Treatment strategy and nursing:

1. Routine care of traditional Chinese internal medicine.

2. Grade Ⅱ care, Common diet, monitoring the blood pressure, once a day.

3.Sleep on a hard bed. Avoid wind-cold, regular daily life, have a good mood and take care of diet.

4. Completed the related examination, three routine inspection, the function of the kidneys and the liver, blood fat, blood sugar, anti-O, RF and IMX..

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

6. Acupuncture and massage: once a day

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

Dr. Zhu Ming, doctor-in-charge, paid a visit to the patient this morning. The patient complained that he had suffered from the pains over his lumbar because of lumbar sprain ten years ago. He did not care this problem. He just put some plasters upon his lumbar, and the symptoms relieved at that moment. Later the lumbago repeated, and the condition was getting worse day by day. He could not bend and even could not turn over his body. Recent years, he felt the numbness of his left leg, and it radiated to the sole. Sometimes there were sore and distent pains around hip joints. He felt difficult to sit, stand and walk for a long time. He felt cold, while his skin was hot. He could not turn over his body in bed. Sometimes he had dizziness and headache. It was not related with the weather changes. There was no tinnitus. His appetite was good, the urination and bowel movement were normal. Body checked, there were obvious pressing pains over his lumbar. Elevation test of straight left leg (+),Bragard Test (+).His tongue was dark red with yellow tongue coatings. His pulse was string, deep and powerful.

Date: April 19, 2015                     Time: 9:00 a.m.

The patient said that after treatment, the pains over his lumbar slightly relieved. And the numbness also improved. It was better for bending and stretching his waist. And it was much easier for walking. His sleeping and appetite were good. The urination and bowel movement were normal. The tongue coating was yellow. The pulse was string, slow, deep and powerful. 

Date: April 23, 2015                      Time: 9:00 a.m.

The vital signs of the patient were stable. The patient said the lumbago obviously improved. And the pains over his knees relieved. The pressing pains around his lumbar vertebra obviously relieved. The tongue coating was white, the pulse was deep and string.

Date: April 27, 2015                      Time: 9:00 a.m.

The patient was in good spirit status. The patient said the lumbago improved greatly, yet he still could not walk as normal. When walking, his body created a little bit of tilt. The pains over his knee-joints disappeared. Elevation test of straight left leg still was positive. The tongue coating was white, the pulse was deep and string.

Date: May 01, 2015                       Time: 9:00 a.m.

The vital signs of the patient were stable. The lumbago improved greatly. He could bend his waist freely. The function of bending and stretching his knees was normal. The tongue coating was white, the pulse was deep, string and slow. The patient decided to leave the hospital today. In order to consolidate the effect, the patient took the herbal tea back.