TCM China:  

Record of Herbal Treatment Of Mrs. Fatma from Oman Improvement Of Kidney Failure
 

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Brief Summary: Ms. Fatma had been suffering from lumbar pains and swelling eyelids, accompanied by preteinuria for 6 years. Her conditions became severe in recent 2 years. She was hospitalized in our hospital on October 21, 2011 for TCM treatment. She achieved some improvement in her condition after one month TCM treatment with the help of herbal tea, acupuncture, massage etc.

 

Record of Hospitalization

Name: Fatma                                                                                                      Sex: Female

Age: 50                                                                                                              Marital Status: Married

Nationality: Omani                                                                                            Date of Admission: Oct. 21, 2011

Companion: Her Husband

 

First Medical Record

Date: Oct. 22, 2011                                      Time: 10:00 am

This 50-year-old lady had been suffering from lumbar pains and swelling eyelids, accompanied by proteinuria for 6 years. Her conditions became severe in recent 2 years. The patient was hospitalized in our hospital for TCM treatment at 20:00 on Oct. 21, 2011.

 

Essential for Diagnosis:

1. The patient had been suffering from lumbar pains and swelling eyelids, accompanied by proteinuria for 6 years. Her conditions became severe in recent 2 years.

2. The patient said she had to stop her menstruation for the praying activities. After took the medicines for stopping menstruation, she suffered lumbar pains, swelling eyelids and discomforts over her whole general body. She accepted checks in Apollo Hospital in India and the results as follows: proteinuria (+), urine creatinine 2.14, Scr 1.9 mg/dl, BU 45 mg/dl. Type-B ultrasonic: left kidney 8.6 cm, right kidney 8cm. Her condition was diagnosed as chronic renal failure. Her condition was alleviated after taking some medicines. Two years ago, her condition became severe; she went to the Royal Hospital in Oman for checks, and the results showed that her blood sugar was higher than before. Her condition now was diagnosed as advanced renal failure and type ¢̣diabetics. The hospital gave her some medicine for treatment and advised her to take hematodialysis and kidney transplant. The patient refused to do mematodialysis. Because her plasma renin activity (PRA) was positive, she did not take kidney transplant. At present, her kidney activity was only 9%.

3. When the patient was hospitalized in our hospital, she suffered cramps and pains over her lumbar part; when she suffered pains, her whole body was on fever. The patient sometimes had dizziness, chest depression, fatigue, and pains over her costal region, swelling eyelids and tinnitus. Her above symptoms aggravated if she overworked. She did not feel dry in her mouth and she liked to drink cold water with large amount. Her appetite and sleep were good. Urine was yellowish. She did not suffer from night urination. Bowel movements were 1-2 times per day.

4. T: 36.5¡ăC   R: 20 times/minute    P: 68 times/minute   BP: 142/80 mmHg

5. Her spirit activity was good. She was a little bit plump. She grew normally. The patient could move normally. There were pressing pains over her left hypochondrium. Knocking-on the kidney areas caused pains. There was no edema over her two lower limbs. Her tongue was dark with petechia on the top. Her tongue coating was yellowish and greasy. Her pulse was sunken, thready and weak.

6. Other tests: Chloride 109 mmol/L, Urea 13.5 mmol/L, Creatinine 247 umol/L (Mar. 20, 2010 in Oman)

 

Diagnostic Basis:

TCM: The patient¡¯s lumbar pain, dizziness and tinnitus were due to insufficiency of kidney essence and marrow sea deficiency. Long duration of disease is leading to kidney qi instability and refined nutritious substances going to lower part; therefore proteinuria appeared. Swelling eyelids, chest depression, dark stagnated tongue with petechia on the top, yellowish tongue and greasy tongue coating, as well as sunken, thready and weak pulse were due to stagnation of damp toxin obstructing the channels in the body. So, his condition could be diagnosed as kidney turbidity, which was due to insufficiency of kidney qi and damp toxin stagnating and obstructing the channels. In addition, the patient suffered polydipsia, in combination with lab checks of higher blood sugar, and then the patient at the same time suffered from diabetics.

Western Medicine: The patient suffered from lumbar pains and swelling eyelids, accompanied by proteinuria for 6 years, and her condition became severer in the recent 2 years. In addition, according to the examination result from the hospital, her condition could be diagnosed advanced renal failure and type¢̣diabetics.

