Brief
Summary: On November 25,
2011, Sayyed, from Jordan who had been suffering skin impediment in traditional
Chinese medicine (TCM) or systemic sclerosis in the concept of western medicine,
accompanied by tight skin, mouth-opening with difficulty and stiff fingers and
toes for 13 years, was hospitalized in our hospital. She achieved significant
improvement after 80 days TCM treatment.
Record
of Hospitalization
Name:
Sayyed Sex:
Female
Age:
31
Marital Status: Unmarried
Nationality: Jordanese
Date of Admission: Nov. 25, 2011
Companion: Her Father
First
Medical Record
Date:
Nov. 26, 2011 Time: 10:00 am
This
31-year-old lady had been suffering from skin impediment, accompanied by tight
skin, mouth-opening with difficulty and still fingers and toes for 13 years. The
patient was hospitalized in our hospital for TCM treatment at 20 pm on November
25, 2011.
Essential for Diagnosis:
1. The
patient had been suffering from tight skin, mouth-opening with difficulty and
stiff fingers and toes for 13 years.
2. The
patient complained of swelling sense of the four limbs, tight and itchy skin
without any evident cause 13 years ago. About 2 month later, she felt a little
bit tired when opened her mouth. The mouth was dry and she also had swallowing
problem. The joints of the fingers and toes became tight. She took the treatment
for anti-allergy at the local hospital. The problem of itchy skin changed better
after the treatment, but other conditions did not show evident improvement. Her
conditions were aggravated year after year. Skin of face, fingers and toes
became dry and atrophic and then became hard with decreased elasticity. The skin
of both hands and feet became purple. Her mouth could only open half. There was
occasional ulcer in her tongue, fingers, toes and the tip of the elbows. The
stool was dry for one or two times a day. After suffered the disease, her weight
was down for 10kg. On October 9, 2011, Sayyed took the treatment of herbal tea
shipped from our hospital. She felt better somewhat. It was easier for her to
open her mouth. And the stool was not dry any more, with one or two times a day.
3. When
Sayyed came to our hospital, she suffered from stiff sense over the whole
general body, especially over the joints of fingers and toes. There was atrophy
of the facial skin with bad elasticity. She still felt exhausted to open her
mouth. She could not grip her fist tightly. There were burning pains on the
upper abdomen and when she was hungry, the pains became worse. She liked to
press the pain points. There was much saliva when she was in bed. She had night
sweating and much sweat on her hand. She had bad spirit and sleep. The stool was
one or two times a day. Urination was normal with no night urination.
4. T:
36.5＜C R: 20 times/minute P: 70 times/minute BP: 110/70mmHg
5. The
patient was of chronic and sick complexion with stiff facial expression. She
grew normally with a little bit plump body. Her nose-wing became small and
sharp. Elasticity of her facial skin was bad and it was hard. She could not open
her mouth fully. The tongue could not stretch out completely. The external ears
were thin. The abdomen was soft. There were pressing pains below the ensisternum
and the belly button. The color of the hands and elbow tips was purple. There
was muscle atrophy around the joints of elbows and knees. Her fists could not
hold tightly. The joints of fingers and toes were of stiffness, especially of
the finger joints. There was slight edema on the front part of both shins. The
tongue body shortened with yellow tongue coating. The pulse was weak and thready.
Diagnostic Basis:
TCM:
The patient¨s conditions of tight, atrophic and itchy skin, swelling sense and
stiffness of the joints of fingers and toes pertained to skin impediment. The
invasion sites of the disease were lungs, stomach and kidneys. The tightness of
the skin, the skin atrophy, itchy sense, dry throat, swallowing problem, burning
pains in the stomach and night sweating were due to the yin-deficiency of lung
and stomach. The kidneys were in charge of the bones. Due to the yin deficiency,
the kidneys lost the control of the bones and failed to produce marrow,
therefore, the quality of the bones was damaged, and the joints were still with
restrained motions. Purple skin and stiff sense were due to the stagnation of
blood and blockage of the channels. So, her conditions could be diagnosed as
skin impediment, due to the deficiency of lungs, stomach and kidneys and the
stagnation of blood and blockage of channels.
