling off of
the skin flakes at most parts of the body skin. The two hands, two feet and the
back part of the knees have obvious ulcers, especially the swelling of the two
feets and ankles is severe. Thirst and liking much water of normal temperature,
constipation often.
Five years
ago, he felt irregular beats of the heart. But right now, this feeling has
disappeared. Asthma lasted all the time till recent four years, during which no
onset of asthma was found. When asthma happened, it is three or four times every
week. He feel always blockaded nose, nasal excretion is yellow.
Jonathan is
allergic to horse, any other animal with body hair, sometimes honey and alcohol.
He also said the right kidney is bigger than the left kidney, but no nephritis
or kidney stone or infection was found.
The total
body check is carried out. T37.1C, P 90 beats/per minute, BP 120/70 mmHg.
The left
pulse is thready and string-like, right pulse soggy. The tongue is enlarged,
moist and without tongue coating.
Diagnosis:
Yin deficiency, fulminant fire, external wind disturbing, blood dryness, the
skin fails to be nourished.
Treatment
strategy: Moistening yin, clearing heat, expelling wind, stopping itching,
enriching blood.
So the
formula for oral use is as follows. Take 200 milliliters in the morning 10:00
AM, and another 200 milliliters in the afternoon 4:00 PM.
glehnia root 12g
ophiopogon tuber 12g
Solomon¡¯s seal root 12g
scrophularia root 12g
honeysuckle 15g
wild chrysanthemum flower 15g
xanthium 10g
cnidium seed 10g
schizonepata 1 0g
ledebouriella 10g
ligusticum root 12g
peach kernel 12g
tangkuei root 10g
The second
formula is for external use for bathing, soaking, washing the skin for twenty
minutes in 11:00 AM and 5:00 PM for another twenty minutes.
schizonepata 30g
ledebouriella 30g
licorice root 50g
honeysuckle 80g
xanthium 50g
stemona 50g
cnidium seed 50g
glehnia root40g
ophiopogon tuber 40g
Solomon¡¯s seal root 40g
scrophularia root 40g
rhubarb 20g
salvia root 30g
Prescribed
by Dr. Ming 2004.8.1
August 2,
Jonathan said he could get used to the internal use herbal tea and external use
soup. Washing and soaking the skin for 15 minutes. It is too early to say if
there is good change. But it seems to him that he feel the skin on the arms is
less itching. The ulcer on the feet is less itching and would like to have some
cream to moisten the local skin.
Dr. Ming, 2004, 8, 2.
August 3,
Jonathan said the taste of the herbal tea is acceptable, not too much bitter and
not too much cold in nature. Yesterday afternoon after coming back from exposing
to strong sunlight for two hours, itching is even stronger, and the feet feel
hurting stronger. But if exposing too strong sunlight in the past, he has to
scratch strongly, but this time he did not need to scratch. This morning he
feels the skin seems to be a little bit moist. I checked the total body skin,
dry indication and flakes could be found. It is obvious that the ulcers at the
back of the two knees are disappearing. The ulcers of the feet are still
obvious. So the internal use herbal formula is as follows:
glehnia root 12g
ophiopogon tuber 12g
Solomon¡¯s seal root 12g
scrophularia root 12g
trichosanthes root 10g
honeysuckle 15g
wild chrysanthemum flower 15g
xanthium 10g
cnidium seed 10g
cicada molting 10g
schizonepata 1 0g
ledebouriella 10g
tangkuei root 10g
anemarrhena root 10g
arctium seed 10g
Two
dosages: 200 ml in the morning, another 200ml in the afternoon.
The
external use formula is as follows:
schizonepata 30g
ledebouriella 30g
licorice root 50g
honeysuckle 80g
xanthium 50g
stemona 50g
cnidium seed 50g
glehnia root40g
ophiopogon tuber 40g
Solomon¡¯s seal root 40g
scrophularia root 40g
trichosanthes root 40g
phellodendron bark 40g
anemarrhena root 40g
rhubarb 20g
cicada molting 40g
flavescent sophora root 40g
arctium seed 40g
Two
dosages: washing externally once in the morning 11:00AM, 5:00PM.
Offer
external use ointment, Meibao Moist Scalds Ointment to use external on the feet
to moisten the local skin, twice a day.
Dr. Ming, 2004.8.3
August 4,
Slaughter said yesterday from the morning till 9:30 PM, rare feel itching sense.
In the past, the whole daytime and night are of severe itching. But after 9:30,
he feels itching and has to scratch, sleep is relatively relaxed. This morning
the itching of the face is relatively more compared to other part of the total
body skin. I found that the ulcers of the two feet are getting better, swelling
is reduced 20%.
Dr. Ming, 2004.8.4
August 5,
Slaughter is feeling that itching degree is reduced 50% percent in the daytime
and 90% percent reduced at night. I found that the skin is becoming little bit
moist and the ulcers on the feet are continuing to heal.
Dr. Ming, 2004.8.5
August 6,
the skin itching degree is continuing to decrease. The feet itching is reduced
obviously. Now the upper part of the body including the face, neck, chest, upper
back is still dry and itching. More skin flakes come down. Advice the patient to
use Meibao Moist Scalds Ointment on these severe parts of skin for two to three
days to see the result. I tried to touch the skin; the skin feels like hard
paper. So the internal use formula is trying to strengthen the effect of
moistening the skin.
glehnia root15g
ophiopogon tuber 15g
Solomon¡¯s seal root 15g
scrophularia root 15g
asparagus tuber 15g
trichosanthes root 10g
honeysuckle 15g
wild chrysanthemum flower 15g
xanthium 10g
cnidium seed 10g
cicada molting 10g
schizonepata 1 0g
ledebouriella 10g
tangkuei root 10g
anemarrhena root 10g
arctium seed 10g
The
external use formula also strengthens the effect to moistening the skin.
schizonepata 30g
licorice root 100g
honeysuckle 80g
xanthium 50g
stemona 50g
cnidium seed 50g
glehnia root60g
ophiopogon tuber 60g
Solomon¡¯s seal root 60g
scrophularia root 60g
trichosanthes root 60g
asparagus tuber 60g
phellodendron bark 40g
anemarrhena root 40g
rhubarb 20g
cicada molting 40g
flavescent sophora root 40g
arctium seed 40g
In
addition offer another tube of Meibao Moist Scalds Ointment, use on the upper
part of the body skin.
