Record
of Hospitalization
Name:
Mr. R Sex: Male
Age:
27
Marital status: Single
Nationality: Bulgaria
Date of
Hospitalization: December 1, 2005.
Major
complaint: His lower limbs lack of strength for two years, and his left eye
has double vision. The problems have become worse in the latest two months.
Disease
history:
He felt
that his lower limbs lacked strength without obvious reason, two years ago.
Stiffness of the ankle joints. Limited movement of the knee joints. Over the
past half an year, he found that he could not see things clearly with the
left eye and the double vision appeared. He always felt dizzy and lack of
balance while walking. When he went up and down stairs he had to hold the
handrail. If he walked for 50 meters, he would feel very fatigue and obvious
stiff of his lower limbs. He has taken the treatment in his local hospital
for two years but with no effect.
At
present, he has stiffness of the left knee and ankle joints. Night sweating
sometimes. Dry throat. Bad spirit and easy to be tired. The patient has
insomnia and poor appetite. His bowel movement is once every 7-9 days, and
the stool is constipated. His urination is not smooth and there is dribbling
after urination. Reddish and dry tongue body with no tongue coating. There
are many deep fissures on his tongue. Thready and rapid and feeble pulse.
He does
not have history of tuberculosis and hepatitis or other infectious diseases.
He has no experience of blood transfusion or allergy to medicine. No
external injury.
He was
born in Bulgaria and his living condition is ordinary. He has never been to
the places where have contagious diseases. He likes smoking and drinking
coffee. He is a good firefighter and is very optimistic. There is no such
disease case in his family.
Physical check-up:
Normal
growth of his body. He has clear mind and can move his body naturally.
The skin is normal. There is no swelling of his lymph nodes, no malformation
of his head bone and five sense organs. Normal size of the pupillae and be
sensitive to the reflection of light. His ears, nose, lips and throat are
all OK. There is no swelling of his thyroid and tonsil. His thorax is
symmetrical, and no vibration when we touch it. His lungs work well in
breathing. The heart rate is 73 beats every minute with normal rhythm and no
susurrus. His abdomen is soft and full. There are no pressing pains, no
rebound tenderness, and no appearance of abdominal vein. No lump of his
abdomen. Normal state of the spine and limbs. No red swelling of the joints.
His lower limbs are stiff and weak, he can not move freely. No cyanosis of
his fingers and no dropsy of his lower limbs. Bicepa brachii tendon,
musculus triceps brachii tendon of the both sides and the two knee tendons,
heel tendons are all normal.
Diagnosis:
-
TCM : Blood Numbuess Pttern (deficiency of
the liver-yin and kidney-yin)
¡¤
Western Medicine: MS (multiple sclerosis)
December 2, 2005.
He has
weak lower limbs for two years. The patient also has poor eyesight of the
left eye and double vision. Lack of balance while walking. He can neither
stand with one leg nor see things clearly. He does not have bowel movement
for 9 days. The urination is difficult. Appetite and sleep are not good.
Reddish tongue body and without tongue coating. His pulse is deep and fine
and feeble.
salvia
root 30g£¬
moutan root bark 6g£¬
millettia root and stem 10g£¬
peach kernel 10g£¬
etc.
Dr. YangQiuWen
December 4, 2005.
His
lower limbs are much stronger than before. Good sleeping. He still has no
bowel movement. The eyesight is the same as before. His tongue body is
reddish and no tongue coating. Obvious fissures on the tongue. The pulse is
deep and fine and weak.
silkworm 10g, spiny jujube kernel 10g, ovate atractylodes root 10g,
tangkuei 10g, etc.
Dr. YangQiuWen
December 6, 2005.
His
lower limbs become much more stronger. Sleep and appetite are both fine. He
still has no bowel movement. The tongue body is reddish and no tongue
coating. Obvious fissures on the tongue. The pulse is deep and fine and
weak.
flowery
knotweed root 10g, ovate atractylodes root 10g, codonopsis root 10g,
spiny jujube kernel 10g, etc.
Dr.
YangQiuWen
December 8, 2005.
