On Jan. 23, 2009, Osama, from Bahrain, who has suffered from
ALS, accompanied with the symptoms of the stiffness and weakness
of the four limbs for 6 months, was hospitalized in our
hospital. He has achieved significant improvement after 28 days
TCM treatment here.
Record of Hospitalization
Married Date of Admission:
Jan. 23, 2009
Grain in Ear Date of Record:
Jan. 23, 2009
The patient himself Degree of Reliability:
First Medical Record
Date: Jan. 23, 2009 Time:
2: 00 a. m.
Osama, a 50-year-old male, has suffered from the stiffness and
weakness of the four limbs for 6 months. It became more serious
for two months. He was hospitalized in our hospital for
treatment on Jan. 23, 2009.
Essentials for Diagnosis:
1. T 36.4≧,
P 80 times/minute, R 20 times/minute, BP 140/100 mmHg.
His present symptoms were as follows: the stiffness of the
joints of the four limbs; atrophy and weakness of the muscles
all over the body; spasms; obvious jumping of the muscles of the
upper arms and occasional muscle jumping of the other parts of
the body. He could walk about 20 meters with the help of
mobility aids. He could go on simple movements such as eating,
tooth brushing, etc. with using the upper limbs but could not
dressing and lifting articles with the hands. The functions of
speaking, swallowing and breathing were normal. He had no
symptoms of headache; tinnitus; spontaneous sweating; night
sweating; cough and rales in the lungs. His vision was normal.
Occasionally, he had the symptom of nasal congestion. He was
easy to have a cold. He was fond of drinking water. His appetite
was good. He didn¨t feel mouth dry and bitter. There was tidal
fever of. his chest, palms and soles. His urine and bowel
movement were normal.
spirit was good. He had an expression of chronic illness. He
grew normally. He seemed to be skinny. His body was in a
negative posture. He was confined to a wheelchair. He had pale
red tongue, thin and yellow tongue coating, floating and deep
pulse. The heart and lungs were normal. There were no tapping
pains in the area of the kidneys. His abdomen was soft. There
were no pressing pains and rebound tenderness. The liver and
spleen can not be felt by pressing. The muscular strength of his
four limbs declined. Moreover, he had muscular hypertonia. There
was different degree of muscular atrophy all over the body. His
joints were stiff, but there were no symptoms of inflammation
and pains. Besides, there was no edema of the lower limbs, but
he had varicosity. Physiologic reflex exists, but no pathologic
4. Diagnostic examination: MRI and EMG showed he had ALS.
TCM: The patient¨s wilting pattern is due to insufficiency of qi
and yin, malnutrition of the sinews and vessels. His physical
condition is originally weak, so kidney vacuity can not control
the fire, and this condition results in effulgent fire
tormenting metal and the loss of the lung function. Accordingly,
the fluids can not reach the five viscera and then this
condition causes the malnutrition of the body which eventually
brings about crippling wilt.
Western Medicine: The patient has typical symptoms including
peripheral paralysis of the upper limbs, central paralysis of
the lower limbs, motor neuron mixed lesion of the four limbs,
etc. Accessory examinations of MRI and EMG show that he has ALS.
TCM: The patient¨s wilting pattern should be differentiated from
impediment pattern. Wilting pattern is characterized by limp,
weak, and emaciated limbs with the numbness of the muscles. But
the patient usually has no joint pains. On the contrary,
impediment pattern is generally characterized by joint pains,
sometimes with the numbness and emaciation of the muscles. They
are not difficult to be distinguished.
Western Medicine: ALS should be differentiated from tumor of
spinal cord, which is characterized by nerve root pains of the
upper limbs, but without extensive trembling of the muscle
bundles. Besides, there is disturbance of sensation and
obstruction of the subarachnoid cavity. The disease can be
diagnosed clearly by the examination of CT or MRI.
TCM (Traditional Chinese Medicine) diagnosis: Wilting pattern
Symptom identification: Depletion of liver-kidney.
Western Medicine diagnosis: ALS
Plans for treatment strategy and nursing:
care of traditional Chinese internal medicine.
the care of a companion.
and high-protein diet.
and massage: once a day.
the functional exercise of the four limbs: once a day.
tea: one dosage a day and drink twice.
Main herbs used in the herbal tea: gouqi (lycium berry), baizhu
(ovate atractylodes root), chuanxiong
(ligusticum root), etc.
Date: Jan. 26, 2009 Time:
10: 00 a. m.