Western
Medicine: First, she suffered
from tight skin, swallowing problem and stiff joints of the fingers and toes for
13 years. Secondly, the patient felt stiff sense over her whole body. It was not
easy for her to open her mouth. There was burning pains in the gastric cavity
and the pains became worse when she was hungry. She also had night sweating and
much head sweat. And thirdly, there was atrophy over the skin of her face,
fingers, toes and elbows. The elasticity of those parts was bad. Skin around her
lips was of hardness. The joints of her fingers and toes were of stiffness. Her
fists could not hold tightly. There were some pressing pains on her abdomen and
slight edema on the front part of her shins.
Diagnostic Differentiation:
TCM:
Skin impediment is usually differentiated from Bi impediment. Both may have the
symptom of stiff joints. But the main character of Bi impediment is pain. So, it
is easy to differentiate them.
Western
Medicine diagnosis: Skin
impediment should be differentiated with rheumatoid arthritis. Both diseases may
have the problem of stiff joints of fingers and toes, but the stiffness of the
latter usually happens in the morning with the main symptom of pain. Therefore,
there is no difficulty to differentiate them.
First
Diagnosis:
TCM: Skin
impediment.
Symptom
identification: the deficiency of lungs, stomach and
kidneys and the stagnation of blood and blockage of channels.
Western
medicine diagnosis: Systemic sclerosis.
Treatment strategy and nursing:
1. Routine
care of traditional Chinese internal medicine.
2. Grade
Å
care.
3. Soft
diet.
4.
Pathogenesis: the deficiency of lungs, stomach and kidneys and the stagnation of
blood and blockage of channels.
5. TCM
strategy: nourishing yin and clearing heat, promoting
blood circulation and removing blood stasis.
6. Herbal
tea: one dosage a day and drink twice
7.
Acupuncture and massage: once a day
8. Have
more medical examination if necessary.
Date: Nov. 26, 2011
Time: 10:00am
Doctor Zhu
Ming paid a visit to the patient. The patient complained of tight skin,
difficulty to open her mouth, accompanied by stiff joints of the fingers and
toes for 13 years. She suffered from stiff sense over the whole general body,
especially over the joints of fingers and toes. There was atrophy of the facial
skin with bad elasticity. She felt exhausted to open her mouth. She could not
grip her fist tightly. There were burning pains on the upper abdomen and when
she was hungry, the pains became worse. She lied to press the pain points. There
was much saliva when she was in bed. She had night sweating and much sweat on
her head. She had bad spirit and sleep. The bowel movement was once or two times
a day. Urination was normal with no night urination. The patient was of chronic
and sick complexion with stiff facial expression. Her nose-wing became small and
sharp. Elasticity of her facial skin was bad and it was hard. She could not open
her mouth fully. The tongue could not stretch out completely. The external ears
were thin. The abdomen was soft. There were pressing pains below the ensisternum
and the belly button. The color of the hands and elbow tips was purple. There
was muscle atrophy around the joints of elbows and knees. Her fists could hold
tightly. The joints of fingers and toes were of stiffness, especially of the
fingers joints. There was slight edema on the front part of both shins. The
tongue body shortened with yellow tongue coating. The pulse was weak and thready.
From the
view of TCM, Zhu Ming, the doctor thought that the case of the patient could be
diagnosed as skin impediment, due to the deficiency of lungs, stomach and
kidneys and the stagnation of blood and blockage of channels. The treatment
strategy for it would be to nourish yin and clear heat, promote blood
circulation as well as remove blood stasis.
Date: Dec.
