Record of
Hospitalization
Name: Jonathan Slaughter Gender:
Male
Age:
38 Marital State:
Married
Profession: Ballet Dancer Address of Birth: Worthing, UK
Nationality: British Current Address: see below*
Date of Hospitalization: August 1, 2004. Record Date: August 1, 2004
Major complaint: Dry skin for 38 years,
severe itching, 24 hours scratching everyday, multiple skin
ulcers, past treatments no help.
Disease history: Jonathan complained that
when he was born, mother found cuts on his arms and dry skin. So
his mother tried to use western cortisone and steroid external
use cream for him to relieve the dryness of the skin. When he
was 18 years old, he went to Central Ballet School in London and
studied Ballet techniques for two years. During this period, he
still was using the cream, pills and injections.
*Chibashi
Chuouku
Aoba Cho 1269
Aoba Cho No Mori
Koen Dori 7-401
Japan
When he was 25 years old, he tried to stop
steroid, then he felt pretty much worse. The symptoms are
fatigue, sorness of the joints, joint stiffness, thick skin,
even could not turn his neck.. When he was 32 years old, he went
to Tokyo, Japan to teach the local people the techniques of
Ballet. He used quite a lot herbal treatment in Japan for two
years, yet no obvious improvement was found; he was given
fire-purging Chinese herbal medications and this even made him
feel cold in hot summer.
Currently, the major complaint is dry sense
of the skin which feels like hard paper, fatigue, itching very
severely, and has to scratch all the time, falling off of the
skin flakes at most parts of the body skin. The two hands, two
feet and the back part of the knees have obvious ulcers,
especially the swelling of the two feets and ankles is severe.
Thirst and liking much water of normal temperature, constipation
often.
Five years ago, he felt irregular beats of
the heart. But right now, this feeling has disappeared. Asthma
lasted all the time till recent four years, during which no
onset of asthma was found. When asthma happened, it is three or
four times every week. He feel always blockaded nose, nasal
excretion is yellow.
Jonathan is allergic to horse, any other
animal with body hair, sometimes honey and alcohol. He also said
the right kidney is bigger than the left kidney, but no
nephritis or kidney stone or infection was found.
The total body check is carried out. T37.1C,
P 90 beats/per minute, BP 120/70 mmHg.
The left pulse is thready and string-like,
right pulse soggy. The tongue is enlarged, moist and without
tongue coating.
Diagnosis: Yin deficiency, fulminant fire,
external wind disturbing, blood dryness, the skin fails to be
nourished.
Treatment strategy: Moistening yin, clearing
heat, expelling wind, stopping itching, enriching blood.
So the formula for oral use is as follows.
Take 200 milliliters in the morning 10:00 AM, and another 200
milliliters in the afternoon 4:00 PM.
glehnia root 12g
ophiopogon tuber
12g
Solomon¡¯s seal
root 12g
scrophularia
root 12g
honeysuckle
15g
wild
chrysanthemum flower 15g
xanthium 10g
cnidium seed 10g
schizonepata 1
0g
ledebouriella
10g
ligusticum root
12g
peach kernel 12g
tangkuei root
10g
The second formula is for external use for
bathing, soaking, washing the skin for twenty minutes in 11:00
AM and 5:00 PM for another twenty minutes.
schizonepata
30g
ledebouriella
30g
licorice root
50g
honeysuckle
80g
xanthium 50g
stemona 50g
cnidium seed
50g
glehnia
root40g
ophiopogon tuber
40g
Solomon¡¯s seal
root 40g
scrophularia
root 40g
rhubarb 20g
salvia root 30g
Prescribed by Dr. Ming 2004.8.1
August 2, Jonathan said he could get used to
the internal use herbal tea and external use soup. Washing and
soaking the skin for 15 minutes. It is too early to say if there
is good change. But it seems to him that he feel the skin on the
arms is less itching. The ulcer on the feet is less itching and
would like to have some cream to moisten the local skin.
Dr. Ming, 2004, 8, 2.
August 3, Jonathan said the taste of the
herbal tea is acceptable, not too much bitter and not too much
cold in nature. Yesterday afternoon after coming back from
exposing to strong sunlight for two hours, itching is even
stronger, and the feet feel hurting stronger. But if exposing
too strong sunlight in the past, he has to scratch strongly, but
this time he did not need to scratch. This morning he feels the
skin seems to be a little bit moist. I checked the total body
skin, dry indication and flakes could be found. It is obvious
that the ulcers at the back of the two knees are disappearing.
