Brief Summary: On May 14, 2010, the patient Paskal from Australia who had suffered from lupus erythematosus associated with numbness and lack of energy in the body for 9 years, stiffness of the left ankle and pains of the joints for 6 years was hospitalized in our hospital. He has achieved obvious improvement after 21 days comprehensive TCM treatment with herbal tea, acupuncture and massage in our hospital.

Record of Hospitalization

Name: Paskal                                             Sex: Male

Age: 31                                                       Profession: Engineer

Nationality: Australia                                  Marital Status: Unmarried

Date of Admission: May 14, 2010             Date of Recording: May 15, 2010 

Onset Season: the Summer Solstice          Complainer: The patient himself          

Major complaint: He had numbness and lack of energy in the body for 9 years, accompanied by stiffness of the left ankle and pains of the joints for 6 years.

Disease history: No history of hepatitis. No tuberculosis, schist soma and other infectious diseases. No history of trauma and surgery. 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 Australia and his living environment was dry. No addiction of wine drinking. He smokes. He had a drug habit but under control in the last 5 years.

Family history: There was one family member suffering from cancer.

First Medical Record

Date: May 15, 2010                       Time: 15:00 p.m.

Paskal, a 31-year-old male, has suffered from lupus erythematosus accompanied by numbness and lack of energy in the body for 9 years, and stiffness of the left ankle and pains of the joints for 6 years. He was hospitalized in our hospital for treatment at 15:00 p. m. on May 15, 2010.

Essentials for Diagnosis:

1. The patient has suffered from lupus erythematosus accompanied by numbness and lack of energy in the body for 9 years, stiffness of the left ankle and pains of the joints for 6 years.