1, 2011 Time: 10:00 am
The patient
said there was some improvement in the burning pains in the gastric cavity even
though there still were some hidden pains. Other conditions were same as
above-mentioned. The examination report of the patient in her local hospital
presented that she also suffered from chronic enteritis and chronic gastritis.
For the climate, the doctors advised the patient to wear enough clothes to keep
warm.
Date: Dec.
4, 2011 Time: 10:00 am
The patient still felt burning sense in the gastric
cavity without pains. There were pressing pains around the belly button. The
right thumb was cold. The tongue was red with yellow tongue coating. The pulse
was sunken and weak. The doctor asked her to soak her hands and feet with hot
water for 30 minutes before sleep.
Date: Dec.
7, 2011 Time: 10:00 am
The patient
felt no burning pains in the gastric cavity any more, but there still pressing
pains around the belly button. She felt cold on the right thumb. The tongue was
red with yellow tongue coating. The pulse was weak and sunken. The doctors asked
her to soak her hands in the traditional Chinese medicine water from today on.
Date: Dec.
10, 2011 Time: 10:00 am
The patient
said cold feeling on the right thumb changed better. Pressing pains were still
there around the belly button. Sleep was good. Urination and bowel movement were
normal. She felt dryness in the mouth, due to the use of air conditioner the
whole day long. The doctor asked her to drink enough water. Besides, there were
pains on the center line of both sides of the legs.
Date: Dec.
13, 2011 Time: 10:00 am
Sayyed said
cold hands changed better obviously. There were pressing pains around the belly
button. The pains on the legs were reduced. Today¨s routine examination reports
presented that there were parasites in her stool. The tongue was red with yellow
tongue coating. The pulse was sunken and weak.
Date: Dec.
16, 2011 Time: 10:00 am
The patient
said there were no burning sense and pains in the gastric cavity. There still
were pressing pains around the belly button, while she did not feel painful if
not pressed it. Both hands still felt cold, and the skin of the hands became
purple and hands became numb if the hands were cold. The fingers were still
stiff.
Date: Dec.
19, 2011 Time: 10:00 am
The patient
complained of abdominal distention and increased pains around the belly button.
The stool was normal with no diarrhea and constipation.
Date: Dec.
22, 2011 Time: 10:00 am
The patient
said pains around her belly button were reduced. Urination and bowel movement
were normal. There was no burning sense in the gastric cavity. The mouth was not
dry. Appetite was not good. Cold hands were better, but still stiff. The tongue
was red with yellow and slightly greasy tongue coating. The pulse was thready
and sunken, but more powerful than before. The doctor advised her to pay
attention to her diet, and to take meals on time.
Date: Dec.
25, 2011 Time: 10:00 am
Till today,
Sayyed had been hospitalized for treatment in our hospital for 30 days. Skin
over her face and hands was softer than before. Cold hands changed better. The
ulcer face of the fingers and toes gradually healed. She still suffered from
mouth opening problem and mouth ulcer. There were pressing pains around the
belly button. Her mouth was not dry. Her spirit was good. The urine and stool
were normal. The tongue was red with yellow and greasy tongue coating. The pulse
was weak and thready.
Date: Dec.
28, 2011 Time: 10:00 am
The patient
said there was improvement in the stiffness of the fingers and mouth opening.
Appetite was better. Pains around the belly button were reduced. The tongue was
red with yellow and greasy tongue coating.
Date:
Dec.30, 2011 Time: 10:00 am
Professor
Zhang Xiukui paid a visit to the patient. The patient said the symptoms of tight
skin, cold fingers and toes and stiffness were better than before. There was no
burning sense in the gastric cavity now. But there still were pressing pains on
the abdomen. She still felt hard to open her mouth and suffered from mouth
ulcer. Professor Zhang thought the treatment for the patient would be nourishing
yin and clearing heat as well as promoting blood circulation and removing blood
stasis.
Date: Jan.