 

Diagnostic Differentiation:

TCM: The patient's condition should be differentiated with stranguria marked by chyluria. Both two diseases have lumbar pain, swelling eyelids, proteinuira, but for stranguria marked by chyluria, the patient usually suffer more times of urination, stanguria and obstructing feeling of urinating. Therefore, it was easy to differentiate them.

Western Medicine: Her condition should be differentiated from nephrotic syndrome. Both two diseases all have lumbar pains, swelling eyelids, proteinuira, but for nephortic syndrome, there are large quantity of proteinuria, evident edema, hyperlipemia and hypoproteinemia. So, it was easy to differentiate them.

 

First Diagnosis:

TCM: Kidney turbidity and diabetes.

Symptom identification: the insufficiency of kidney qi as well as damp toxin stagnating and obstruction the channels. 

Western Medicine: Chronic renal failure and Type ¢̣ diabetics.

 

Treatment strategy and nursing:

1. Routine care of traditional Chinese internal medicine.

2. Grade ¢̣ care.

3. Companion.

4. Diet of low salt, low fat, low sugar and low protein.

5. Pathogenesis: the insufficiency of kidney qi as well we damp toxin stagnating and obstructing the channels.

6. TCM strategy: tonifying the kidney and clearing away dampness, removing stasis and resolving toxin.

7. Herbal tea: one dosage a day and drink twice

8. Acupuncture and massage: once a day

9. Have more medical examination if necessary.

 

Date: Oct. 23, 2011                                        Time: 10:00 am

This morning, Doctor Zhu Ming paid a visit to the patient. The patient complained of lumbar pains, and swelling eyelids, accompanied by proteinuria for 6 years. Her condition became severe in the recent two years. There was reoccurrence of convulsively pains over her lumbar part. Her body temperature rose when the lumbar pains happened. Sometimes she suffered dizziness, chest depression, fatigue and pains over her costal region, swelling eyelids and tinnitus. Her above-mentioned symptoms became severer when overworked. She did not feel dry in her mouth and liked drinking cold water. Appetite and sleep were good. Urine was yellowish with normal quantity. She had no night urination. Bowel movements were 1 or 2 times per day. Physique checks: She was a little bit plump. There were pressing pains over her left hypochondrium. Knocking-on the kidney areas caused pains. She also had dark stagnated tongue with petechia on the top, yellowish tongue and greasy tongue coating, as well as sunken, thready and weak pulse. Dr. Ming thought her condition could be diagnosed as kidney turbidity, which was due to the insufficiency of kidney qi as well as damp toxin stagnating and obstructing the channels.

 

Date: Oct. 24, 2011                                        Time: 10:00 am

Lab checks:

Blood-R: RBC 5.35*1012/L  WBC: 10.48*109/L   HB: 105g/L

Urine-R: GLU+-    PRO: +++   WBC: 0-1/HP  

Blood: Cr: 468umol/L   BUN: 19.1 mmol/L   UA: 502umol/L  GLU: 7.40 ¡­¡­.

ECG: 1. Bradycardia,  2. Change on SFT

B Ultrasonic: 1. gallbladder stone 7*5cm   2. The two shrinking kidneys was suffusing change.  3. There was no abnormal finding in the liver, spleen and pancreas.

MRI: intervertebral disc and lumbar vertebra degenerations.

Added diagnosis: Gallbladder stones and protrusion of lumbar vertebral discs.

 

Date: Oct. 25, 2011                                        Time: 10:00 am

The patient said lumbar pains were reduced somewhat, but there still existed swelling eyelids. Her tongue was dark with stasis with yellowish and greasy coating. The pulse was deep, thready and weak.

 

Date: Oct. 29, 2011                                        Time: 10:00 am

The patient had stopped eating foods with protein for 3 days now. Today urine creatinine would be checked again. Back pains were reduced. Her tongue was dark with stasis with yellowish and greasy coating. The pulse was deep, thready and weak. The doctor advised her to stop taking the diuretic for 24 hours and then checked the volume of urine.

 

Date: Nov. 1, 2011                                        Time: 10:00 am

Check results: Ucr. 3041mmol/L    Volume of urine for 24 hours: 1950 ml

The patient said eyelids edema and lumbar pains were better than days before. The tongue was dark with petechia on the tip of the tongue. The coating was yellowish and greasy. The pulse was deep, thready, slow and weak.

