Brief Summary: On January 22, 2010, Andon from Albania, who has suffered from ALS, was hospitalized in our hospital. He had the weakness of his two lower limbs especially the right lower limb. At the same time, he had spasms of the four limbs. However, he has achieved obvious improvement after 30 days TCM treatment here.

Record of Hospitalization

Name: Andon                                               Birthplace: Albania

Sex: Male                                                     Profession: Businessman

Age: 60                                                        Date of Admission: January 22, 2010

Nationality: Albania                                     Date of Record: January 22, 2010

Marital Status: Married                              Onset Season: Autumnal Equinox

Complainer: The patient himself

First Medical Record

Date: January 22, 2010                                       Time: 1: 00 a. m.

Andon, who has suffered from ALS, was hospitalized in our hospital. He had the weakness of his two lower limbs especially the right lower limb. At the same time, he had spasms of the four limbs. Besides, he had difficulty in walking.

Essentials for Diagnosis:

1. The patient had weakness of his both lower limbs. And he had had difficulty in walking for one year.

2. In January, 2009, the patient began to feel the weakness of the lower limbs without obvious reasons, but he didnt pay much attention to this. And he hadnt taken any examination and treatment. Then the condition gradually became worse. In May of 2009, he was given MRI examination in a local hospital and was diagnosed as MND. The doctor told him that there was no treatment for it. Then he did not receive any treatment from then on. So his condition became worse. At last, he came to our hospital on January 22, 2010 for better treatment.

3. T 36.5, R 20 times/minute, P 78 times/minute, BP 190/70mmHg.

4. He grew normally with medium nutrition. Her mind was clear. She had an expression of chronic illness and tiredness. Her body was cooperative with her mind.

5. No thoracic deformity. Sound of breath was bilaterally normal on auscultation. No sound of pleural friction. Heart border was normal. Heart beat was 78 times/minute. Cardiac rhythm was regular. No pathological murmurs on auscultation.

6. The patient felt the weakness of his two lower limbs. He had spasms of the four limbs. His pulse was wiry and weak.

7. Accessory examination: None.

Diagnostic Basis:

TCM: The patient had weakness of his two lower limbs. Besides, he had difficulty in walking for one month. Insufficiency of essence-blood, sinews and vessels deprived of nourishment, liver-kidney depletion, liquid-blood could not provide enough nutrition to sinews. The waist is the house of the kidneys, the kidneys govern the bones. Lack of the essence causes the limp waist and knees. His tongue body was dark red. His tongue coating was thin and white. His pulse was wiry and weak. According to the symptoms of the tongue and pulse, he was diagnosed as wilting pattern.

Western Medicine: The patient had weakness of his two lower limbs. Besides, he had difficulty in walking for one month. In May of 2009, he was given MRI examination in the local hospital and was diagnosed as MND.

Diagnostic Differentiation:

TCM: The patient's wilting pattern should be differentiated from impediment pattern. Wilting pattern is characterized by limp, weak, and emaciated limbs with the numbness of the muscles. But the patient usually has no joint pains. On the contrary, impediment pattern is generally characterized by joint pains. So they are not difficult to be distinguished.

Western Medicine: it should be differentiated from progressive muscular dystrophy, which is characterized by obvious muscular dystrophy in the legs. But there is no muscular trembling in the fascicle. The disease can be diagnosed clearly by the examination of MRI.