1, 2012 Time: 10:00 am
Due to the
powder of the herb of Sanqi, the patient felt difficulty in drinking the herbal
tea.
Date: Jan.
4, 2012 Time: 10:00 am
The patient
complained of belching and vomiting. Other conditions were the same as before.
The tongue was red with yellow tongue coating. The pulse was weak and thready.
Date: Jan.
7, 2012 Time: 10:00 am
The patient
said the belching disappeared. Skin was softer than before. She was easy to open
her mouth. The tongue was red with yellow tongue coating. The pulse was weak and
thready.
Date: Jan.
10, 2012 Time: 8:30 am
The patient
said she had abdominal distention since the afternoon of yesterday. There was
burning sense in the gastric cavity with no belching and diarrhea. The stool was
yellow and soft. After taking the product of beans yesterday morning, she felt
abdominal distention and then, her appetite was not good. She did not eat
anything since yesterday morning till now.
Date: Jan.
11, 2012 Time: 10:00 am
Abdominal
distention was not reduced. Her appetite was a little better. She caught cough
this morning.
Date: Jan.
12, 2012 Time: 10:00 am
The patient
complained of abdominal distention and burning sense in the gastric cavity. The
doctor advised her to take more green vegetables.
Date: Jan.
13, 2012 Time: 10:00 am
The patient
complained of abdominal distention and burning sense in the gastric cavity. The
tongue was red with thin and yellow tongue coating. The pulse was wiry.
Date: Jan.
14, 2012 Time: 10:00 am
The patient
complained of abdominal distention and burning sense in the gastric cavity.
There was no bowel movement the whole day long. The tongue was red with thin and
yellow tongue coating. The pulse was wiry.
Date: Jan.
15, 2012 Time: 10:00 am
The patient
complained of abdominal distention and burning sense in the gastric cavity.
Today she had bowel movement in the morning, without diarrhea. The tongue was
red with thin and yellow tongue coating. The pulse was wiry.
Date: Jan.
17, 2012 Time: 10:00 am
Today,
Doctor Zhu Ming paid a visit to the patient the patient complained of abdominal
distention and burning sense in the gastric cavity since the afternoon of the
ninth of this month. There were pains and occasional belching, but no diarrhea.
The stool was yellow and soft. The abdomen was soft and there were pressing
pains under the ensisternum and around the belly button. The tongue was red with
yellow tongue coating. The pulse was wiry and thready.
Date: Jan.
19, 2012 Time: 10:00 am
Abdominal
pains were reduced.
Date: Jan.
20, 2012 Time: 10:00 am
The patient
felt better today. And the abdominal pains were reduced.
Date: Jan.
23, 2012 Time: 10:00 am
Abdominal
pains were reduced. Urination and bowel movement were normal. The pulse was
wiry. The tongue was red with yellow tongue coating.
Date: Jan.
26, 2012 Time: 10:00 am
The patient
said burning sense and pains in the stomach disappeared. But there still were
abdominal pains. The stool was normal with once a day. Skin, especially of the
four limbs was cold. The pulse was weak. The tongue body was a little bit
atrophic.
Date: Jan.
30, 2012 Time: 9:30 am
The patient
complained of dizziness yesterday night. She had menses starting from yesterday.
The condition of dizziness might be caused by the blood vacuity of the brain.
The tongue was red with yellow tongue coating. The pulse was thready and wiry.
Date: Feb.
1, 2012 Time: 9:00 am
The patient
said there was no dizziness, burning sense in the stomach, abdominal distention
or belching any more. Even though around the belly button, there still were
pressing pains, but they were alleviated a lot. Today was the fourth day of her
period, without any obvious dysmenorrheal. Sayyed also said skin over her hands
and face was much softer than before. But, skin over the tips of her ten fingers
was still tight and stiff. The tongue body was thin. The pulse was thready and
wiry.
Date: Feb.
