Record
of Herbal Treatment Of Peter from Holland Improvement Of
ALS
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Brief Summary:
Peter, from Holland, suffering from ALS, stayed in our hospital
for five months. The abilities of his voice and swallowing have
been improved a lot. The ability of the legs and arms is
stabilized. He was quite satisfied with our treatment result.
Nationality:
The Netherlands Marital Status:
Married
Onset Season:
Summer Date of Admission: Nov.
10,2007
Complainer: The patient
himself Reliability: Reliable
First Medical
Record
Nov. 10,
2007
Peter, a
41-year-old male, has suffered from weakness of the upper limbs,
along with difficulty in flexibility of finger joints for two
years, and the condition has been aggravated for one year. He
was picked up by our staff in Zhijiang Airport and arrived in
Huaihua Red Cross Hospital for further treatment at 20: 10 p.m.
on Nov. 11,2007.
Essentials for
Diagnosis:
1. The patient has
suffered from weakness of the upper limbs, along with difficulty
in flexibility of finger joints for two years, and the condition
has been aggravated for one year.
2. In the beginning
of Nov. 2005, the patient began to feel weakness of the upper
limbs without any obvious causes. At that time, the patient paid
no attention to it, and did no examination or treatment about
it. Therefore, the disease was developing progressively. Three
months later, the patient had difficulty in the movement of
fingers of both hands. The finger joints were not able to do any
flexible movement. But he still took no examination or
treatment. In Oct. 2006, the patient went to a local hospital
for a diagnosis. After the MRI examination, he was diagnosed
with
amyotrophic lateral sclerosis (ALS). The hospital
prescribed him rilutek capsule.
After one-month medicine taking, he stopped taking it due to
some discomfort. Then he did no other treatment. In Nov. 2006, the
patient¡¯s condition was aggravated, with symptoms of weakness of
the lower limbs, the delay of his movement, and difficulty in
speaking. To seek for a further comprehensive treatment, he
arrived in our hospital at 19: 30 p.m. on July 18,
2007. Since he got the disease, his spirit and appetite were
both normal. His sleep was slightly poor. His bowel movement and
urination were both normal.
3. T 36.3¡æ£¬P
83 beats/minute, R 20 times/minute, BP 130/80 mmHg.
4. He grew normally
with common nourishment. His mind was clear. He had an
expression of chronic illness and languidness. His body was in a
positive posture and he was cooperative in examination.
5.
He has suffered from
weakness of the upper limbs and slightly muscular atrophy of
double arms. There were obvious atrophy on the muscles of thenar eminence and
hypothenar of his double hands. His fingers of double hands had
difficulty in flexible movement with poor fine movement. The experiment on
his hands was (+). The muscular strength of his upper limbs was
Grade
¢ó
with muscle weak hypertonicity. His lower limbs were weak, stiff
with difficulty in walking. The muscular strength of his lower
limbs was also Grade
¢ó
with muscle weak hypertonicity. The muscles all over his limbs
beat uncontrollably and frequently. He had the symptoms of short
of breath, weakness, as well as with difficulty in speaking. His
tongue surface was uneven, and there were teeth marks at the
edge of his tongue.
6. No thoracic
deformity. Chest percussion noted resonance. Sound of breath is
bilaterally clear on auscultation. No sound of pleural friction.
7. Diagnostic
examination: Not provided
Diagnostic Basis:
TCM: The patient
has suffered from weakness of the upper limbs, along with
difficulty in flexibility of finger joints for two years, and
the condition has been aggravated for one year. His limbs were
atrophic and weak with languid spirit
and pale face. He had difficulty in speaking. His tongue was red
with thin and white tongue coating. His pulse was string-like.
Because of the insufficiency of the liquids, abnormality
of the qi and blood, and the lungs heat scoring the lobes, his
limbs lose the nourishment. The deficiency of spleen and kidneys
leads to deficiency of yin. Then it gradually resulted in
flaccidity.
Western medicine:
The patient has suffered from weakness of the upper limbs, along
with difficulty in flexibility of finger joints for two years,
and the condition has been aggravated for one year. His upper
limbs were weak with slightly muscular atrophy of his arms.
There were obvious atrophy on the muscles of thenar eminence and
hypothenar of his double hands. His fingers of double hands had
difficulty in flexible movement with poor fine movement. The experiment on
his hands was (+). The muscular strength of his upper limbs was
Grade
¢ó
with muscle weak hypertonicity. His lower limbs were weak, stiff
with difficulty in walking. The muscular strength of his lower
limbs was also Grade
¢ó
with muscle weak hypertonicity. The muscles all over his limbs
beat uncontrollably and frequently. He had the symptoms of short
of breath, weakness, as well as with difficulty in speaking. His
tongue surface was uneven, and there were teeth marks at the
edge of his tongue. In Oct. 2006, he went to a local hospital
for a MRI examination, and was diagnosed with amyotrophic lateral sclerosis (ALS).