 

Date: Nov. 5, 2011                                        Time: 10:00 am

The patient said back pains were reduced, but the eyelids were still swelling. Test report from the No. 535 Hospital of PLA showed: urine nitrogen  10.3mmol/L, creatinine  366 umol/L, UA 382 umol/L, Glu 7.03 mmol/L, triglyceride 2.82 mmol/L, HDLC 0.85 mmol/L, LDLC 2.14mmol/L, HGB 99 g/L, UGLU +-, UPRO +++. All the index were changing better. The clearance rate of creatinine was 19.9%.

 

Date: Nov. 7, 2011                                        Time: 10:00 am

The patient said there still were back pains and swelling eyelids. She sometimes suffered dizziness, tinnitus. The tongue and pulse were the same as days before.

 

Date: Nov. 10, 2011                                        Time: 10:00 am

The patient said there were slight improvements in the problem of lumbar pains and swelling eyelids. She also said since the travel from Guangzhou to Huaihua till now, she had tinnitus and dizziness. And now, dizziness was reduced somewhat, while tinnitus in her right ear was still severe. Her tongue was dark with petechia on the tip of the tongue. The coating was yellowish and greasy. Her pulse was deep, thready, slow and weak.

 

Date: Nov. 13, 2011                                        Time: 10:00 am

Ms. Fatma said dizziness, lumbar pains and swelling eyelids were better. Tinnitus still existed. Her tongue was dark with petechia on the tip of the tongue. The coating was yellowish and greasy. Her pulse was deep, thready, slow and weak.

 

Date: Nov. 16, 2011                                        Time: 10:00 am

The patient said dizziness, lumbar pains and swelling eyelids were better. There still existed tinnitus, severe in her right ear. Her tongue was dark with petechia on the tip of the tongue. The coating was greasy and slightly yellowish. Her pulse was deep, thready, slow and weak, but the kidney pulse was more powerful than before.

 

Date: Nov. 25, 2011                                        Time: 10:00 am

Feedback from the lab analysis: HB 98.0,  PRO 3+,  Glu +,  BLD +-,  BUN 14.4 mmol/L,  Cr 377umol/L, GS 7.72 mmol/L,  TG 3.27 mmol/L,  HDL 0.97 mmol/L,  LDL 2.19 mmol/L, AG 16.3 mmol/L

B ultrasonic: gallbladder stone 6*3 mm

 

Date: Nov. 28, 2011                                        Time: 10:00 am

The patient¡¯s lumbar pain and swelling eyelids kept turning better and tinnitus was also better than before. Her tongue was dark with petechia on the tip of the tongue. The coating was greasy and slightly yellowish. Her pulse was deep, thready, slow and weak.

 

Date: Dec. 1, 2011                                         Time: 10:00 am

The patient¡¯s condition was stable. Her tongue and pulse were the same as days before.

 

Date: Dec. 2, 2011                                        Time: 14:00 am                                 

Feedback of lab analysis: HGB 99 g/L,  TBA 12.4 umol/L,  Urea  11.7 mmol/L,  Cre 351 umol/L, UA 384 umol/L, TG 2.71 mmol/L,  HDL 0.93 mmol/L,  Cl 109 mmol/L,       CO2CP 22.5 mmol/L, GLU +,  PRO +++,  URO weak positive. The clearance rate of creatinine was 18.9%. 

 

Date: Dec. 5, 2011                                         Time: 10:00 am

The patient complained of lumbar pains and pains over the inside part of her left knee. Other conditions were the same as before.

 

Date: Dec. 8, 2011                                         Time: 10:00 am

The patient¡¯s condition was stable. BP: 140/80 mmHg. Her tongue was red with yellowish tongue coating. Her pulse was deep, thready and weak. Back pains sometimes were mild, sometimes severe. Tinnitus still existed. There was no dizziness.

 

Date: Dec. 11, 2011                                        Time: 10:00 am

The patient said her condition was stable. BP now was kept at 140-130/70-80 mmHg. Tinnitus still existed. There was no dizziness. Her tongue was red but slightly dark. There still was petechia on the top of her tongue. The tongue coating was yellowish. Her pulse was deep, thready and weak.

 

Date: Dec. 13, 2011                                         Time: 10:00 am

Blood sugar in the morning was 11.8 mmol/L and the patient did not eat any food before the test. There was not any change on her diet. She did not take any sweet foods or food with high starch. She did not suffer any special discomfort till now. The urine volume did not increase. Bowel movement was normal. Sleep was good. Lumbar pains, tinnitus and swelling eyelids were better.

