Brief Summary:
On
October 5, 2009, Rodica from Romania, who has suffered from MS,
accompanied with the symptom of the weakness and pains of the
lower limbs for 2 years, was hospitalized in our hospital. Her
right hand was numb with the sense of electric current. She
sweated easily and felt depression. She came to our hospital for
the treatment from January 20 to March 3 in 2009. The record of
her hospitalization was 2009002. So this was her second visiting
to our hospital. She has achieved much improvement after 36 days
TCM treatment here. Compared with before, her condition was
normal and good. There was no numbness in the right hand.
Record of Hospitalization
Name:
Rodica
Birthplace: Romania
Sex:
Female Profession:
Doctor
Age:
53 Date of
Admission: October 5, 2009
Religion:
Romanians Date of Record:
October 5, 2009
Marital Status:
Married Onset Season: Heavy Snow
Complainer:
The patient himself. The case was recorded by TCM group.
First Medical Record
Date: October 5, 2009
Time: 19: 30 p. m.
Rodica, a 53-year-old female, has suffered from MS, accompanied
with the symptom of the weakness and pains of the lower limbs
for 2 years. She was hospitalized in our hospital at 19: 30 a.
m. on October 5, 2009.
Essentials for Diagnosis:
1. The patient has
suffered from the symptom of the weakness and pains of the lower
limbs for 2 years.
2. The patient
began to feel the stinging pains of the heel and joints on the
right foot without obvious reasons in 2 years ago. Also there
were numbness and pains of the wrist and fingers in the right
hand. In 2008, she was given MRI examination in the local
hospital with white matter lesions and was diagnosed with MS.
She came to our hospital for the treatment during January 20 to
March 3 in 2009. The record of her hospitalization was 2009002.
At that time, she was diagnosed as impediment pattern. Her case
was due to disharmony of the qi and blood, obstruction of
dampness and coldness in the network vessels. So our treatment
was to boost qi and quicken the blood circulation, dissipate
coldness and expel dampness. She got much improvement after her
treatment here. And she brought herbal tea back home for the
further treatment. In this way, she got continuing improvement.
Because the condition of her thyroid was not normal before; and
the figure of the T3, T4 were high. But the thyroid condition
went back to normal after taking the herbal tea. To strengthen
the treatment result, she came to our hospital again. Now, her
general condition was good, but for the numbness and pains of
the right hand was numb with the sense of electric current. She
sweated easily and felt depression.
3. T 36.6≧,
R 20 times/minute, P 78 times/minute, BP 120/80mmHg.
4. She grew
normally with excessive nutrition. Her mind was clear. She had
an expression of chronic illness and tiredness. Her body was
cooperative with his mind.
5. No thoracic
deformity. Sound of breath was bilaterally normal on
auscultation. No sound of pleural friction. Heart border was
normal. Heart beat was 78 times/minute. Cardiac rhythm was
regular. No pathological murmurs on auscultation.
6.
Accessory examination: none.
Diagnostic Basis:
TCM:
The patient
has suffered from the symptom of the weakness and pains of the
lower limbs for 2 years. She began to feel the stinging pains of
the heel and joints on the right foot without obvious reasons in
2 years ago. Also there were
numbness and pains of the wrist and fingers in the right hand.
In 2008, she was given MRI examination in the local hospital
with white matter lesions and was diagnosed with MS. She came to
our hospital for the treatment during January 20 to March 3 in
2009. The record of her hospitalization was 2009002. At that
time, she was diagnosed as impediment pattern. Her case was due
to disharmony of the qi and blood, obstruction of dampness and
coldness in the network vessels. So our treatment was to boost
qi and quicken the blood circulation, dissipate coldness and
expel dampness. She got much improvement after her treatment
here. And she brought herbal tea back home for the further
treatment. In this way, she got continuing improvement. Because
the condition of her thyroid was not normal before; and the
figure of the T3, T4 were high. But the thyroid condition went
back to normal after taking the herbal tea. To strengthen the
treatment result, she came to our hospital again. Now, her
general condition was good, but for the numbness and pains of
the right hand was numb with the sense of electric current. She
sweated easily and felt depression. Also there was slight fatty
liver with her. Her tongue was pale.
Her tongue coating was thin and slight white. Her pulse was wiry
and thready. According to the symptoms of the tongue and
pulse, she was diagnosed with impediment pattern. Professor Yang
believed that her case was due to vacuity of the liver and
kidneys, depression of the liver, qi stagnation and blood
stasis. So the treatment strategy is to supplement and boost the
liver and kidneys, move qi and quicken the blood circulation,
course the liver and resolve depression.
Western Medicine: The patient has suffered from the symptom of
the weakness and pains of the lower limbs for 2 years. She began
to feel the stinging pains of the heel and joints on the right
foot without obvious reasons in 2 years ago.