The ulcers of the feet are still obvious. So the internal use
herbal formula is as follows:
glehnia root 12g
ophiopogon tuber
12g
Solomon¡¯s seal
root 12g
scrophularia
root 12g
trichosanthes
root 10g
honeysuckle
15g
wild
chrysanthemum flower 15g
xanthium 10g
cnidium seed
10g
cicada molting
10g
schizonepata 1
0g
ledebouriella
10g
tangkuei root
10g
anemarrhena
root 10g
arctium seed
10g
Two dosages: 200 ml in the morning, another
200ml in the afternoon.
The external use formula is as follows:
schizonepata
30g
ledebouriella
30g
licorice root
50g
honeysuckle
80g
xanthium 50g
stemona 50g
cnidium seed
50g
glehnia
root40g
ophiopogon tuber
40g
Solomon¡¯s seal
root 40g
scrophularia
root 40g
trichosanthes
root 40g
phellodendron
bark 40g
anemarrhena root
40g
rhubarb 20g
cicada molting
40g
flavescent
sophora root 40g
arctium seed
40g
Two dosages: washing externally once in the
morning 11:00AM, 5:00PM.
Offer external use ointment, Meibao Moist
Scalds Ointment to use external on the feet to moisten the local
skin, twice a day.
Dr. Ming, 2004.8.3
August 4, Slaughter said yesterday from the
morning till 9:30 PM, rare feel itching sense. In the past, the
whole daytime and night are of severe itching. But after 9:30,
he feels itching and has to scratch, sleep is relatively
relaxed. This morning the itching of the face is relatively more
compared to other part of the total body skin. I found that the
ulcers of the two feet are getting better, swelling is reduced
20%.
Dr. Ming, 2004.8.4
August 5, Slaughter is feeling that itching
degree is reduced 50% percent in the daytime and 90% percent
reduced at night. I found that the skin is becoming little bit
moist and the ulcers on the feet are continuing to heal.
Dr. Ming, 2004.8.5
August 6, the skin itching degree is
continuing to decrease. The feet itching is reduced obviously.
Now the upper part of the body including the face, neck, chest,
upper back is still dry and itching. More skin flakes come down.
Advice the patient to use Meibao Moist Scalds Ointment on these
severe parts of skin for two to three days to see the result. I
tried to touch the skin; the skin feels like hard paper. So the
internal use formula is trying to strengthen the effect of
moistening the skin.
glehnia root15g
ophiopogon tuber
15g
Solomon¡¯s seal
root 15g
scrophularia
root 15g
asparagus tuber
15g
trichosanthes
root 10g
honeysuckle
15g
wild
chrysanthemum flower 15g
xanthium 10g
cnidium seed
10g
cicada molting
10g
schizonepata 1
0g
ledebouriella
10g
tangkuei root
10g
anemarrhena
root 10g
arctium seed
10g
The external use formula also strengthens the
effect to moistening the skin.
schizonepata
30g
licorice root
100g
honeysuckle
80g
xanthium 50g
stemona 50g
cnidium seed
50g
glehnia
root60g
ophiopogon tuber
60g
Solomon¡¯s seal
root 60g
scrophularia
root 60g
trichosanthes
root 60g
asparagus tuber
60g
phellodendron
bark 40g
anemarrhena root
40g
rhubarb 20g
cicada molting
40g
flavescent
sophora root 40g
arctium seed
40g
In
addition offer another tube of Meibao Moist Scalds Ointment, use
on the upper part of the body skin.
Dr. Ming,
2004.8.6
August 7, the general condition is continuing
to be improved. The crispy and hard skin which touches like hard
paper is becoming moist. The scratching is much less, and
itching degree reduced obviously. Sleep is calm, appetite good,
spirit good. Jonathan used cream on the top part of the body
skin twice yesterday. The ulcers on the feet are being
improved.
Dr. Ming,
2004.8.7
August 8, the skin is becoming obviously
moist. Only the skin of the neck is still dry apparently. The
itching is still from time to time, but much relieved. The
spirit and sleep are quite good. Yesterday, some friends in
Huaihua and our hospital accompanied Jonathan to our local park.
Since the weather is too much hot, so when coming back after 5
hours sightseeing, the itching worsens a little bit, but
compared to before, the itching is much slighter.
