Brief Summary: On June 24, 2010, Pauline from Canada, who has suffered from ALS, was hospitalized in our hospital. She has had the weakness of her four limbs for one and half a year and accompanied with the muscle atrophy for 8 months. After five months treatment, she achieved a good result.

Record of Hospitalization 

Name: Pauline                                       Birthplace: Canada

Sex: Female                                          Profession: Web worker

Age: 43                                                 Date of Admission: June 24, 2010

Marital Status: Married                       Date of Record: June 25, 2010

Nationality: Canada                             Onset Season: Summer Solstice

Major Complaints: She has had the weakness of her four limbs for one and half a year and accompanied with the muscle atrophy for 8 months.

Present Illness: The patient found the obvious weakness on the left lower limb at the beginning of 2008. Then this problem affected the four limbs and muscle atrophy appeared. The local doctor diagnosed it as ALS. The patient has received the acupuncture, but the treatment effect was not so good. Now, she has the weakness of her four limbs and atrophy on the part of the hand between the thumb and the index finger. The muscles of the other parts are relaxant but not apparently atrophic. She has no problem of walking, but the long time walking will cause pains in the buttocks. She has normal spirit but is easy to get tired. Both of her sleep and appetite is good. Her swallowing and urination is normal and stool is loose. Also, she has muscle jumpings, but it is not very obvious.

Disease History : Between 1983 and 1986, she had the mild enlarged thyroid. After the treatment, it has recovered now. In 1986, she had the ulcerative colitis and take medicine until 1991. She has no tuberculosis, typhoid and hepatitis. She is not allergic to any food but allergic to erythrocin. She has no history of  blood transfusion.

Personal  History: She was born in Canada. No contact history of schistosomiasis. No addiction to smoking and alcohol. She has a even temper but much working pressure.

Marriage History: She get married and has two children and a healthy husband.

Family History: No family members got the similar disease before. 

Physical Examination

T: 37.1   P: 80bpm   R: 20bpm   BP: 100/60mmHg

She was mid-nourished and normally developed. Her mild was clear. Her skin was moist. Her neck was soft  andtrachea is in the midline. No jaundice in the sclera. No superficial lymph-node enlargement. No enlarged thyroid. Sound of breath was bilaterally normal on auscultation. Heart border was normal. Heart beat 80/min. Cardiac rhythm was regular. No pathological murmurs on auscultation. Abdomen was flat and soft without tenderness or rebound tenderness. Liver and spleen were not palpable. Her four limbs are very weak, especially the upper limbs. Muscles areatrophic on the part of the hand between the thumb and the index finger. At the same time, she can not abduce her thumbs completely. The other parts muscles are relaxant but not apparently atrophic. She had the left foot drop. The movement of the joints is normal. No check of her anus and the two lower orifices. She has dark tongue body and whitish, thick tongue coating and weak pulse.