His
lower limbs can move freely, but still weak. The double vision has no obvious
improvement. He still has no bowel movement until now. The tongue body is
reddish with no tongue coating. Rapid and powerful pulse.
moutan
root bark 6g, astragalus root 30g, cistanche desertliving 20g, carthamus
flower 6g, etc.
Dr.
YangQiuWen
December 10, 2005.
His
ankle joints are more flexible and stronger than before. Double vision is
improved. Normal sleep. Slightly Reddish tongue body and thin tongue
coating. The pulse is string-like and slippery and powerful. The bowel
movement is once every four days.
cooked
rehmannia root 10g, peach kernel 10g, licorice root 6g, tangkuei 10g,
etc.
Dr.
YangQiuWen
December 13, 2005.
His
knees and ankle joints are stronger than before. The ability to keep balance
has improved. Double vision has further improvement. Bowel movement is once
every three days. Sleep and appetite are good. Reddish tongue body and less
tongue coating. Good improvement of the fissured tongue.
astragalus root 60g, moutan root bark 6g, peach kernel 10g, cooked
rehmannia root 10g, etc.
Dr.
YangQiuWen
December 16, 2005.
He
feels very good than before. The legs become more stronger and flexible, but
still feel weak. The ability to keep balance has further improved, yet the
poor balance ability when he feels fatigue. Sleep and appetite are normal.
Bowel movement is once every three days. Frequency of the urination. Sleep
and appetite are fine. Reddish tongue body. Good improvement of the fissured
tongue. Fine and weak pulse.
astragalus root 30g, millettia root and stem 10g, ovate atractylodes root
10g, codonopsis root 30g, etc.
Dr.
YangQiuWen
December 19, 2005.
He
feels very well today. The eyesight is great improved than before and no
ambiguous vision. His walking is much more improved. Bowel movement is once
every three days. Reddish tongue body with fissures. No tongue coating. His
pulse is string-like and fine.
cistanche desertliving 10g, peach kernel 10g, cooked rehmannia root 10g,
tangkuei 30, etc.
Dr. YangQiuWen
December 22, 2005.
Double
vision has obviously improved. No dry mouth. His left foot is weak and lack
of balance. Reddish tongue body and less tongue coating. His pulse is
stringy-like and fine.
carthamus flower 6g, cistanche desertliving 10g, ovate atractylodes root
10g, astragalus root 50g, etc.
Dr.
YangQiuWen
December 25, 2005.
Abdominal distention and stomach distention. There is good improvement of
his eyesight. No sweating last night. If he walks a bit longer, he will be
tired and could not keep balance.
poria
10g, flowery knotweed root 10g, moutan root bark 6g, cooked rehmannia root
10g, etc.
Dr.
YangQiuWen
December 28, 2005.
Abdominal distention has disappeared. Further improvement of
his eyesight and his ability to keep balance. Fissures in his tongue have
become less. His pulse is string-like and fine. Bowel movement and
urination are normal.
polygala root 10g, poria 10g, flowery knotweed root 10g, cistanche
desertliving 10g, etc.
Dr.
YangQiuWen
January
1, 2006.
His
double vision has reduced. He can walk for 2 kilometers and does not feel
tired. Reddish tongue body with fissures and less tongue coating. Sleep and
appetite are normal. Fine pulse. The right pulse is string-like. Normal
urination. The bowel movement is once every two days. Sleep and appetite are fine.
poria
10g, cooked rehmannia root 10g, millettia root and stem 15g, dendrobium stem
10g, etc.
Dr.
YangQiuWen
January
3, 2006.
Fissures in the tongue body have reduced. His double vision has continually
improved. There are tooth marks on the edge of the tongue. Reddish tongue
body. The tongue coating is thin and whitish. Normal bowel movement and
urination. Poor balance ability.
dendrobium stem 10g, poria 10g, cooked rehmannia root 15g, millettia root
and stem 15g, etc.
Dr.
YangQiuWen
January
6, 2006.
Stiffness and weakness of the feet have disappeared. If he goes to stoop,
his feet will shake. The pulse is rapid and string-like. Slightly reddish
tongue body with fissures.
ligusticum root 15g, ovate atractylodes root 10g, poria 10g, cooked
rehmannia root 10g, etc.
