Brief Summary: On April 26, 2015, Mr. Zeng Xiangfa, from Longjing village of Zhongfang County, who had been suffering repeated pains over his lumbar, and companied by numbness over his left leg for more than ten years, was hospitalized in our hospital. He achieved great improvement only after 16 days TCM treatment with the help of acupuncture, herbal tea and tuina in our hospital. 

Record of Hospitalization 

Name: Zeng Xiangfa                   Sex: Male

Age: 59                                       Marital Status: Married

Nationality: China                      Date of Admission: Apr. 26, 2015

Companion: Alone 

First Medical Record 

Date: April 26, 2015                 Time: 12:00 a.m. 

This 59-year-old man had been suffering from pains over his lumbar for five years. His condition became severe in this recent month. The patient was hospitalized in our hospital as a patient with Prolapse of Lumbar Intervertebral Disc for TCM treatment at 12:00 a.m. on April 26, 2015. 

Essential for Diagnosis: 

1. The patient had been suffering repeated pains over his lumbar, and companied by numbness over his left leg for more than ten years. His condition became severe in recent 7 days. There is no allergic history of any medicine or any food. 

2. When he came to our hospital, he suffered pains over his back, he could not bend towards. There were numbness and pains over his left leg. And the numbness radiated to his feet. He could not bend, squat and felt difficult to sit, stand and walk for a long time. The pains were related with the weather changes. Whenever the weather was getting cold, the pains got worse. Recently because of the weather changes, his condition became worse, it affected his laborious works and his sleeping. He also suffered occasional dizziness, chest oppression and headache. The urination and bowel movement were normal. 

4. T: 36.6°C   R: 20 times/minute    P: 80 times/minute   BP: 140/70mmHg 

5. The patient grew normally with standard body shape. He was alert and cooperative. He had chronic sick facial complexion. He was in compulsive position. There was no sign of yellow sclera or yellowish skin and also no enlargement on the superficial lymph node of his whole body. His neck was soft without resistance. There were pressing pains over his shoulders and back. Facial features were normal without masses. His trachea was symmetrical. There was no enlargement over his thyroid. The jugular vein was of no engorgement. His chest was symmetrical. Sound of breathing in the lungs was clear, without any rhonchi. Rhythm of his heart was 80 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. There were obvious pressing pains over L4 and L5. When the doctor press his Huantiao Poit, the numbness radiated to his left leg and toes. Elevation test of straight left leg (+), Bragard Test (+). His tongue was dark red with white and thick tongue coatings. His pulse was string, deep and weak.

Diagnostic Differentiation:

TCM: Lumbargo

Western Medicine diagnosis:

1. Prolapse of Lumbar Intervertebral Disc

2. Original Hypertesion