Diagnostic
Differentiation:
TCM: The patient¡¯s
wilting syndrome should be differentiated from impediment
syndrome. Wilting syndrome is characterized by the limp, weak,
and emaciated limbs with muscular atrophy. A patient who has
suffered from wilting syndrome may even become unable to hold an
object or to stand without any support. Besides, the patient¡¯s
lower limbs are more often affected, though he or she usually
has no joint pains. On the contrary, impediment syndrome is
generally characterized by aching pains, fixed heaviness and
inflexibility of sinews, bones, muscles and joints, with
occasional numbness or swelling, though, no paralytic
manifestations. They are not difficult to be distinguished in
clinics.
Western medicine: Wilting syndrome should be differentiated from
grave myasthenia gravis, which is an acquired autoimmune disease
with the transferring obstacles of nerve-muscles, and is caused
by the autoimmune reaction resulting from the acetylcholine
receptor (AchR) of the striated muscle. It can occur at any age
and there are about 60 percent people stricken before 30 years
old. Women are more often affected than men are. The most
obvious characteristic of MG is rapid fatigability of the
skeletal muscles affected, improved with rest or medicines that
inhibits the activity of cholinesterase. It can involve cardiac
muscle and smooth muscle. MG patients of different ages often
have different clinical manifestations and courses, which are
different from those of wilting syndrome patients.
Western medicine
diagnosis:
Amyotrophic Lateral Sclerosis (ALS)
Plans for treatment
strategy and nursing:
1. Routine care of
traditional Chinese internal medicine.
2. Grade II care.
3. Under care of a
companion.
4. high-protein
diet.
5. Herbal tea (to
nourish the lungs and supplement the kidneys, soften the liver
and extinguish the wind): 5 dosages in total. One dosage a day
and drink twice.
Main herbs used in
the herbal tea: huangqi (astragalus root), taizishen
(pseudostellaria root), danshen (salvia root), etc.
6. Acupuncture and
massage: once a day.
7. Have more
medical examinations if necessary.
Date: Nov. 13,2007 Time: 10:00 a.m.
After the
examinations of ECG,
B-ultrasonicand chest
radiography, the patient was found no abnormality. The three
regular examinations and the examinations of the functions of
his liver and kidneys as well as the examination of E4A
were all normal. According to the
above information, the doctor advised him to continue to take
herbal tea of the former prescription.
Date: Nov. 22,2007 Time: 10:00 a.m.
The patient¡¯s diet
has increased. The weakness of his lower limbs has got some
improvement, and the incontrollable beating of the muscles all
over his body was lessened. At night, there were some paroxysmal
spasms on his limbs. His sleep was poor with dreaminess. His
tongue body was thin, atrophic and tender. The surface of his
tongue was uneven and trembling with teeth marks at the edge of
the tongue. The patient would continue to take the same herbal
tea.
Date: Dec. 5,2007 Time: 10:00 a.m.
The stiffness and
weakness of his lower limbs, and difficulty in walking have been
improved altogether. The incontrollable beating of the muscles
all over his body and paroxysmal spasms on his limbs were
lessened. Besides, the difficulties in speaking and breathing
have become better. The doctor advised him that the herbal tea
should be followed by the former prescription.
Summary Stage
Date:
Dec. 9,2007 Time: 9:00
a.m.
Peter, a 41-year-old male, has suffered from
weakness of the upper limbs, along with difficulty in
flexibility of finger joints for two years, and the condition
has been aggravated for one year. The
patient was hospitalized in our Red Cross Hospital at 20:10 p.m.
on Nov.11,2007. He has been hospitalizing for 30
days.
Condition of admission:
T 36.3¡æ£¬P
83 beats/minute, R 20 times/minute, BP 130/80 mmHg.
His
heart and lungs were normal, and his abdomen was soft and flat.
He has suffered from weakness of the
upper limbs and slightly muscular atrophy of double arms. There
were obvious atrophy on the muscles of thenar eminence and
hypothenar of his double hands. His fingers of double hands had
difficulty in flexible movement with poor fine movement. The experiment on
his hands was (+). The muscular strength of his upper limbs was
Grade
¢ó
with muscle weak hypertonicity. His lower limbs were weak, stiff
with difficulty in walking. The muscular strength of his lower
limbs was also Grade
¢ó
with muscle weak hypertonicity. The muscles all over his limbs
beat uncontrollably and frequently. He had the symptoms of short
of breath, weakness, as well as with difficulty in speaking. His
tongue was uneven, and there were teeth marks at the edge of his
tongue. His spirit, appetite and sleep
were all poor. Both of his bowel movement and urination were
normal.
