Brief Summary: On April 14, 2010, the patient Eugene from USA who has suffered from ALS accompanied by imbalance and difficulty in walking, stiffness in the lower limbs, spasms of the four limbs and weakness of the hands especially the right hand not able to hold things for 3 years, was hospitalized in our hospital. What’s more, there was diplopia, slurred and difficult speech. He has achieved obvious improvement after 84 days comprehensive TCM treatment with herbal tea, acupuncture and massage in our hospital. He could walk 300 meters with his walker again. 

Record of Hospitalization

Name: Eugene                                      Sex: Male

Age: 63                                                Profession: Scientist

Nationality: USA                                 Marital Status: Married

Date of Admission: April 14, 2010      Onset Season: Beginning of Spring

Complainer: The patient himself            Reliability: Reliable

Major complaint: He has had weakness of the four limbs and difficulties in walking for 3 years.

Disease history: 3 years ago, the patient felt weakness of the two hands without obvious reasons. Gradually the condition got worse. He felt weakness of the lower limbs and difficulties in walking. Then he was diagnosed with ALS at a local hospital by MRI.

His present symptoms: Difficulties in walking and need to use the walker for help. There was stiffness of the lower limbs and poor balance. There was seen muscular jumping in the four limbs sometimes. The hands were weak; especially the right hand could not hold things. He had diplopia. He had problem in speaking. The speech was slurred. His swallowing was good. The urination and bowel movement were normal.

Disease history: He had Colon Cancer 3 years ago and became better after the colon surgery. No trigeminal neuritis. No history of hepatitis. No tuberculosis, schist soma and other infectious diseases. No allergic history of medicines or food. No history of blood transfusion. The history of preventive vaccination was unknown.

Personal history: He was born in USA and his living environment was good. He smokes. He was moderate in temper.

Family history: The families do not suffer from the similar disease. 

First Medical Record

Date: April 14, 2010                 Time: 13:00 p.m.

Eugene, a 63-year-old male, has suffered from ALS accompanied by weakness of the four limbs and difficulties in walking for 3 years. He was hospitalized in our hospital for treatment at 13:00 p.m. on April 14, 2010.

Essentials for Diagnosis:

1. The patient has suffered from weakness of the four limbs and difficulties in walking for 3 years.

2. 3 years ago, the patient felt the weakness of the two hands without obvious reasons. Gradually the condition got worse. He felt the weakness of the lower limbs and difficulties in walking. Then he was diagnosed with ALS at a local hospital by MRI.

His present symptoms: Difficulties in walking and need to use the walker for help. There was stiffness of the lower limbs and poor balance. There were muscular jumpings in the four limbs sometimes. The hands were weak; especially the right hand could not hold things. He had diplopia. He had problem in speaking. The speech was slurred. His swallowing was good. The urination and bowel movement were normal.