Dr.
YangQiuWen
January
9, 2006.
He
would be dizzy and tired after some movement. The double vision is the same
as before. Appetite and sleep are fine. Bowel movement and urination are
normal. Slightly reddish tongue body and thin tongue coating. The pulse is
rapid and string-like and weak.
poria
10g, ovate atractylodes root 10g, ligusticum root 15g, cooked rehmannia
root 15g, etc.
Dr.
YangQiuWen
January
12, 2006.
His
whole condition has improved so much. The scope of double vision has reduced
much, and his ability to keep balance is better than before. Fissures on the
tongue body have definitely reduced. The pulse is fine and string-like.
ligustrum fruit 10g, tangkuei 10g, poria 10g, cooked rehmannia root 10g,
etc.
Dr.
YangQiuWen
January
15, 2006.
He can
walk stably and with much strength. The movement of the ankle joints is
agile. He can stand by one leg, but can not keep it so balanced. Bowel
movement is once a day. Fissures have almost disappeared. Slightly reddish
tongue body and thin tongue coating. The pulse is fine and string-like and
powerful.
poria
10g, ligustrum fruit 10g, tangkuei 10g, ligusticum root 15g, etc.
Dr.
YangQiuWen
January
18, 2006.
Good
balance while walking. The double vision has improved obviously. Slightly
reddish tongue with thin tongue coating. His sleep and appetite are OK. The
pulse is fine and string-like.
poria
10g, millettia root and stem 15g, tangkuei 10g, cooked rehmannia root 10g,
etc.
Dr.
YangQiuWen
January
21, 2006.
The
balance is the same as before. When he walks quickly the ankle joints would
be stiff. He could stand with the right leg, and poor ability of his left
leg. The bowel movement is once a day. Sleep and appetite are fine. Slightly
reddish tongue with thin tongue coating. Fine and powerful pulse.
ligustrum fruit 10g, ligusticum root 15g, cooked rehmannia root 10g,
poria 10g, etc.
Dr.
YangQiuWen
January
24, 2006.
His
double vision has further improved. He can stand by one leg and keep it
balanced and could stand maintain for 5-7 seconds at most. It becomes less
difficult for him to go up and down stairs. There is a little numbness of
left thigh and a little stiffness of his ankle joints when he begins to run.
The bowel movement is once a day. Normal urination. Sleep and appetite are
fine. Slightly reddish tongue with thin tongue coating. Fine and powerful
pulse.
ligustrum fruit 10g, poria 10g, tangkuei 10g, cooked rehmannia root 10g,
etc.
Dr. YangQiuWen
January
30, 2006.
The
double vision has disappeared. His ability to keep balance is well, yet when
he walks quickly his balance would be not so good. Weak ankle joints and
could not do more exercise. He is not able to run at the moment. Slightly
reddish tongue with thin tongue coating. Fine and powerful pulse.
February 2, 2006.
The
double vision has completely disappeared, but the eyesight is not clearly.
When he walks quickly his ankle joints would become stiff. Good balance
while standing with one leg. Slightly reddish tongue with less tongue
coating. No fissures on the tongue body. Fine and powerful and string-like
pulse. The bowel movement is once a day. Normal urination. Sleep and
appetite are both fine.
ligusticum root 15g, millettia root and stem 30g, tangkuei 10g, red peony
root 10g, etc.
Dr.
YangQiuWen
February 5, 2006.
He
feels very good today. He went shopping yesterday, and he did not feel
discomfort of his ankle joints. His double vision has disappeared for
several days, but his eyesight is still not very well. He can stand like normal people. Slightly reddish tongue with less tongue coating. No
fissures basically. Fine and powerful pulse. The bowel movement is once a
day. Normal urination. Sleep and appetite are both fine. Normal ability to
keep balance when standing on one leg.
poria
10g, red peony root 10g, alisma tuber 6g, ovate atractylodes root 10g,
etc.
Dr.
YangQiuWen
February 7, 2006.
