TCM China:  

Improvement of Perth's Disease for Omar from Kuwait in Our Hospital, Huaihua, China.
 

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Brief Summary: Omar, from Kuwait, who suffered from narcrosis of the head in the left femur (Perth's disease), came to our hospital for the herbal treatment. His father Barrack and uncle Suoud take care of him here for about 70 days. Operation is avoided after the treatment of herbal tea, massage and acupuncture. His condition is improved quite well, and the weight is increased by 6 kilograms. The pains of the legs disappear. The width between the two legs is shortened from 1 cm to 0.2 cm. He is the first patient who is introduced to China by the government of Kuwait.

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Record of Hospitalization 

Name: Omar                                                                    Sex: male

Age: eight years old                                                          Height: 1.28m

Weight: 23kg                                                                   Nationality: Kuwait

Address: Jahra Block 3, Street 32, House 19                   Time of Hospitalization: October 29, 2005

Major complaint: The pains of the head of the left femur for 9 months

The father said that in this January, the boy caught a high fever for one week with headache, runny nose, sore throat, coughing and diarrhea. The fever is between 39 0C to 40 0C. Western medicine is used. After that, the patient felt pains of the left hip. Walking is not convenient with limping.

The information we get today about the patient is as follows. The patient does not feel headache. Slight dizziness. The left eye is itching and watery. The nose is not blocked. He drinks a little bit more water. There is no bitter or sour taste in the mouth. No sore throat. Slight coughing sometimes. No chest oppression. No palpitations. The liver area is comfortable. The food intake is greatly reduced after the fever in January. He always feels tired and sleepy. The sleep time everyday is 12 hours per day. The bowl movement is two to three times a day, a little bit sloppy stool.

The urine is yellowish. The night urination is two to three times. When the boy walks, we could see obvious limps of the left leg. The muscles on the left leg is a little bit atrophic. There is not obvious pressing pains on the left hip. There is no edema of the two legs.

The result of CT made in Kuwait on September 13, 2005 indicates that ¡°Features are consistent with left perth¡¯s disease with marrow edema in the neck of left femur probably stress induced.¡±

The father also reported that one and half years ago, the boy fell down to damage his left leg. After treatment of injection, the condition is recovered.

Diagnosis:   Perth¡¯s Disease (Western Medicine)
            Bone Numbness (Chinese medicine)

Treatment strategy: Tonifying the spleen, strengthening liver and kidneys, quickening blood circulation, detoxify.

The pulse is thready and feeble. The tongue is slightly red. The tongue coating is thin and yellowish.

Formula for two dosages as below. Also general body massage is practiced. Acupuncture will be practiced after two or three days when massage.

codonopsis root 7g,  ovate atractylodes root 7g,    dioscorea root 5g,   Poria 5g, etc.  

Make into tea, drink twice a day. Eighty milliliters each time.

Suggest father to take care of him, avoid cold and much walking. Avoid spicy foods.

                 Dr. Ming 

October 30, 2005 

The boy gets used to the tea. He sweats after going to bed. Last evening, for a few hours that he has discharge from the nose and his nasal orifice is blockaded. This morning the nasal orifice is open. The night urination yesterday is twice. Yesterday, lunch is little. The supper is big amount.  

                 Dr. Ming 

October 31, 2005 

The boy gets used to the tea. He does not sweat so much. No nasal discharge and no nose blockaded. The food intake is increasing for lunch and supper. 

codonopsis root 7g,  ovate atractylodes root 7g,    dioscorea root 5g,   Poria 5g, etc. 

                                                                                                                                                  Dr. Ming 

November 1, 2005 

He dose not sweat last evening. No nasal discharge. No itching and watery eyes. The food intake is increasing. Since he walks only 100 meters yesterday, so he did not feel pains at the left hip. 

                Dr. Ming 

November 2, 2005 

The appetite is increasing. Sleep is calm. He said this morning he could raise his two legs horizontally when he takes the seat. This action is impossible in the past. When we touch the left groin, the pressing pains are less. 

codonopsis root 7g,  ovate atractylodes root 7g,    dioscorea root 5g,   Poria 5g, etc. 

               Dr. Ming 

November 3, 2005 

The food intake is increasing. The face looks better, moist. He could raise the left leg higher. No night urination. 

codonopsis root 7g,  ovate atractylodes root 7g,    dioscorea root 5g,   Poria 5g,  etc. 

              Dr. Ming 

November 4, 2005 

The food intake is increasing. The face looks better. The movement of the left hip is more convenient. No night urination. The bowl movement is twice yesterday. 

            Dr. Ming 

November 5, 2005 

The food intake is increasing. The movement of the left hip is more convenient. No night urination. The bowl movement is twice yesterday. 

