Brief Summary: Mr. Ramzi, from Lebanon, who had been suffering from wilting pattern or muscle atrophy in traditional Chinese medicine (TCM) or amyotrophic lateral sclerosis (ALS) in the concept of western medicine. His symptoms were weak limbs for one and a half years and then developed into dysfunction problem of the upper limbs. He was hospitalized in our hospital on December 27, 2011. He achieved significant improvement after 50 days of TCM treatment with the help of herbal tea, acupuncture, massage etc.

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Record of Hospitalization

Name: Ramzi                                    Sex: Male

Age: 47                                             Marital Status: Married

Nationality: Lebanese                      Date of Admission: Dec. 27, 2011

Companion: Wife

First Medical Record 

Date: Dec. 25, 2011                                Time: 12:00 am

This 47-year-old gentleman had been suffering from weakness of the four limbs for one and a half years. His conditions became worse, and then developed into a dysfunctional problem of his upper limbs. The patient was hospitalized in our hospital for TCM treatment at 11:00 am on December 27, 2011.

Essential for Diagnosis:

1. The patient had been suffering from weakness of the four limbs for one and a half years. His conditions became worse, and then developed into a dysfunctional problem of his upper limbs.

2. The patient had complained of weakness of his right fingers without any cause, one and a half years ago, and then his arms and left hand became weak also, accompanied by muscle atrophy and muscle jumpings. His condition was diagnosed as ALS, a kind of motor neuron disease according to the results of a MRI examination at a local hospital. He used to take Rilutek, but the therapeutic effect was not so perfect, so 3 months ago, he stopped taking this medicine. Around four months ago, weakness appeared in his lower limbs, with walking difficulty, especially over the right lower limb. About 2 months ago, his speech became unclear with limited motion of his tongue body. He lost weight about 5kg since he suffered from this disease. 

3. When the patient was hospitalized in our hospital, he suffered from weak limbs and muscle atrophy over his whole general body, especially on his upper limbs. Muscle jumpings appeared over his whole body. It was difficult for him to raise or rotate his upper limbs. His fingers could not extend fully. His two lower limbs were weak, with a walking problem. He could only walk around 500 meters, and was easy to be fatigued. He walked in a pigeon-toed gesture, with stiff and heavy legs and occasional spasms. Speech was not clear or fluent. Swallowing was ok. The motion of his tongue body was not good. He also had shortness of breath and a dry taste in his mouth. It was difficult for him to open his eyes even after being awake about ten minutes. He had sweating on his head, hands and feet. His four limbs were cold. Urination and stool were normal. He had night urination of about 1 to 2 times. His tongue was red with yellow and greasy tongue coating. There were cracks on the surface of his tongue. His pulse was sunken and weak.