The
double vision has completely disappeared. He could stand with one leg like
other people, but he could not walk so long. Slightly reddish tongue with
less tongue coating. No fissures basically. Fine and powerful pulse.
achyranthes root 30g, astragalus root 30g, alisma tuber 6g, ligustrum
fruit 10g, etc.
Dr.
YangQiuWen
February 10, 2006.
The
double vision has completely disappeared. He has a little discomfort of his
ankle joints. His appetite and sleep are good. Bowel movement and urination
are normal. Slightly reddish tongue and thin tongue coating. Fine and
string-like pulse.
ligusticum root 15g, ovate atractylodes root 10g, poria 10g, red peony
root 10g, etc.
Dr.
YangQiuWen
February 12, 2006.
He went
shopping yesterday for about one hour, feeling dizzy and tired. Limited
movement of the knee joints. Slightly reddish tongue and less tongue
coating. String-like pulse. His appetite and sleep are good. Bowel movement
is normal. Urination difficulty and dribbling after urination.
alisma
tuber 10g, ligusticum root 15g, tangkuei 30g, phellodendron bark 15g, etc.
Dr. YangQiuWen
February 14, 2006.
He felt
weak yesterday, but today he is in a good state. No double vision. The ankle
joints would be stiff after some movement. Slightly reddish tongue body and
thin tongue coating. His appetite and sleep are good.
cooked
rehmannia root 15g, ovate atractylodes root 10g, ligustrum fruit 10g, red
peony root 10g, etc.
Dr.
YangQiuWen
February 16, 2006.
The
double vision has disappeared for half a month, and there was no relapse.
Reddish tongue with thin tongue coating. His pulse is deep and fine. Reddish
tongue body and thin tongue coating. He has urination difficulty, but the
condition is improved so much.
ovate
atractylodes root 10g, astragalus root 10g, phellodendron bark 10g,
gentian root 10g, etc.
Dr.
YangQiuWen
February 19, 2006.
He
feels very well today. No double vision now. Weakness and stiffness of his
ankle as well as knee joints have disappeared. Normal bowel movement and
urination. His pulse is fine and powerful. Reddish tongue with thin tongue
coating.
poria
10g, alisma tuber 6g, cooked rehmannia root 15g, ovate atractylodes root
10g, etc.
Dr.
YangQiuWen
Summarization of the treatment
The
patient began his treatment on December 1, 2005. At that time, he had weak
lower limbs, poor eyesight and double vision. Lack of balance while walking
and need handrail when he went up and down stairs. He could not practice so
much, and would be tired after walking 50 meters. Stiffness of the left knee
and ankle joints. His bowel movement is once every 7 to 9 days. Insomnia and
night sweating and poor appetite. Urinary difficulty. Reddish tongue body
with much deep fissure. No tongue coating. The pulse is deep and fine and
weak.
The
whole treatment process
After
the first month treatment, the scope of his double vision has reduced from
one meter to 50 centimetres.
The stiffness of his knees and the lack of
strength of his lower limbs have improved obviously.
After
the second month, his double vision has nearly disappeared, and his bowel
movement is once every 2-3 days instead of every 7 days. The stiffness of
his ankle joints and knees has disappeared. He can stand on one leg for 20
seconds, and his ability to keep balance became better. Because of the good
treatment result, he decided to stay in our hospital for one more month.
Condition after our TCM treatment:
After
the third month, he has no double vision and he can see things clearly. The
patient could stand stably on one leg for one minute. He even can jump by
one leg and dose not need to hold the handrail when he goes up and down
stairs. He can walk for 2-3 kilometers and do not feel tired and stiff of
his legs. The fissures on the tongue have disappeared. Sleep and appetite
are good. His bowel movement and urination are normal.
Doctor's advice after leaving hospital:
1:
Continue to take the herbal tea for 2-3 months, in order to consolidate the
improvement and to avoid relapsing.
2: Take
more nutritious food and less sweet food.
3: Be
careful of cold and freezing.
4: Keep
in touch with us when need additional assistance.
¡¡
More
other successful treatment cases for MS:
Case-1
Case-2 Case-3
Case-4 Case-5
Case-6 Case-7
Case-8
¡¡