           Dr. Ming 

November 6, 2005 

The boy said he is feeling better when he walks upstairs. When pressing the left hip, the pains disappear at the other side of the hip. When pressing the left hip at the left groin part, the pains are reduced a little bit. The appetite is quite OK. 

           Dr. Ming 

November 7, 2005 

The pains of the left hip is reducing. The appetite is very good. Blocked nose and snoring in sleep disappears. 

codonopsis root 7g,  ovate atractylodes root 7g,    dioscorea root 5g,   Poria 5g, etc. 

           Dr. Ming 

November 8, 2005 

The pains of the left hip is reducing. In the morning, when he gets up, he feels pains locally for half an hour. This is always the same. No night urination. Walking upstairs is easier. The tongue coating is slightly whitish. The bowl movement is twice a day. 

          Dr. Ming 

November 9, 2005 

He could stand on his left leg. In the morning, when gets up, he feels local pains on the left hip. No night urination. Walking upstairs is easier. The tongue coating is slightly whitish. The bowl movement is twice a day. 

codonopsis root 7g,  ovate atractylodes root 7g,    dioscorea root 5g,   Poria5g, etc.  

          Dr. Ming 

November 10, 2005 

In the morning, when he gets up, he feels no pains on the left hip. Very good appetite and no night urination. Once bowl movement. 

          Dr. Ming 

November 11, 2005 

When I press on the left groin, the pains locally are less. This morning, when he gets up, he does not feel pains on the left hip. No night urination. Once bowl movement. Slightly thin tongue coating. 

          Dr. Ming

November 12, 2005 

The local pains are reduced. The appetite is very good. No night urination. Twice bowl movement.. Sleep 11 hours. 

          Dr. Ming 

November 13, 2005 

The weight is 26 kilos, so it is 2 kilos increase. He walks and we start to see his balance state is better. 

           Dr. Ming

November 14, 2005 

He walks in a better balance since the limping is not so much obvious. Appetite and sleep are fine. 

           Dr. Ming 

November 15, 2005 

Sleep and appetite are fine. Once night urination. Pressing the left groin. The pains are obviously less.  

codonopsis root 7g,  ovate atractylodes root 7g,    dioscorea root 5g,   Poria 5g, etc.   

            Dr. Ming 

November 16, 2005 

Sleep and appetite are fine. Once night urination. The pains at the left hip is less. 

November 17, 2005 

All the condition is fine including sleep, spirit. No obvious pains of the left hip when pressing on the left groin. The tongue coating is thin and whitish. Three dosages as above. 

             Dr. Ming 

November 18, 2005 

He is walking in a much balanced way. No obvious pains of the left hip. Food intake and spirit are normal.  

            Dr. Ming 

November 19, 2005 

He is walking in a more balanced way. No pains of the left hip. The tongue coating is thin and whitish. The same formula for Omar. 

            Dr. Ming 

November 20, 2005 

He walks in a much more balanced way. No pains of the left hip. A little bit dry mouth. Thin and whitish tongue coating. 

November 24, 2005 

Omar could run now. In the past, her almost could not run. The appetite is normal. The sleep is fine. Thin tongue coating. No night urination. Once bowl movement. Slight thirst.

codonopsis root 7g,  ovate atractylodes root 7g,    dioscorea root 5g,   Poria 5g, etc. 

           Dr. Ming 

November 25, 2005 

Omar¡¯s weight today becomes 27.5kilos. So it is 4 kilos increase compared to when he was here. 

           Dr. Ming 

November 27, 2005 

Omar¡¯s weight today is 28 kilos. He eats good food and sleep is fine. The stomach feels comfortable. Twice bowl movement. The urine is whitish. The tongue coating is whitish and thin. 

codonopsis root 7g,  ovate atractylodes root 7g,    dioscorea root 5g,   Poria 5g, etc.   

          Dr. Ming 

November 30, 2005 

Today we make a CT for Omar, from the CT result, the local blood circulation of the left hip is better.  

codonopsis root 7g,  ovate atractylodes root 7g,    tangkuei 7g,   ligusticum root 7g, etc.   

          Dr. Ming 

December 2, 2005 

He is in good condition. Appetite and sleep are both fine. He could walk for 40 minutes everyday. Slight limps when walking. The boy said that the left lower limb is higher than the lower limb at the right side.  

astragalus root 15 g,  deerhorn glue 5 g,   cooked rehmannia root 10g,   tangkuei 10g, etc. 

          Dr. Ming 

December 4, 2005

There is no obvious changes today.  

astragalus root 20g,  deerhorn glue 6g,   cooked rehmannia root 10g,   tangkuei  10g, etc.