4, 2012 Time: 10:00 am
The
uncomfortable symptoms in the stomach were dispelled. She still had the problem
of mouth opening, even though the facial skin was softer than before. Skin over
the tips of her ten fingers was still tight and stiff. The tongue body was thin.
The pulse was thready and wiry.
Date: Feb.
7, 2012 Time: 10:00 am
Her
conditions were stable in the recent days without any special discomfort.
Date: Feb.
9, 2012 Time: 10:00 am
The patient
complained of cough, headache, sore throat and nasal blocking this morning. The
tongue was red with yellow tongue coating. The pulse was wiry, while the pulse
of the right hand was a little bit floating.
Date: Feb.
10, 2012 Time: 10:00 am
There still
were cough, nasal blocking, sore throat as well as sweating. The tongue was red
with yellow tongue coating. The pulse was thready.
Date: Feb.
11, 2012 Time: 10:00 am
The patient
said sore throat was better, but there still were nasal blocking and cough. The
tongue was red with yellow tongue coating. The pulse was thready.
Date: Feb.
13, 2012 Time: 10:00 am
Sayyed
still coughed a little bit without sore throat and nasal blocking. The tongue
was red with yellow tongue coating. The pulse was thready. Due to the expiration
of her visa, she decided to leave the hospital today. After 80 days treatment in
our hospital, the elasticity of her skin was much better than that before she
came to our hospital. Now her facial expression was natural. She felt easy to
open her mouth now. Her grasping power increased, with 22.7kg of the right hand
and 20.8kg of the left hand. The stiffness of the skin was alleviated. There was
no ulcer surface or waxed shine over the skin. Cold hands changed warmer. Violet
skin was alleviated. There was no swallowing problem, burning sense in the
gastric cavity as well as abdominal distention. There was no evident improvement
in the pressing pains around the belly button. Sleep and appetite were good. The
shortening symptom of her tongue was improved. Before she came to our hospital,
there was no sweating in her pals, but now sweating in her palms. Hair growing
over her hands was normal now, but before no.
Doctor¨s
advice after leaving hospital:
1. Avoid
wind-cold, maintain good moods, and take care of the diet.
2. Take
herbal medicine back for continuing treatment.
3. Keep
doing functional exercises.
The latest news from
Sai'da Alsayyed
----- Original Message -----
From: Soos Sayyed
To: tcmtreatment@tcmtreatment.com
Sent: Saturday, March 17, 2012
4:33 PM
Subject: Re: Miss Sai'da Sayyed - Jordan
Good
afternoon ,
Thanks so
much for your kind e-mail. Feel free to put my progress on your website so that
other Scleroderma patients can get the benefits.
have a nice
day.
Thanks
Sai'da
Alsayyed
-------
Dear Miss
Sai'da Alsayyed,
Thanks so much for your kind email. Nice to hear from you. Pleased to know your
progress. Hope you will get a good recovery soon.
Our pleasure to know your further progress soon.
It is very kind of you. Our stuff miss you very much, too.
By the way, can we put your progress on our website? Thanks a lot.
Wish you a good recovery!
Dr. Ming¨s TCM Group
-- -- -- -- -- -- -- -- -- -- -- -- -- -- --
TCMT(reatment) Group
Website: www.tcmtreatment.com
Facebook: facebook.com/tcmtreatment
Twitter: twitter.com/tcmtreatment
MSN: tcmtreat@hotmail.com
Address:
Zhongfang Red Cross International Hospital,
Dangui Road, Zhongfang County,
Huaihua City, Hunan Province,
China.
Zip code: 418005
Contact Tel: 86 745 2813387(from 8:30 to 16:40 Beijing Time)
Fax: 86 745 2813349
----- Original Message -----
From: Soos Sayyed
To: tcmtreatment@tcmtreatment.com
Sent: Saturday, March 17, 2012 1:13 AM
Subject: Miss Sai'da Sayyed - Jordan
Dear Dr. Ming,
Dear Mrs Polinda,
How are you? Hope you are all very well .
