Brief Summary: June 7th, 2006, a 16 years
old girl
who has got MS (multiple sclerosis) for 6 yeas and comes from Australia.
She could not stand well and could not walk in a stable way. She has
got 70% obvious improvement as to
all her symptoms in two
months treatment.
¡¡
Record of
Hospitalization
Name: Miss
M Sex: female
Age:
16 Profession: student
Nationality:
Australia
Date of
hospitalization: June 3, 2006
Marital Status:
not married
Major complaints:
Numbness of the lower limbs. No strength
of anklebone and the knee joints. Lack of stability when walking. Her condition
aggravated progressively in recent six years.
History of present illness: The patient got a fever six years ago, afterwards
she suffered numbness of the lower limbs and no
strength of anklebone and knee joints. She was
diagnosed with
multiple sclerosisat the
local hospital. She was treated by western medicine but there was no
improvement. Her condition even aggravated progressively,
lack of stability when walking.
She is not aversion
to coldness. She has fever sense. Frequent night urination,
more than 4 times each night. Regular food intake. The urine is normal.
Constipation. The bowel movement is once every seven days. The tongue coating is
thin and whitish.
She has no infectious disease history of
tuberculosis, hepatitis and typhoid. No history of blood transfusion and no allergy to any medicine. No
addiction of smoking and drinking.
She began to menstruate when she was 14 years old. She has one
menstruation every 3-6 months. Black color and clots of the menstrual
blood.
She is under treatment for regulating menstrual cycle.
One of her uncles in her family has MS. Her parents are both healthy.
Physical Examination: Normal growth of her body and common
nutrition level. Clear consciousness and cooperative. No yellow stain of the
skin sclera. No edema of the
superficial
lymph nodes. Normal growth of her head and five sense organs. Sensitive to the
light reflection. Symmetrical size of the pupillae. Dry lips. No hyperaemia in
the throat. No edema of the tonsil and
thyroid gland. Her neck touches naturally soft. Thoracic cage is
symmetrical. Normal vocal fremitus. Clear percussion sound. Normal breath sound
in the lungs. Spirant of the pleura. The heart rate are 70 times per minute.
Normal rhythm of the heart. The abdomen is flat and soft. No pressing pains and
no rebound tenderness. No pressing pains in the region of kidneys. Normal
intestinal gurgling sound. No malformation of spinal column and limbs. No
pressing pains and no warm sense of the lower limbs. When lying
on the bed, her feet couldn¡¯t be straightened.
Diagnosis:
multiple sclerosis (deficiency of liver and
kidney)
Treatment strategy: Clearing heat,
moisturizing dryness, nourishing the stomach and yin, tonifying the liver and
kidney. The acupuncture and massage practiced each day.
June 4, 2006
Good sleep. The night urination is once. Whitish and thin tongue body. Yellowish
tongue coating. Fine and rapid pulse.
June 5, 2006
The bowel movement is four times until today. The stool is soft. Night urination
is once.
June 6, 2006
The night urination and bowel movement are once. No obvious discomfort. Good
spirit. The routine urine examination indicates that there exists blood in her
urine.
June 8, 2006
Good sleep. The night urination is once. Fine and rapid pulse. The tongue
coating is thin and whitish.
astragalus root 30g£¬
white peony root 10g£¬ ophiopogon
tuber 15g£¬ tangkuei 10g£¬
etc.
June 11, 2006
The night urination is once. Good spirit. The foot can straighten. Fine and rapid
pulse. The tongue coating is thin and whitish.
June 12, 2006
No discomfort. Good spirit. The night urination is once. Reduced frequency of
shaking when she walks.
June 19, 2006
The night urination is seven times. Urine is normal after the routine urine
examination.
June 23, 2006
Great improvement of walking ability. She can walk for much distance.
The shaking frequency is obviously reduced but there is still no good change of
his balance ability. Deep and fine pulse. Whitish and thin tongue coating.
She can walk with more strength. Very good spirit. Obviously reduced night
urination. The pulse is deep and fine. Whitish and thin tongue coating. The
treatment strategy will focus on fortifying spleen, boosting qi, nourishing
liver and kidney.
Good spirit and sleeping quality. The night urination was three times. She drank 2500ml
water. The pulse is deep and fine. Whitish and thin tongue coating.
She keeps on with the herbal tea.
July 3, 2006
She caught a cold last night. Runny nose. Sore throat. We suggest she stop the
herbal tea.
July 5, 2006
She feels dizzy and hot sense and takes temperature. It is 37.6 C. The pulse is
fine and rapid. Whitish tongue coating.
angelica root 10g,
mint 10g, notopterygium root 10 g, turmeric 10g, etc.
July 8, 2006
Dizziness. Hot sense. Aversion to the coldness. She gets temperature at 37.5 C.
The heart rate is 72 times per minute and the rhythm is regular. No rale in
the lungs.
July 10, 2006
She feels lack of strength because of the cold. Fine pulse. Whitish and thin
tongue coating. The treatment strategy will focus on fortifying spleen and
boosting qi, tonifying the liver and kidney.
The patient feels abdominal pains at afternoon. Obvious pains of the left body.
July 19, 2006
The abdominal pains relieved. Her walking ability becomes more stable than
before. The shaking frequency is reduced obviously. Fine pulse. Whitish and thin
tongue coating.
cooked rehmannia root 20g£¬
eucommia bark 12g£¬ white peony root
15g£¬ lycium berry 15g£¬ etc.
July 24, 2006
She can walk with more strength and stability. She keeps on with the previous
formula and add epimedium 15g and rubus berry 15g into the original formula.
July 28, 2006
Walking ability is stable. No any bad reaction to the herbal tea. Fine pulse.
The tongue coating is whitish and thin.
cooked rehmannia root 20g£¬
cornus fruit 15g£¬ millettia root
and stem 15g£¬ tangkuei 10g£¬
etc.
August 2, 2006
She has had menstruation for 11 days. Little amount. Fine pulse. Whitish and thin
tongue coating.
During the treatment, she doesn¡¯t feel any discomfort. The tongue coating is
thin and whitish. Fine pulse.
Another MS case that we
helped well.
Janos, is
41-year-old male comes from Hungary. He is suffering
from MS. On November 20, he
started to receive TCM treatment. Before the treatment,
he had double vision for 13 years. And he had no power
of double lower limbs. His steps were not stable. After
receiving TCM treatment for 23 days, his double vision
disappeared. Double lower limbs have more strength. The
balance of walking improves a lot. Sometimes he can walk
without a stick.