 

Date: Dec. 16, 2011                                         Time: 10:00 am

Blood sugar test result before taking any food in the morning was 11.7 mmol/L. In the morning Dr. Ming paid a visit to the patient, and she said lumbar pains and swelling eyelids were better. Examination result of the function of liver and kidneys: Urea 10.1 mmol/L, Cre 360 umol/L, UA 363 umol/L, PRO +++, GLU +-, WBC 1-2/HP. The clearance rate of creatinine was 21.94%. 

 

Date: Dec. 19, 2011                                         Time: 10:00 am

Blood sugar test result before taking any food in the morning was 11.4 mmol/L. Bp 110/70 mmHg. Other conditions were just the same as above. The tongue was red, but a little dark. The tongue coating was yellowish and greasy. Her pulse was deep, thready and weak.

 

Date: Dec. 25, 2011                                         Time: 10:00 am

Blood sugar was 12.4 mmol/L in yesterday morning. Bp 130/80 mmHg. Other conditions were just the same as above. The tongue was red, but a little dark. The tongue coating was yellowish and greasy. Her pulse was deep, thready and weak.

 

Date: Dec. 29, 2011                                         Time: 10:00 am

Blood sugar was 10.1 mmol/L in the morning. Bp 130/80 mmHg. The tongue and pulse were the same as above.

 

Date: Jan. 3, 2012                                          Time: 10:00 am

The patient said pains over her back and leg were reduced evidently. Swelling eyelids also improved. There were no obvious improvements in other conditions.

 

Date: Jan. 6, 2012                                          Time: 10:00 am

The patient¡¯s condition was stable. The tongue was red but slightly dark with some petechiae. The tongue coating was yellowish and greasy.

 

Date: Jan. 9, 2012                                          Time: 10:00 am

The patient¡¯s condition was stable. The tongue was red but slightly dark with some petechiae. The tongue coating was yellowish and greasy. Continue the previous prescription.

 

Date: Jan.11, 2012                                          Time: 10:00 am

Ms. Fatma said lumbar pains, swelling eyelids were better than before. There were no more pains over the hypochondrium. She got recovered from tinnitus, dizziness and chest depression. Sleep and appetite were good. Urination and bowel movement were normal. Petechiae over the tongue surface were reduced somewhat. The tongue coating was yellowish and greasy. Her pulse was deep, thready and slow, but powerful than before. Report of January 8: WBC 6.04*109/L, HGB 97g/L, Glu +-, PRO +++, Scr 347 umol/L, urea nitrogen 11.8 mmol/L, UA 380 umol/L. The clearance rate of creatinine was 23%, which was better than before. Ms. Fatma decided to leave the hospital in the afternoon. Doctors¡¯ advice: take enough rest and do not exercise too much, avoid food with high salt, sugar, fat and protein. Take proper animal protein and reduce the intake of plant protein. Avoid wind and cold. Keep good mood and high spirit.

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Mrs. Fatma Moosa Murad is 51 years from Oman.

She is suffering from Kidneys failure for the last seven year.

Her kidneys are shrinking day by day and the last examination in Oman and Thailand she was told that her Kidneys function is 9 to 10% only and she was told to start have Kidneys dialysis.

She felt very badly to go all these hassle of having Kidneys dialysis and Kidney transplant even though one of her daughter she was willing to donor one of her Kidney to her mother.

I started to convinced her eldest daughter for TCM treatment and to come to Huai Hua-China.

It took several weeks till all the family member to agreed cause TCM treatment was very new to them and was not easy to accept.

We travel from Oman and reached here on 22nd October 2011, and on 23rd October she went to Military Hospital in Huai Hua to have full medical check, MRI, EEG, Ultra Sound, Blood and Urine tests.

After receiving medical result we found her BUN (Proteins), Creatinine and Urea were extremely high some went near to 300%.

She started her TCM medical at Red Cross hospital on the first day.

After 12 days on 3rd November she went again to Military Hospital in Huai Hua to have Blood and Urine test upon received the results we found there was a very good progress cause BUN, Creatinine and Urea showed start to come down and some came down on big scale.

If the result continue to come like this I hope she should recovered at least few percentage in 3 months.

I hope Red Cross will try their best to get best treat and hopefully she will be cure soon.

 

                                                                                                                            Jamal from Oman

                                                                                                                              Nov. 7, 2011

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