So almost continue the same treatment
strategy, put some blood quickening herbs to improve the slight
swelling of the feet.
So the oral use formula is as follows:
glehnia root15g
ophiopogon tuber
15g
Solomon¡¯s seal
root 15g
scrophularia
root 15g
asparagus tuber
15g
trichosanthes
root15g
honeysuckle
15g
wild
chrysanthemum flower 15g
xanthium 10g
cnidium seed
10g
cicada molting
10g
schizonepata 1
0g
ledebouriella
10g
tangkuei root
10g
anemarrhena
root 10g
arctium seed
10g
carthamus
flower 10g
The external
soaking formula is
schizonepata
30g
licorice root
100g
honeysuckle
80g
xanthium 50g
stemona 50g
cnidium seed
50g
glehnia
root60g
ophiopogon tuber
60g
Solomon¡¯s seal
root 60g
scrophularia
root 60g
trichosanthes
root 60g
asparagus tuber
60g
phellodendron
bark 40g
anemarrhena root
40g
rhubarb 20g
cicada molting
40g
flavescent
sophora root 40g
arctium
seed40g
tangkuei root
40g
carthamus flower
40g
peach kernel
40g
August 9, the skin continues to become moist.
The feet itching are still there sometimes. The itching at the
upper part of the body is reduced greatly.
Dr. Ming,
2004.8.9
August 10, all the conditions continue to
improve. The skin is becoming moist and itching is reduced
greatly. Now the major task is to promote the recovery of the
feet swelling. So strengthen the blood quickening to reduce the
swelling of the feet.
The internal use formula two dosages as
below:
glehnia root15g
ophiopogon tuber
15g
Solomon¡¯s seal
root 15g
scrophularia
root 15g
asparagus tuber
15g
trichosanthes
root15g
honeysuckle
15g
wild
chrysanthemum flower 15g
xanthium 10g
cnidium seed
10g
cicada molting
10g
arctium seed
10g
tangkuei root
10g
ligusticum root
10g
peach kernel
10g
carthamus
flower 10g
anemarrhena
root 10g
sparganum
8g
zedoary 8g
The
external use formula is changed to the following:
licorice root
100g
honeysuckle
80g
xanthium 50g
temona 50g
cnidium seed
50g
glehnia
root60g
ophiopogon tuber
60g
Solomon¡¯s seal
root 60g
scrophularia
root 60g
trichosanthes
root 60g
asparagus tuber
60g
phellodendron
bark 40g
anemarrhena root
40g
rhubarb 20g
cicada molting
40g
flavescent
sophora root 40g
arctium seed
40g
tangkuei root
40g
carthamus flower
40g
peach kernel
40g
sparganum
50g
zedoary
50g
Dr. Ming,
2004.8.10
August 11, the skin is becoming moist.
Yesterday massage half an hour of the legs. The feet swelling
are reduced very well. Even we could see the veins now.
Dr. Ming,
2004.8.11
August 12, Jonathan said yesterday is the
best day that he feels so good, almost no itching. The mind and
body are totally relaxed. The swelling on the feet is almost
gone. Add cnidium 10g in the internal use formula. Add cnidium
50g in the external use
formula.
Dr. Ming, 2004.8.12
August 13, the general condition is steady.
The skin is more moist. While yesterday feels very itchy. This
is due to the purpose we wish to promote the final blood stasis
on the feet.
Dr. Ming, 2004.8.13
August 14, tomorrow Jonathan will leave
Huaihua back for Tokyo by taking flight from Zhang Jiajie to
Shanghai. He said that he could find and feel 90% recovery, this
is the fastest recovery compared to any other treatments in the
past, and also he said that we could not imagine the nightmare
he experienced in his 38 years, so he was very pleased. Continue
to former formulas for one day.
In general, the TCM treatment is very
effective and safe, and good recovery has been obtained to
Jonathan's case. After 14 days treatment, the itching is almost
gone, the skin becomes moist, skin flakes very little, the
multiple ulcers are cured. The critical point for this
successful treatment is accurate Syndrome Identification and
different Treatment Determination. Chinese medicine is curing
the root of this disease. So hope he could continue to use the
formula in Japan for a period to consolidate the result so that
100% recovery can be got. Try to avoid spicy foods, alcohol,
beer, fishy foods, relax the mind, keep the happy emotion.
Dr. Ming,
August 14, 2004.