                                                                                                                              Dr. Ming 

December 6, 2005 

His food intake and sleep are both in a normal state.  

astragalus root  20g,  deerhorn glue  6g,   cooked rehmannia root 10g,   tangkuei  10g, etc.  

          Dr. Ming 

December 7, 2005 

There is no obvious discomfort. Massage locally practiced as well as. 

December 8, 2005 

His condition is fine. We could see his body slightly inclines to the left while walking.  

astragalus root  20g,  deerhorn glue  6g,   cooked rehmannia root 12g,   tangkuei  10g, etc.  

           Dr. Ming 

December 10, 2005 

The patient is fine. Yesterday, he walked 200 meters or so, and the body slightly inclined to the left. Slightly red tongue body and whitish tongue coating. Reddish tongue tip. The pulse is thready.  

astragalus root 20g,  deerhorn glue  6g,  cooked rehmannia root 12g,   tangkuei  10g, etc.  

           Dr. Ming 

December 12, 2005 

We could see his condition is stable. The tip of tongue is reddish. Whitish tongue coating. Deep and thready pulse. 

December 14, 2005 

The patient said that last night sleep was good, slept for 10 hours. Normal food intake and free movement. We just see his body slightly incline to the left while walking. Reddish complexion. No pressing pains around in the left hip joint. Slight muscle atrophy of the left hip and thigh. His left lower limb is 0.6 cm shorter than the right one. It is due to the femur density loss, so it becomes malformed. Pale tongue. The tongue coating is thin and whitish. Deep and thready pulse. 

astragalus root  20g,  deerhorn glue  6g,   cooked rehmannia root 12g,   tangkuei  10g, etc. 

         Dr. Ming 

December 16, 2005 

The boy feels fine. Good sleep. He slept for nine hours last night. Normal food intake and drink. No thirst. The urine and stool are both normal. The bowl movement is once a day. Dry skin on his face due to the weather is a bit dry. He walked 300 meters yesterday, and no abnormity appeared. No fatigue when standing for a long time. No cold pains on the knees. Reddish complexion. Slightly red tongue. The tongue coating is thin and whitish. Pulse is deep and thready and more powerful. 

astragalus root  20g,  deerhorn glue  6g,   cooked rehmannia root  12g,   tangkuei  10g, etc. 

         Dr. Ming 

December 18, 2005 

His condition is normal. Good sleeping. He slept for 12 hours last night. Normal food intake and drink. No thirst. He walked about 300 meters, and no changes of his walking condition. Reddish complexion. No cold pains in the lower limbs. The patient said that the urine is yellowish and the frequency is normal. Slightly red tongue body. The tongue coating is thin and whitish. Pulse is more powerful.  

astragalus root  15,g  deerhorn glue  6g,  cooked rehmannia root  12g,   tangkuei  10g, etc. 

        Dr. Ming 

December 20, 2005 

Today his temperature is 36.5 C. Breath frequency is 22 times per minute. Pulse is 88 times per minute. His condition is stable. Good sleep. No thirst and normal drink. He could walk about 400 meters. His physical examination indicates that free movement of the left lower limbs. No pressing pains around the femur. Normal bowl movement. The urine is a bit yellowish. Pale tongue. The tongue coating is thin and whitish. Pulse is more powerful.  

astragalus root  15g,  deerhorn glue  5g,   cooked rehmannia root 12g,   tangkuei  10g, etc. 

His family said that the patient couldn¡¯t go out. Bad mood. We advise the boy go out every two or three days. He could not walk with a burden, not jump and not run. Prevent accident or heavy burden of his ill leg, which will slow down his recovery.  

December 22, 2005 

His condition is fine. Good sleep. He slept about 9 hours. Normal drink and no thirst. Less bowl movement. The urine is a bit yellowish and three to 4 times a day. Free of passive movement in the left lower limb. No pressing pains in the lower limbs. Pale tongue. The tongue coating is thin and whitish. Pulse is more powerful.  

His parents said that the patient previously need bow and squat to lace up his shoes, but in the recent two days, he could lace up the shoes without squatting. Obviously, limps while walking in the past time, but now there are only slight limps. 

astragalus root  15g,  deerhorn glue  6g,   cooked rehmannia root 12g,   tangkuei  10g, etc. 

         Dr. Ming 

December 24, 2005 

The patient is fine. The sleep and food intake are fine. No thirst. Normal drink. He walks about 20 meters with stability. Pale tongue. The tongue coating is thin and yellowish. Pulse is more powerful.  

astragalus root  15g,  deerhorn glue  6g,   cooked rehmannia root 12g,   tangkuei  10g, etc. 

