Brief Summary: On Mar. 2, 2009, Michel from Brazil, who has suffered from ALS, accompanied with the symptoms of the weakness of his right fingers for 10 months and hoarse voice for 4 months, was hospitalized in our hospital. He has achieved significant improvement after 30 days TCM treatment here.

Record of Hospitalization

Name: Michel                                         Birthplace: Brazil

Sex: Male                                               Profession: Retired

Age: 70                                                  Nationality: Brazil

Marital Status: Married                        Onset Season: The Summer Solstice

Date of Admission: Mar. 2, 2009         Date of Record: Mar. 2, 2009

Complainer: The patient himself

First Medical Record

Date: Mar. 2, 2009                                        Time: 2: 00 a. m.

Michel, a 70-year-old male, has suffered from the symptoms of the weakness of his right fingers for 10 months and hoarse voice for 4 months. His condition became more serious, so he was hospitalized in our hospital for treatment on Mar. 2, 2009.

Essentials for Diagnosis:

1. The patient has suffered from the symptoms of the weakness of the right fingers for 10 months and hoarse voice for 4 months. His condition became more serious.

2. Last May, the patient felt the weakness of his right fingers without obvious reasons. At that moment, he didnt pay much attention to this and had not taken any examination and treatment. Later his condition gradually became worse. So last October he went to local hospital for EMG examination and was diagnosed with ALS, then the doctor prescribed Rilutek capsules for treatment, twice a day. Now he felt the weakness of the hands, especially the right hand. The flexibility of his right fingers declined. There were slight spasms and jumping of the muscles all over the body. In recent four months, the patient felt his condition obviously became more serious. He had hoarse voice when he was speaking. There was no obvious improvement after the treatment, so he came to our hospital for further treatment. He had pale tender-red tongue. There were teeth marks on the edges of the tongue and cracks in the middle of the tongue. He had wiry pulse. His spirit, appetite, urine and bowel movement were normal.

3. T 36.5, P 80 times/minute, R 20 times/minute, BP 190/90mmHg.

4. He grew normally with common nutrition. His mind was clear. He had an expression of chronic illness and tiredness. His body was in a positive posture and he was cooperative with clear 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 80 times/minute. Cardiac rhythm was regular. No pathological murmurs on auscultation.