Western medicine diagnosis:
Amyotrophic Lateral Sclerosis (ALS)
The
Course of Diagnosis:
Since
the patient was hospitalized, he was prescribed herbal tea
to nourish the lungs and supplement the kidneys, soften the
liver and extinguish the wind. One
dosage a day and drink twice. 100ml each time, accompanied with
acupuncture and massage once a day for a comprehensive
treatment. The patient¡¯s condition got some improvement.
The
Current Condition:
T 36.3¡æ£¬P
83 beats/minute, R 20 times/minute, BP 130/80 mmHg.
.His
heart and lungs were normal, and his abdomen was soft and flat.
The difficulties in his speaking, breathing and walking have got
some improvement, so have the weakness and stiffness of lower
limbs and the incontrollable beating of the
muscles all over his body. There is no obvious improvement in
the weakness and tightness of his upper limbs. His spirit,
appetite and sleep were all normal. Both of his bowel movement
and urination were normal.
Western medicine diagnosis:
Amyotrophic Lateral Sclerosis (ALS)
Plans
for treatment strategy:
1.
Continue to take the herbal tea.
2.
Acupuncture and massage for once a day.
3.
Keep a pleasant mood and open-minded spirit.
Date: Dec. 15,2007 Time: 9:00 a.m.
The incontrollable
beating of the muscles all over his body and paroxysmal spasms
on his limbs were lessened a lot. His sleep was normal,
sometimes with a drumming in the ears. He continued to take the
herbal tea of the same prescription.
Date: Dec. 20,2007 Time: 9:00 a.m.
The thin and tender
tongue body became better, so did the uneven and trembling
surface of his tongue. Besides, his tongue coating was white.
His general strength has increased with pleasant spirit. What¡¯s
more, the difficulty in walking has been improved. He would
continue to take the former formula.
Date: Dec. 30,2007 Time: 9:00 a.m.
Today the patient
said that he had difficulty in speaking with unclear and
influent speech. Besides, he felt difficulty in breathing with
the symptoms of short of breath and weakness. His stiffness and
weakness in the lower limbs, the difficulty in walking and the
muscular beating all over the body all have got some
improvement. There was no improvement in the tight and weak
upper limbs. In the examination, his heart and lungs were
normal, and his abdomen was flat and soft. His spirit, appetite
and sleep were all normal. His bowel movement and urination were
both normal too. His tongue was red with thin and white tongue
coating. His pulse was thready and weak. The herbal tea would
keep the same as before.
Summary Stage
Date:
Jan. 9,2007 Time: 9:00
a.m.
Peter, a 41-year-old male, has suffered from
weakness of the upper limbs, along with difficulty in
flexibility of finger joints for two years, and the condition
has been aggravated for one year. The
patient was hospitalized in our Red Cross Hospital at 20:10 p.m.
on Nov.11, 2007. He has been hospitalizing for 60
days.
Condition of Admission:
T 36.5¡æ£¬P
80 beats/minute, R 20 times/minute, BP 130/80 mmHg.
His
heart and lungs were normal, and his abdomen was soft and flat.
He has suffered from weakness of the
upper limbs and slightly muscular atrophy of double arms. There
were obvious atrophy on the muscles of thenar eminence and
hypothenar of his double hands. His fingers of double hands had
difficulty in flexible movement with poor fine movement. The experiment on
his hands was (+). The muscular strength of his upper limbs was
Grade
¢ó
with muscle weak hypertonicity. His lower limbs were weak, stiff
with difficulty in walking. The muscular strength of his lower
limbs was also Grade
¢ó
with muscle weak hypertonicity. The muscles all over his limbs
beat uncontrollably and frequently. He had the symptoms of short
of breath, weakness, as well as with difficulty in speaking. His
tongue was uneven, and there were teeth marks at the edge of his
tongue. His spirit, appetite and sleep
were all poor. Both of his bowel movement and urination were
normal.
Western medicine diagnosis:
Amyotrophic Lateral Sclerosis (ALS)
The
Course of Diagnosis:
Since
the patient was hospitalized, he was prescribed herbal tea
to nourish the lungs and supplement the kidneys, soften the
liver and extinguish the wind. One
dosage a day and drink twice. 100ml each time, accompanied with
acupuncture and massage once a day for a comprehensive
treatment. The patient¡¯s condition got some improvement.
