Brief Summary: On January 02, 2011, Ribka, from the United States, who had suffered from wilting pattern or muscle atrophy in traditional Chinese medicine (TCM) or amyotrophic lateral sclerosis (ALS) in the concept of western medicine for 2 months, accompanied by weak and heavy limbs, was hospitalized in our hospital. She achieved significant improvement after 70 days TCM treatment.

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Record of Hospitalization

Name: Ribka                                            Sex: Female

Age: 36                                                    Marital Status: Married

Nationality: Dutch                                    Date of Admission: Jan. 2, 2011

Companion: Family

First Medical Record

Date: Jan. 2, 2011                                Time: 15:00 pm

This 36-year-old lady had suffered from weak and heavy limbs for 2 years, accompanied by difficult walking and muscle jumpings all over her whole general body. The patient was hospitalized in our hospital for TCM treatment at 15 pm on January 2, 2011.

Essential for Diagnosis:

1. The patient had been suffering from weak and heavy limbs for 2 years, accompanied by difficult walking and muscle jumpings all over her whole general body.

2. The patient complained of weak lower limbs and difficult walking after childbirth in February of 2009, and later developed into weakness of her upper limbs. On October 10, 2010, her condition was diagnosed as ALS in her local hospital, while she did not take any treatment for that.

3. When the patient hospitalized in our hospital, she had weak four limbs and had difficulty to raise her lower limbs. She could not walk by herself and when she walked, she should be under the help of a walker. It was also difficult for her to stand up. There were pains over her knees and spontaneous spasms over her lower limbs. Fingers of both hands could not stretch straight. Fingers also were weak, but the weak problem did not affect her daily activities at present. She felt a sense of stiffness and heaviness over her whole general body. There were also muscle jumpings over her whole general body and being severe during the night. Sleep in the night was good, but it was difficult for her to turn over her body. Appetite was good. She did not feel dry in her mouth and she liked hot drinking. Urination was good. She suffered occasional constipation. During her menstruation, she suffered occasional abdominal pains.

4. T: 36.2C   R: 20 times/minute    P: 80 times/minute   BP: 120/80 mmHg

5. She had a chronic diseased facial complexion, with a skinny body. Her spirit activities were normal. The formation and size of the thorax were normal. The breathing sounds of the lungs were clear, with no pathological murmurs. The heart rate was regular.

6. The movement of her four limbs was ok. Bending of both acrotarsiums was not good. There were pains over the joints of her knees. She did not suffer weight loss. Her tongue was slightly red with white and greasy tongue coating. Her pulse was deep and thready.