Brief Summary: On April 19, 2012, Fatima, from Libya, who had been suffering skin impediment in traditional Chinese medicine (TCM) or systemic sclerosis in the concept of western medicine, accompanied by tightness, atrophy and ulcer over the skin of her face, elbows and the parts below her knee joints for 19 years, was hospitalized in our hospital. She achieved significant improvement after 74 days TCM treatment.

Record of Hospitalization

Name: Fatima                                   Sex: Female

Age:47                                             Marital Status: Married

Nationality: Libyan                           Date of Admission: Apr. 19, 2012

Companion: Her Husband

First Medical Record

Date: Apr. 19, 2012                               Time: 11:00 am

This 47-year-old lady had been suffering from skin impediment, accompanied by tightness, atrophy and ulcer over the skin of her face, elbows and the parts below her knee joints for 19 years. The patient was hospitalized in our hospital for TCM treatment at 00:00 am on April 19, 2012.

Essential for Diagnosis:

1. The patient had been suffering from tightness, atrophy and ulcer over the skin of her face, elbows and the parts below her knee joints for 19 years. She had entered menopause for 18 years.

2. When the patient came to our hospital, skins over her face, elbows and regions below knee joints were tight. Fingers and toes suffered ulcers. Hands felt cold. The four limbs were stiff and heavy. She felt feverishness in palms and soles sometimes. She could walk for 1 km, but if walked for a long time, she felt burning and pricking pains over her feet. She had slightly headache. She had occasional dizziness and tinnitus. She suffered vision loss. Her eyes were dry and itchy. She could not open her mouth fully. She felt dryness and slight bitterness in her mouth. She liked drinking warm water. Her throat was dry without phlegm. Swallowing was not very smooth. Her appetite was good. She had no gastric pains or abdominal distension. Bowel movement was once in one or two days. Urine sometimes was clear, while sometimes was yellowish.

3. T: 36.5°C   R: 20 times/minute    P: 71 times/minute   BP: 120/70mmHg

4. The patient was alert and cooperative and had a positive body position. She grew normally with emaciation and old face. Her scalp became thin and her hair became sparse. Her facial complexion was dark without any luster. Her face was full of dark red spots, and when pressing these spots, the color faded. Her skin was stiff and atrophy. Skins over her forehead and tips were shrinking.  Both eyes were depressed and her nose wing was thin and sharp. Auricle became small with stiff skin and low elasticity. She could not open her mouth fully. She felt tired to extend her tongue. She suffered loss of teeth and wore dentures. Skins over her neck, upper arms, legs and buttocks were rough. Pigmentation was seen from the elbow tips to the wrists and over the knees.