The
Current Condition:
T 36.5¡æ£¬P
80 beats/minute, R 20 times/minute, BP 130/80 mmHg.
.His
heart and lungs were normal, and his abdomen was soft and flat.
The strength of his lower limbs has increased, and the
incontrollable beating of the
muscles all over his body
has been lessened. Besides, there was no obvious improvement in
the weakness of his upper limbs. His speech was unclear and
influent. While his
spirit, appetite and sleep were all normal. Both of his bowel
movement and urination were normal. His tongue was red with thin
and white tongue coating. His pulse was string-like.
The strength of his
lower limbs has increased, and the muscular beating all over his
body has been lessened. There was no obvious improvement in his
upper limbs. Besides, his speech was still unclear. He kept a
normal sleep. The patient said that his deafness began at his
early age.
Date: Jan. 20,2008 Time: 9:00 a.m.
The thinness and
tenderness of his tongue body, along with the uneven tongue
surface has been improved markedly. What¡¯s more, the trembling
in the tongue body has been lessened significantly, and the
strength of his lower limbs has also increased a lot. There was
still no obvious improvement in his upper limbs. He would
continue to take the former herbal tea.
Date: Jan. 31,2008 Time: 9:00 a.m.
The pains of his
lower limbs¡¯ joints have almost disappeared. The doctor would
make some changes on the basis of his former herbal tea.
Summary Stage
Date:
Feb. 9,2007 Time: 9:00
a.m.
Peter, a 41-year-old male, has suffered from
weakness of the upper limbs, along with difficulty in
flexibility of finger joints for two years, and the condition
has been aggravated for one year. The
patient was hospitalized in our Red Cross Hospital at 20:10 p.m.
on Nov.11,2007. He has been hospitalizing for 90
days.
Condition of Admission:
T 36.5¡æ£¬P
80 beats/minute, R 20 times/minute, BP 130/80 mmHg.
His
heart and lungs were normal, and his abdomen was soft and flat.
He has suffered from weakness of the
upper limbs and slightly muscular atrophy of double arms. There
were obvious atrophy on the muscles of thenar eminence and
hypothenar of his double hands. His fingers of double hands had
difficulty in flexible movement with poor fine movement. The experiment on
his hands was (+). The muscular strength of his upper limbs was
Grade
¢ó
with muscle weak hypertonicity. His lower limbs were weak, stiff
with difficulty in walking. The muscular strength of his lower
limbs was also Grade
¢ó
with muscle weak hypertonicity. The muscles all over his limbs
beat uncontrollably and frequently. He had the symptoms of short
of breath, weakness, as well as with difficulty in speaking. His
tongue was uneven, and there were teeth marks at the edge of his
tongue. His spirit, appetite and sleep
were all poor. Both of his bowel movement and urination were
normal.
Western medicine diagnosis:
Amyotrophic Lateral Sclerosis (ALS)
The
Course of Diagnosis:
Since
the patient was hospitalized, he was prescribed herbal tea
to nourish the lungs and supplement the kidneys, soften the
liver and extinguish the wind. One
dosage a day and drink twice. 100ml each time, accompanied with
acupuncture and massage once a day for a comprehensive
treatment. The patient¡¯s condition got some improvement.
The
Current Condition:
T 36.5¡æ£¬P
80 beats/minute, R 20 times/minute, BP 130/80 mmHg.
His
heart and lungs were normal, and his abdomen was soft and flat.
The strength of his lower limbs has increased, and the
incontrollable beating of the
muscles all over his body
has been lessened. Besides, there was no obvious improvement in
the weakness of his upper limbs. His speech was unclear and
influent. While his
spirit, appetite and sleep were all normal. Both of his bowel
movement and urination were normal. His tongue was red with thin
and white tongue coating. His pulse was string-like.
Western Medicine diagnosis:
Amyotrophic Lateral Sclerosis (ALS)
Plans
for treatment strategy;
1.
Continue to take the herbal tea.
2.
Acupuncture and massage for once a day.
3.
Keep a pleasant mood and open-minded spirit.
Date: Feb. 16,2008 Time: 9:00 a.m.
In recent days, the
patient has had a slightly cold. Besides, the symptoms of the
pharyngeal
itching and
expectoration
have been aggravated. The doctor made some changes on the basis
of his former herbal tea.
Date: Feb. 23,
2008 Time: 9:00 a.m.
Recently, his
repeated cold, cough has almost recovered. There still existed
muscular beating in the upper limbs and paroxysmal spasms in his
fingers. His diet and sleep were both normal. The herbal tea
keeps the same as before.