Today is the 30th day since I came back to my home country with out any massage
or acupuncture just the herbal tea I have taken with me .
It is my pleasure to inform you that I am still improving very well which made
me feel happy to continue with the herbal tea. As I told you before i left the
hospital that my stomachache , swallowing difficulty and hurt burn have all been
recovered and they are really stable I can eat all kinds of foods and drinks.
Today I have checked my hand gripping power which has increased dramatically the
right hand became 36 Kg and the left one became 29 Kg which means that I can
close them better than before.
Plz. Pass my warm greetings to Dr. Jasmine , Dr. Christal , Eva , Candy and
Angela we miss them all.
Sai'da Alsayyed
-------------
Letter from
SA'IDA WALID SAYYED
Mr. president of
Zhongfang Red Cross International Hospital Dr. Zhu Ming
Dear Dr Ming , good
day my Dr
I'm pleased to tell
you that I 'm planning to circularize how Tcmtreatment curative me from my 14
tormenting years from the PROGRESSIVE SYSTEMIC SCLEROSIS ( SCLERODERMA ) within
one month herbal tea at home twice daily & 11 weeks in Zhongfang Red Cross
international hospital getting the comprehensive treatment message acupuncture
oral & external herbal tea curative me by about 85 % of my scleroderma and and
complete my recovery herbal tea I'm will continue at home.
my best regards
SA'IDA WALID SAYYED
Email
swas@tcmtsayyed.com
----------
Dear my colleague Dr. Alhadidi ,
Mosa
Subject:
Your patient ( Miss Sayyed , Sai¨da )
Sender :
Dr. Ming , Zhu
Dear Sir,
First of
all, I thank you very much for your exerted efforts in treating your patient
Miss. Sayyed Sai¨da since 1998 using western medicine.
I am glad
to tell you that your patient Miss Sayyed Sai¨da had contacted us through
e-mails telling us about her case. So we sent her ( herbal tea especially
prepared for her case ) to drink it at home for one month starting from 25 Oct.
2011 . After a month she was hospitalized in our Chinese hospital On 26 Nov.
2011 continuing her comprehensive treatment for her scleroderma (acupuncture ,
oral herbal tea , soaking herbal tea and massage ) . She has started to recover
more than 80% .
- Her hurt
burn had totally disappeared.
- Her
swallowing difficulty disappeared.
- Her hands
gripping power were stronger than before the right hand was 8.4 and now it is
22.7 while the left hand was 14.4 and then increased into 20.8.
- The skin
of her hands became softer than before.
- The mouth
opening was very small but now it is bigger than before.
- Sweating
started to appear gradually on her palms and now they are sweating nearly
everyday.
- Hair
started to grow normally on her hands which was not before.
- Her face
tightness started to appear much more relaxed with some wrinkles around her lips
when smiling , you could notice her smile very clear which we might call it
before ( fixed facial expressions) .
And she is
leaving to her home on 13 Feb. 2012 continuing her herbal tea in Jordan.
My dear
colleague ,
I myself
and my TCM group and the hospital staff are pleased and have the honor to
cooperate with you in treating chronic and difficult diseases and all other
chronic diseases mentioned in our magazines. Let¨s cooperate together to treat
on TCM ( Traditional Chinese Medicine ) bases .
My dear
colleague,
Your
patient¨s father ( Walid Sayyed ) informed me that you are the most famous and
the greatest rheumatologist in Jordan and Middle East. I am sure the future is
promising to build cooperation to treat such chronic diseases.
With my best regards
Dr. Ming, Zhu
Enclosures:
three magazines
CC. Dr. Abu
Hassan , Hashim
CC. Our
representative agent Mr. Walid Muhannad Al-sayyed 00962797415055
e-mail
swas@tcmtsayyed.com
Please check the video on youtube
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