        Dr. Ming 

December 26, 2005 

His condition is stable. Good sleep. He slept for 10 hours last night. Good food intake. Normal drink. The urination and bowl movement are normal. Free movement. Since the short distance, we do not see his body inclines to the left while walking. No other discomfort. The tongue coating is thin and whitish. Pulse is more powerful. Today, the acupuncture and massage practiced.  

astragalus root  15g,  deerhorn glue  6g,   cooked rehmannia root  12g,   tangkuei  10g, etc. 

        Dr. Ming 

December 28, 2005 

His condition is stable. Good sleep. He slept for 9 hours last night. Good appetite. No thirst. Normal drink. The urination and bowl movement are normal. Slightly incline to the left while walking. From the result of CT, his condition compared to the result in November 29, 2005 is that no obvious changes of the malformed femur and the edge is rough. The substance of bone density increased. The abnormal sacs under the joint surface becomes smaller. The width of joint space is the same as before. The other condition is also the same as before. No abnormal condition in hip joint. 

He is 30kg in weight. The left lower limb is 75.3cm in long, and the right lower limb is 75.6cm long.  

In recent days, he has slight cough and nasal obstruction due to catching cold. Today, acupuncture and massage practiced.  

astragalus root 15g,  deerhorn glue  6g,   cooked rehmannia root 12g,   tangkuei 10g, etc. 

        Dr. Ming 

December 30, 2005 

His condition is fine. Appetite and sleep are good. He sleeps 10 hours. No thirst. Nasal obstruction. Slight discomfort of the throat. So sichuan fritillaria bulb, aster root  and platycodon root are added into the original formula. The urination and bowl movement are normal. Deep pulse. Reddish tongue tip. Pale tongue. Today, acupuncture and massage practiced.  

astragalus root  15g,  tortoise plastron glue  5g,   cooked rehmannia root 10g,   tangkuei 10g, etc.

                                                                                                                                         Dr. Ming

January 1, 2006

His condition is fine. Good sleep. He slept for 10 hours last night. Good appetite. No thirst. Normal drink. He walks 300 meters, the body slightly incline to the left. Free movement. The patient said that no obvious improvement of coughing. Slightly sore throat. Reddish tongue tip. The tongue coating is thin and yellowish. The pulse is floating and thready and powerful. Today, acupuncture and massage practiced.

astragalus root 15g,  tortoise plastron glue 5g,   cooked rehmannia root 10g,   tangkuei  10 g, etc.

       Dr. Ming

January 3, 2006

His condition is stable. Good sleep and food intake. Normal drinking. No thirst. The spirit is fine and very active. He walked 500 meters or so yesterday. No obvious change. Today, acupuncture and massage practiced. The formula is the same.

The patient said that after taking the above formula, there is no cough and nasal obstruction, and the sore throat is improved obviously. Reddish tongue tip. The tongue coating is thin and whitish. The pulse is thready and powerful.

astragalus root 15g,  tortoise plastron glue  5g,   cooked rehmannia root 10g,  date bark 10g, etc.

       Dr. Ming

January 5, 2006

His condition is fine. Good sleep. He slept for 9 hours last night. Normal drinking. No thirst. The appetite is fine. He feels comfortable. The bowl movement is normal. The urination frequency is normal and the urine is yellowish. No hot sense. Since he did not walk for a long distance, we couldn¡¯t see any abnormality while walking.

The weather becomes colder today, temperature is 0-4 0C, so the boy catches cold again and slight nasal obstruction and runny nose. From the physical examination, we could see the free movement of his left lower limb. No pressing pains. Today, acupuncture and massage practiced. The formula is the same.

astragalus root  12g,  tortoise plastron glue  5g,   cooked rehmannia root 10g,  date bark10g, etc.

              Dr. Ming

January 7, 2006

His condition is fine. Good sleep and appetite. Normal drinking. No thirst. The urination and bowl movement are normal. The spirit is fine. Free of movement. He walked 400 meters, and no any discomfort. Dry and fissured lips due to the cold weather. His other condition is fine. Today, acupuncture and massage practiced. The formula is the same.

astragalus root  12g,  deerhorn glue  6g,  tortoise plastron glue  5g,   cooked rehmannia root 10g,  date bark10g, etc.

            Dr. Ming

January 9, 2006

His condition is fine. Good sleep. He slept for 9 hours last night. The food intake is fine. The urination and bowl movement are normal. From the physical examination, we could see the free passive movement of his lower limbs. No pressing pains around the ill limb. The left lower limb is 0.2 cm shorter than the right one. Today, acupuncture and massage practiced. The formula is the same. He continue with the herbal tea for two dosages.

astragalus root  12g,  deerhorn glue  6g,  tortoise plastron glue  5g,   cooked rehmannia root 10g,  date bark  10 g, etc.

           Dr. Ming

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