Brief Summary: On August 19, 2010, Quang, from Vietnam, who had been suffering skin impediment in traditional Chinese medicine (TCM) or systemic sclerosis in the concept of western medicine, accompanied by swelling and thickening skin for 10 years and stiff hands and feet for 8 years, was hospitalized in our hospital. She achieved significant improvement after 31 days TCM treatment.

Record of Hospitalization

Name: Quang                                            Sex: Female

Age: 27                                                     Marital Status: Unmarried

Nationality: Vietnamese                           Date of Admission: Aug. 19, 2010

Companion: Alone

First Medical Record

Date: Aug. 20, 2010                                Time: 11:00 am

This 27-year-old lady had been suffering from skin impediment, accompanied by swelling and thickening skin for 10 years and stiff hands and feet for 8 years. The patient was hospitalized in our hospital for TCM treatment at 20 pm on August 19, 2010.

Essential for Diagnosis:

1. The patient had been suffering swelling and thickening skin for 10 years and stiff hands and feet for 8 years.

2. The patient complained of pyrexia over the general body without any cause ten years ago and joint pains of the four limbs, then developed into red facial complexion, swelling and thickening skin, weak and stiff fingers as well as stiff feet and toes. Two years ago, she has swallowing problem. Her conditions were diagnosed as scleroderma in the local hospital. Before coming to our hospital, the patient had been taken the treatment of herbal tea shipped from our hospital for four months, and her conditions were alleviated somewhat.

3. When Quang came to our hospital, she suffered from thickening skin over almost the whole body. She felt very itchy over the skin. There was no sweat or little sweat out from the region of the hard skin. There was pigmentation of the skin, appearing different brown shades. The patient felt cold limbs. There were hot pains on the joints of elbows and knees. The hands and feet were of stiffness, especially showing on the fingers and toes. She had difficulties in swallowing with a sense of vomiting during meals. Her spirit was nervous. Sleep was not so good, but appetite was normal. In the recent 3 months, she had headaches at the temples, in need of pain killers to alleviate pains. Urination was good. Stool was soft.

4. T: 36.4°C   R: 20 times/minute    P: 100 times/minute   BP: 120/80mmHg

5. The patient was of chronic and sick complexion with stiff facial expression and hard-waxy facial skin. Her spiritual activities were normal. She grew normally with skinny body.

6. The breathing sounds of the lungs were clear, with no pathological murmurs. There was no enlargement of the heart. The heart rate was regular and it was 100 times per minute with no pathological murmurs.