Brief Summary: Ms. Maryam had been suffering from too much drinking, too much urination as well as repeated headache for 18 years, accompanied by edema over her lower limbs for 6 months. She was diagnosed as chronic renal insufficiency. She was hospitalized in our hospital on September 27, 2013 for TCM treatment. She achieved significant improvement after nearly 2 month TCM treatment with the help of herbal tea, acupuncture, massage etc.

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Condition before TCM treatment:

Patient with polydipsia, polyuria, and recurrent headaches for 18 years, lower limbs swelling for six months, and then admitted into our hospital with the head pain, feel dizziness when change positions, blurred vision. Symptoms of dry mouth, polydipsia, and polyuria have reduced after medication. Pain and tired in right lower limbs after walking about 10 minutes. Swelling in both lower limbs, and numbness in left toe. Check: P72 beats / min, Bp170/90mmHg. Dark tongue, thick yellow dry coating with crack, obviously sublingual stasis network, and deep thin slippery pulse. Taking "Carvedilol" and other 9 kinds of drugs, insulin 20 u / day. Admission examination BUN 23.1/mmol/l , UA 563umol / L serum creatinine 34umol / L .

Condition at Discharge:

Patient discharged without dry mouth, polydipsia, and polyuria. No headache and dizziness. Easy walking than before, can self-shopping now, reduced swelling in lower limbs, and no numbness in feet. Check: P78 beats / min, Bp150/85mmHg. Shiny complexion than before. Red tongue with thin yellow coating, visible touching pulse. Taking "Carvedilol" and other four kinds of drugs, insulin 14 u / day. Check blood urea nitrogen (BUN) 3.82 mmol/l, uric acid 408 umol/L, CR 194 umol/L.

Record of Hospitalization

Name: Maryam                                     Sex: Female

Age: 61                                                 Marital Status: Married

Nationality: Bahrain                             Date of Admission: Sep. 28, 2013

Companion: Her Son

First Medical Record

Date: Sep. 28, 2013                                      Time: 11:00 am

This 61-year-old lady had been suffering from too much drinking, too much urination as well as repeated headache for 18 years, accompanied by edema over her lower limbs for 6 months. The patient was hospitalized in our hospital for TCM treatment at 22:00 on September. 27, 2013.

Essential for Diagnosis:

1. The patient had been suffering too much drinking, too much urination as well as repeated headache for 18 years, accompanied by edema over her lower limbs for 6 months.

2. The patient suffered the symptoms of much drinking, much urination and repeated headache for 18 years. Six months ago, she suffered edema of her lower limbs. After her last child was born 18 years ago, because of high blood sugar, the upper limb of her left hand was infected and festered; the part down from her elbow was amputated. She also suffered hypertension, and she still took many western medicine to control it. The symptom of edema over her lower limbs appeared six months ago. She went to her local hospital to take examination, and the result showed chronic renal insufficiency.

3. When the patient was hospitalized in our hospital, she suffered headache, swelling pains, without nausea or vomiting. When she moves her body, she felt dizzy. She also suffered blurred vision, with tears always rolling in her left eye. There was no itchy symptom over her eyes, and also no symptoms of tinnitus and deafness. Because using western medicine for her conditions, she now felt dryness in her mouth, but the symptoms of much drinking and much urination were alleviated. She did not feel bitterness or bad breath odor in her mouth. She liked cold drinking. She suffered shortness of breath with no palpitations. There was no pains over her back. When she walked too long, she felt pains over her right lower limb. Her lower limbs were swelling, with numbness over her right toes. She was not afraid of coldness. Her bowel movement was once a day. She had night urination for 3 times. After controlling of her diet, her weight decreased about 3-4 kg. Her blood pressure was controlled at around 160/90 mmHg; blood sugar 16-17 mmol/L.

4. T: 36.3C   R: 20 times/minute    P: 72 times/minute   BP: 170/90 mmHg