Dr. Ming, 2004.8.6
August 7,
the general condition is continuing to be improved. The crispy and hard skin
which touches like hard paper is becoming moist. The scratching is much less,
and itching degree reduced obviously. Sleep is calm, appetite good, spirit good.
Jonathan used cream on the top part of the body skin twice yesterday. The ulcers
on the feet are being improved.
Dr. Ming, 2004.8.7
August 8,
the skin is becoming obviously moist. Only the skin of the neck is still dry
apparently. The itching is still from time to time, but much relieved. The
spirit and sleep are quite good. Yesterday, some friends in Huaihua and our
hospital accompanied Jonathan to our local park. Since the weather is too much
hot, so when coming back after 5 hours sightseeing, the itching worsens a little
bit, but compared to before, the itching is much slighter.
So almost
continue the same treatment strategy, put some blood quickening herbs to improve
the slight swelling of the feet.
So the oral
use formula is as follows:
glehnia root15g
ophiopogon tuber 15g
Solomon¡¯s seal root 15g
scrophularia root 15g
asparagus tuber 15g
trichosanthes root15g
honeysuckle 15g
wild chrysanthemum flower 15g
xanthium 10g
cnidium seed 10g
cicada molting 10g
schizonepata 1 0g
ledebouriella 10g
tangkuei root 10g
anemarrhena root 10g
arctium seed 10g
carthamus flower 10g
The external soaking formula is
schizonepata 30g
licorice root 100g
honeysuckle 80g
xanthium 50g
stemona 50g
cnidium seed 50g
glehnia root60g
ophiopogon tuber 60g
Solomon¡¯s seal root 60g
scrophularia root 60g
trichosanthes root 60g
asparagus tuber 60g
phellodendron bark 40g
anemarrhena root 40g
rhubarb 20g
cicada molting 40g
flavescent sophora root 40g
arctium seed40g
tangkuei root 40g
carthamus flower 40g
peach kernel 40g
August 9,
the skin continues to become moist. The feet itching are still there sometimes.
The itching at the upper part of the body is reduced greatly.
Dr. Ming,
2004.8.9
August 10,
all the conditions continue to improve. The skin is becoming moist and itching
is reduced greatly. Now the major task is to promote the recovery of the feet
swelling. So strengthen the blood quickening to reduce the swelling of the feet.
The
internal use formula two dosages as below:
glehnia root15g
ophiopogon tuber 15g
Solomon¡¯s seal root 15g
scrophularia root 15g
asparagus tuber 15g
trichosanthes root15g
honeysuckle 15g
wild chrysanthemum flower 15g
xanthium 10g
cnidium seed 10g
cicada molting 10g
arctium seed 10g
tangkuei root 10g
ligusticum root 10g
peach kernel 10g
carthamus flower 10g
anemarrhena root 10g
sparganum 8g
zedoary 8g
The
external use formula is changed to the following:
licorice root 100g
honeysuckle 80g
xanthium 50g
temona 50g
cnidium seed 50g
glehnia root60g
ophiopogon tuber 60g
Solomon¡¯s seal root 60g
scrophularia root 60g
trichosanthes root 60g
asparagus tuber 60g
phellodendron bark 40g
anemarrhena root 40g
rhubarb 20g
cicada molting 40g
flavescent sophora root 40g
arctium seed 40g
tangkuei root 40g
carthamus flower 40g
peach kernel 40g
sparganum 50g
zedoary 50g
Dr. Ming,
2004.8.10
August 11,
the skin is becoming moist. Yesterday massage half an hour of the legs. The feet
swelling are reduced very well. Even we could see the veins now.
Dr. Ming, 2004.8.11
August 12,
Jonathan said yesterday is the best day that he feels so good, almost no
itching. The mind and body are totally relaxed. The swelling on the feet is
almost gone. Add cnidium 10g in the internal use formula. Add cnidium 50g in the
external use formula.
Dr. Ming,
2004.8.12
August 13,
the general condition is steady. The skin is more moist. While yesterday feels
very itchy. This is due to the purpose we wish to promote the final blood stasis
on the feet.
Dr. Ming, 2004.8.13
August 14,
tomorrow Jonathan will leave Huaihua back for Tokyo by taking flight from Zhang
Jiajie to Shanghai. He said that he could find and feel 90% recovery, this is
the fastest recovery compared to any other treatments in the past, and also he
said that we could not imagine the nightmare he experienced in his 38 years, so
he was very pleased. Continue to former formulas for one day.
In general,
the TCM treatment is very effective and safe, and good recovery has been
obtained to Jonathan's case. After 14 days treatment, the itching is almost
gone, the skin becomes moist, skin flakes very little, the multiple ulcers are
cured. The critical point for this successful treatment is accurate Syndrome
Identification and different Treatment Determination. Chinese medicine is curing
the root of this disease. So hope he could continue to use the formula in Japan
for a period to consolidate the result so that 100% recovery can be got. Try to
avoid spicy foods, alcohol, beer, fishy foods, relax the mind, keep the happy
emotion.
Dr. Ming
August 14, 2004. |