Brief Summary: On Jan. 12, 2015, Jiang Lihua, from the organization-public health bureau near our hospital, who suffered from menelipsis for 2 years, and accompanied with abdominal distention and pains. She was hospitalized in our hospital. She got great improvement after 14 days TCM treatment.

Record of Hospitalization

Name: Jiang Lihua                                           Sex: Female

Age: 43                                                            Marital Status: Married

Nationality: China                                           Date of Admission: Jan. 12, 2015

Companion: Nobody

First Medical Record

Date: Jan. 12, 2015                         Time: 10:00 a.m.

Jiang Lihua, female, 43 years old, had suffered from menelipsis for 2 years, and accompanied with abdominal distention and pains for one week. The patient was hospitalized in our hospital as a patient with secondary menelipsis and multiple myomata of uterus for TCM treatment at 12:00 a.m. on Jan. 12, 2015.

Essential for Diagnosis:

1. The patient said she always had lack of or irregular menstruation. And the color of menstruation was slightly red. She had dizziness and weakness. She got married at her 26 years old. Yet she have never been pregnant without contraception. In May of 2004, she had abnormal vaginal bleeding. She went to the No. 2 People Hospital. After examination, she had multiple myomata of uterus. The doctor removed the myomata. In January of 2009, the multiple myomata of uterus appeared again. She made a operation again in the NO. 2 People Hospital. In April of 2009, she felt uncomfortable in her low abdomen. After checking in the TCM hospital of Yuanling, she had hydrosapinx and incomplete blocking. In August of 2012, she had physical examination at the No. 3 People Hospital, the B ultrasound showed that she had multiple uterus myomata again. One of her friend suggested her to take the medicine Jinggangteng capsule to treat multiple uterus myomata. After taking this medicine for 2 months, her period stopped. While she had regular breast distending pains, abdominal distension and soreness of waist every month. The patient wanted TCM treatment, she came to our hospital for TCM treatment. She had primary infertility, pelvic inflammation and oviduct obstruction. There were no medicine and food for her to get allergy response.

2. When the patient came to our hospital, she had no menstruation, while she had regular breast distending pains, abdominal bulge and soreness of waist every month. The color of leucorrhea was white, secretion overabundance without bad smelling. She felt dizziness and weakness. She had dry mouth. Her spirit was not good. Her sleep and appetite were good. And her urination and bowel movement were normal.

 3. T: 36.4°C   R: 20 times/minute    P: 70 times/minute   BP: 110/70mmHg

The patient had normal growth, physique and spiritual status, while with chronic disease face. There was no sign of yellow sclera or yellowish skin. There was no enlargement over her superficial lymph node. There were no sign of deformity and no masses over her five sense organs. The pupils were round and approximately equal in size. The pupillary reaction to the light was sensitive. There was no enlargement over her thyroid. There was no hyperaemia in her throat. Her neck was soft without resistance stiffness. The jugular vein was of no engorgement. Sound of breathing in her lungs was clear without any rhonchi. Rhythm of her heart was 70 times per minute. Heart rate was regular. Her abdomen had much more fat. And there were pressing pains over her left abdomen. There were no pathological reflections, but the physiological reflections existed. The tongue body was reddish with thin and yellow coating. The pulse was wiry and weak.

4. Examination: completed the related examination