Brief Summary: On June. 14, 2015, Adama Daff, came from Republic of Senegal, who suffered from Chronic kidney failure. He had weakness for 2 years, accompanied with edema over his ankle joints for 2 months. He was hospitalized in our hospital. He got some improvement after 22 days TCM treatment.

Record of Hospitalization

Name: Adama Daff                             Sex: Male

Age: 59                                              Marital Status: Married

Nationality: Republic of Senegal        Date of Admission: Jun. 14, 2015

Companion: Alone

First Medical Record

Date: June 16, 2015                                Time: 9:00 a.m.

Adama Daff, male, 59 years old, had weakness for 2 years, accompanied with  edema over his ankle joints for 2 months. The patient was hospitalized in our hospital with “Kidney Failure” for TCM treatment at 9:00 a.m. on June. 16, 2015. 

Essential for Diagnosis:

1. The patient had suffered from weakness for 2 years. His ankle joints had edema for 2 months. 15 years ago the patient had history of hypertension. There was no medicine and food for him to get allergy response.

2. The patient felt fatigue. He was in bad spirit status. He was depressed. Occasionally he had shortness of breath, palpitation. His ankle joints had slight edema for 2 months. When the doctor pressed his muscle, it was sunken. There were no dizziness, headache, deafness, tinnitus, bitter and dry mouth. He preferred warm water, yet he controlled his water intake. His appetite was poor. There were stomachache and distension sensation. Sometimes he felt uncomfortable and fullness sensation over his abdomen. There were pains over his right toe-joints, accompanied with burning sensation. The same as his knee-joints and digital joints. There were no itching of his skin, night sweating and dysphoria in chestpalms-soles. His sleeping was good. His urination was OK, night urine was 1 to 2 times. The bowel movements were 2 to 3 times a day.

3. T: 36.4°C   R: 20 times/minute    P: 70 times/minute   BP: 160/80mmHg

The patient had normal growth with fatty physique, sallow yellow facial expression, and chronic disease face. He cooperated with doctors when the physical examinations were made. There was no yellow skin or yellow sclera over his whole body. There was no enlargement over his superficial lymph node. Facial features were normal without masses and pressing pains. The pupils were round and approximately equal in size. The pupillary reaction to light was sensitive. And there is no enlargement over his thyroid and no congestion in his throat. There was no enlargement over his thyroid. His neck was soft without resistant. His trachea was symmetrical. The jugular vein was of no engorgement. His chest was symmetrical without deformity. Sound of breathing in the lungs was clear, without any rhonchi. Rhythm of his heart was 70 times per minute. Heart rate was regular with no murmurs. His abdomen was soft with no pressing pains and rebound tenderness. There was no sign of deformity over his spine. The meningeal irritation sign was negative.The pathologic reflex of nervous system had not been drawn out. His tongue was light red with greasy, thick and yellow coating. His pulse was deep and string.                                  

Diagnostic Differentiation:

TCM:  Kidney turbidity