The patient said his diet was normal. His sleep was better than
before. Yesterday he slept seven hours. The jumping of the
muscles all over the body had lessened 50%. The pains of his
shoulder joints improved a lot. The movement of the four limbs
greatly lightened. The patient felt the healing effect was
obvious. Continue to take the same prescription.
Date: Jan. 29, 2009 Time:
10: 00 a. m.
His diet, sleep and drinking were normal. The jumping of the
muscles all over the body and the pains of the shoulder joints
disappeared. He could flex his right fingers. His gripping power
obviously increased. The ability to raise his hands also
improved a lot. The height of raising the hands was nearly
parallel to the ground. His mood was comparatively stable. So
the doctor suggested him to take only half of the western
medicines which were used to treat depression and relieve
muscular spasms. There was no obvious stiffness of the muscles
all over the body. His pulse was floating and slippery. His
tongue coating was slightly slippery.
Date: Feb. 1, 2009 Time:
10: 00 a. m.
His diet and sleep were normal. There were no symptoms of the
jumping of the muscles and joint pains. He could feel slight
stiffness of the muscles of the lower limbs. Based on the
ground, he could raise his hands more than 90 degree. In recent
two days, his blood pressure had reduced from 140/100mmHg to
130/90mmHg. The gripping power of his hands improved. That of
his right hand was from 6.8 kilos to 10.8 kilos, and that of his
left hand from 4.2 kilos to 7.2 kilos. He would begin the
functional exercise of the four limbs tomorrow. Once a day. The
prescription was as follows: baizhu (ovate atractylodes root),
danggui (tangkuei), chuanxiong (ligusticum root), etc. 3 dosages
Date: Feb. 4, 2009 Time:
10: 00 a. m.
The patient could get up from a seat in the recent days.
Yesterday he walked about 50 meters with the help of mobility
aids, while he could walk just about 20 meters when he came
here. His diet and sleep were normal. The prescription was
changed a little. 3 dosages in total.
Date: Feb. 7, 2009 Time:
11: 00 a. m.
Today he could walk about 70 meters with the help of mobility
aids. The joint pains of his left shoulder lessened. There was
no jumping of the muscles. His diet also improved. So he was
required to stop taking the western medicine which was used to
relieve muscle spasms. The prescription was as follows: gouqi
(lycium berry), maidong (ophiopogon tuber), shanzhuyu (cornus
fruit), etc. 3 dosages in total.
Date: Feb. 10, 2009 Time:
11: 00 a. m.
His diet and sleep were normal. There was still slight stiffness
of his lower limbs. The former prescription was changed a
Date: Feb. 13, 2009 Time:
11: 00 a. m.
His condition was stable. Furthermore, his health condition was
improving day by day. However, there was slight stiffness of the
lower limbs as well as the left fingers. The other condition was
normal. So the prescription was changed as follows: guizhi
(cinnamom twig), danggui (tangkuei), etc. 4 dosages in total.
Date: Feb. 17, 2009 Time:
11: 00 a. m.
His condition was comparatively stable. The stiffness of his
lower limbs further improved. He kept in good mood and spirit.
He decided to leave for Beijing on Feb. 20 in order to negotiate
with embassy of Bahrain to persuade his government to provide
another 2 months treatment cost in our hospital. Then he would
come back to our hospital for further treatment to consolidate
A Letter Written By Dr. Ming:
Dear Officer of Bahrain Government Concerned,
This is Dr. Zhu Ming from Huaihua Red Cross Hospital, China. I
am the Chinese medicine doctor to help your countryman Dr. Osama
Al Dallal who suffered from ALS. This condition is within the
category of the top six difficult health problems.
When he arrived here twenty days ago, his symptoms are 1. Muscle
jumping all day long over the body. 2. weak hands gripping power
4 kilos and 7 kilos.3. Joint pains over the body. 4. Stiffness
of the two legs. 5 high blood pressure. 5 could only walk for
20 meters with the aid of the walker.
We offered Chinese medicine herbal tea, massage and acupuncture
for Dr. Osama. After twenty days treatment here, we are very
happy to see very good improvement for his symptoms. 1. Muscles
jumping over the body disappear totally. 2. The gripping power
of his right hand increased 4 kilos, and that of his left hand
increased 3 kilos. 3. Joint pains 90% gone.4. Two legs are much
softer. 5. Blood pressure comes to normal range without taking
western medicine for blood pressure control. 6. Could walk 70
meters with the aid of the walker now.
So it is strongly suggested that Dr. Osama to stay here for the
continuous another two months treatment instead of only staying
here for one month. Very hopefully, he will be able to walk back
without using walker after general three months treatment here.
So please be kind to offer support and concern for this patient.
Letting him stay here for general three months please. Thank you
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