Date: Mar. 5,2008 Time: 9:00 a.m.
The patient had too
much saliva with poor sleep. His sometimes shoulder pains and
muscular beating have been lessened. The herbal tea keeps the
same as before.
Summary stage
Date:
Mar. 9,2007 Time: 9:00
a.m.
Peter, a 41-year-old male, has suffered from
weakness of the upper limbs, along with difficulty in
flexibility of finger joints for two years, and the condition
has been aggravated for one year. The
patient was hospitalized in our Red Cross Hospital at 20:10 p.m.
on Nov.11,2007. He has been hospitalizing for 120
days.
Condition of Admission:
T 36.5¡æ£¬P
80 beats/minute, R 20 times/minute, BP 130/80 mmHg.
His
heart and lungs were normal, and his abdomen was soft and flat.
He has suffered from weakness of the
upper limbs and slightly muscular atrophy of double arms. There
were obvious atrophy on the muscles of thenar eminence and
hypothenar of his double hands. His fingers of double hands had
difficulty in flexible movement with poor fine movement. The experiment on
his hands was (+). The muscular strength of his upper limbs was
Grade
¢ó
with muscle weak hypertonicity. His lower limbs were weak, stiff
with difficulty in walking. The muscular strength of his lower
limbs was also Grade
¢ó
with muscle weak hypertonicity. The muscles all over his limbs
beat uncontrollably and frequently. He had the symptoms of short
of breath, weakness, as well as with difficulty in speaking. His
tongue was uneven, and there were teeth marks at the edge of his
tongue. His spirit, appetite and sleep
were all poor. Both of his bowel movement and urination were
normal.
Western medicine diagnosis:
Amyotrophic Lateral Sclerosis (ALS)
The
Course of Diagnosis:
Since
the patient was hospitalized, he was prescribed herbal tea
to nourish the lungs and supplement the kidneys, soften the
liver and extinguish the wind. One
dosage a day and drink twice. 100 ml each time, accompanied with
acupuncture and massage once a day for a comprehensive
treatment. The patient¡¯s condition got some improvement.
The
Current Condition:
T 36.5¡æ£¬P
80 beats/minute, R 20 times/minute, BP 130/80 mmHg.
His
heart and lungs were normal, and his abdomen was soft and flat.
The strength of his lower limbs has increased, and the
incontrollable beating of the
muscles all over his body
has been lessened. Besides, there was no obvious improvement in
the weakness of his upper limbs. His speech was unclear and
influent. While his
spirit, appetite and sleep were all normal. Both of his bowel
movement and urination were normal. His tongue was red with thin
and white tongue coating. His pulse was string-like.
Western medicine diagnosis:
Amyotrophic Lateral Sclerosis (ALS)
Plans
for treatment strategy:
1.
Continue to take the herbal tea.
2.
Acupuncture and massage for once a day.
Date: Mar. 20,2008 Time: 9:00 a.m.
The pains of his
shoulder joints and hip joints have been lessened, so have the
symptoms of the muscles all over his body and his fingers. He
still felt weak in raising his arms. He has kept a sound sleep
as well as pleasant spirit and normal diet. In the examination,
his tongue body has broadened, and the uneven tongue surface
with trembling and the teeth marks at the edge of his tongue
have got some improvement. He would continue to take the herbal
tea.
Date: Mar. 31,2008 Time: 9:00 a.m.
The thin and
atrophic tongue body as well as the uneven tongue surface has
been improved significantly, so has the slow and unclear speech.
Besides, the stiffness and weakness of his lower limbs along
with the difficulty in walking has also been improved
significantly. His short of breath, poor spirit and sleep has
turned out to be normal. While there were still no obvious
changes in some of his symptoms, such as the muscular atrophy
and weakness on his upper limbs, the difficulty in joints¡¯
flexible movement, and the disability of laying his arms flat or
raising his arms. All the symptoms have kept stable condition.
Date: Apr. 11,2008 Time: 9:00 a.m.
The stiffness and weakness of his lower limbs along with the
difficulty in walking has been improved significantly. Besides,
the thin and atrophic tongue body, as well as the uneven tongue
surface and teeth marks at the edge of the tongue also has got
much improvement, so has his slow and unclear speech. What¡¯s
more, the incontrollable beating of the muscles all over his
body and paroxysmal spasms on his lower limbs were also lessened
significantly. He has recovered with normal sleep and diet as
well as pleasant spirit. He felt no tiredness with a good mood.
He spoke highly of our TCM treatment, especially satisfied with
his treatment results. Today he demanded to leave the hospital
with two-month herbal tea for home taking.
