Brief Summary: On April 22, 2013, Adel, from Saudi Arabia, who had been suffering MS with the symptoms of finger-shaking, unstable walking, curved body and double vision for 12 years, accompanied by pains over his back and legs for two weeks, was hospitalized in our hospital. He achieved great improvement after almost two months TCM treatment with the help of acupuncture, herbal tea and tuina in our hospital. He could walk straightly without his stick again. 

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Record of Hospitalization 

Name: Adel                                               Sex: Male

Age: 42                                                     Marital Status: Married

Nationality: Saudi Aradian                        Date of Admission: Apr. 22, 2013

Companion: Alone 

First Medical Record 

Date: Apr. 23, 2013                                Time: 11:00 a.m. 

This 42-year-old man had been suffering from finger-shaking, unstable walking, curved body and double vision for 12 years, accompanied by pains over his back and legs for two weeks. The patient was hospitalized in our hospital for TCM treatment at 20:30 p.m. on April 22, 2013. 

Essential for Diagnosis: 

1. Medical history: The patient suffered finger-shaking, unstable walking, curved body and double vision for 12 years, accompanied by pains over his back and legs for two weeks. He used to have operation on appendix. Two weeks ago, he did arm wrestling with his friend, and he wrenched his waist. 

2. When he came to our hospital, he suffered shaking symptom over his ten fingers without any cramps. The case of unstable walking occurred repeatedly with poor balance. And in recent one year, such case happened more often than before. He also suffered diplopia with diminution of vision. He did not suffer dizziness or tinnitus. His leg and back were painful. He could not walk upright. When he straightened his back, he felt painful. He also suffered the symptom of amnesia. He suffered sleep drooling. He suffered decreasing sexual function and erectile weakness. Urine color was yellowish. He had no night urination. He suffered constipation for several years. His stool was dry and hard. He had bowel movement for 4-5 days/time. He suffered weight-loss for 25 kg. Appetite and sleep were normal. 

3. T: 36.3C   R: 20 times/minute    P: 80 times/minute   BP: 120/80mmHg 

5. The patient grew normally with emaciated body shape. He was alert and cooperative. He had chronic sick facial complexion. He walked with a crutch and stoop down. His eyes were reactive to light without eye fremitus. Hoffmann's sign+, Elevation test of straight right leg (+),  Bragard Test (+). There were obvious pressing pain points over his back, especially the left side. His tongue was red with white and thick tongue coating. His pulse was wiry. His left pulse was weak.

Diagnostic Differentiation: 

TCM:

The patient suffered finger fremitus and unstable walking with poor balance for 12 years, which should be Bone-shaking in the category of TCM. The Marrow Sea of the patient had not been nourished for long time, and then the symptoms of finger fremitus and poor balance. The deficiency of kidney-yang led to erectile weakness. Long course of sickness led to deficiency of blood and qi, and then constipation happened. Besides, the patient suffered lumbar pains, which should be lumbago among the category of TCM. Because of sprain, he suffered pains over his back, and then he could not walk upright. The stasis of blood blocked the channels. There goes a saying: When the channels are blocked, pains happen. Therefore, his condition should be bone-shaking due to un-nourishment of the Marrow Sea and deficiency of blood and qi, as well as lumbago due to channel blockage by the blood stasis. 

Western Medicine diagnosis:

1. The patient suffered finger fremitus, unstable walking and diplopia for 12 years, being severe for one year. He also suffered pains over his back and legs for 2 weeks.   

2. Positive signs of the nervous system and medical history of sprain over his back. 

3. Diagnosis in his local hospital.

First Diagnosis:

TCM: 1. Bone Shaking.

     2. Lumbar pains.

Symptom identification: un-nourishment of the Marrow Sea and deficiency of blood and qi as well as channel blockage by the blood stasis. 

Western medicine diagnosis:  1. multiple sclerosisMS.                    

                                              2. Prolapse of lumbar intervertebral disc.