Also there were numbness and pains of the wrist and
fingers in the right hand. In 2008, she was given MRI
examination in the local hospital with white matter lesions and
was diagnosed with MS.
Diagnostic Differentiation:
TCM:
The patient's impediment pattern should be differentiated from
wilting pattern. Wilting pattern is characterized by limp, weak,
and emaciated limbs with the numbness of the muscles. But the
patient usually has no joint pains. On the contrary, impediment
pattern is generally characterized by joint pains. So they are
not difficult to be distinguished.
Western Medicine: MS should be differentiated from
ophthalmoneuromyelitis. Ophthalmoneuromyelitis is a kind of
disease that the symptoms are in the optic nerve and damaged
segments of the spinal cord.
It is characterized by thrill of eyeball,
language barrier, but no
paralysis of cranial nerve. So they are not difficult to be
distinguished.
First Diagnosis:
TCM diagnosis: Impediment pattern
Symptom identification: vacuity of the liver and kidneys,
depression of the liver, qi stagnation and blood stasis.
Western Medicine diagnosis: MS
Plans for treatment strategy and nursing:
1. Routine care of
traditional Chinese internal medicine.
2. Grade = 3 \*
ROMAN III care.
3. Under the care
of a companion.
4. Low-fat diet.
5. TCM treatment
strategy: supplement and boost the liver and kidneys, move qi
and quicken the blood circulation, course the liver and resolve
depression.
6. Herbal tea: one
dosage a day and drink twice.
7. Acupuncture and
massage: once a day.
Date: October 6, 2009
Time: 10: 00 a. m.
The patient has
suffered from the symptom of the weakness and pains of the lower
limbs for 2 years. She began to feel the stinging pains of the
heel and joints on the right foot without obvious reasons in 2
years ago. Also there were
numbness and pains of the wrist and fingers in the right hand.
In 2008, she was given MRI examination in the local hospital
with white matter lesions and was diagnosed with MS. She came to
our hospital for the treatment during January 20 to March 3 in
2009. The record of her hospitalization was 2009002. At that
time, she was diagnosed as impediment pattern. Her case was due
to disharmony of the qi and blood, obstruction of dampness and
coldness in the network vessels. So our treatment was to boost
qi and quicken the blood circulation, dissipate coldness and
expel dampness. She got much improvement after her treatment
here. And she brought herbal tea back home for the further
treatment. In this way, she got continuing improvement. Because
the condition of her thyroid was not normal before; and the
figure of the T3, T4 were high. But the thyroid condition went
back to normal after taking the herbal tea. To strengthen the
treatment result, she came to our hospital again. Now, her
general condition was good, but for the numbness and pains of
the right hand was numb with the sense of electric current. She
sweated easily and felt depression. Also there was slight fatty
liver with her. Her tongue was pale.
Her tongue coating was thin and slight white. Her pulse was wiry
and thready. According to the symptoms of the tongue and
pulse, she was diagnosed with impediment pattern. Professor Yang
believed that her case was due to vacuity of the liver and
kidneys, depression of the liver, qi stagnation and blood
stasis. So the treatment strategy is to supplement and boost the
liver and kidneys, move qi and quicken the blood circulation,
course the liver and resolve depression. The prescription was as
follows: Rehanniae Radix Conquitum,
Cornus,
Tangkuei,
Dioscorea
etc. 5 dosages in total.
Date: October 7, 2009
Time: 10: 00 a. m.
The feedback of the
prescription was good. Her condition
was normal.
Date: October 10, 2009
Time: 10: 00 a. m.
Her general condition was normal. She complained lots of sweat.
When she did some exercises, there were many sweats. Her
urination and stool were normal. Her diet and sleeping were
good. The former prescription was changed a little. 5 dosages in
total.
Date: October 15, 2009
Time: 8: 40 a. m.
The patient's condition was stable.
The prescription was the same as the one on October 10th.
5 dosages in total.
Date: October 20, 2009
Time: 8: 40 a. m.
Her general condition was normal. Her urination and stool were
normal. Her diet and sleeping were good. The
prescription was not changed.
Date: October 25, 2009
Time: 8: 50 a. m.
The patient felt good. The prescription was the same. 5 dosages
in total.
Date: October 31, 2009
Time: 8: 50 a. m.
The patient felt a little tired sometimes. Her sleeping was
quiet. Her diet was normal. There was slight pain on the left
side of the head. The prescription was changed a little. 5
dosages in total.
Date: Nov. 5, 2009 Time:
8: 40 a. m.
Her condition was stable. Continue to take the same
prescription. 5 dosages in total.
Date: Nov. 9, 2009 Time:
10: 00 a. m.
There was obvious improvement of sweating. Her sleep was ok. Her
urination and stool were normal.
She has achieved much improvement after 36 days TCM treatment
here. Compared with before, her condition was normal and good.
There was no numbness in the right hand.
The patient decided to leave the
hospital tomorrow.
More other
successful treatment cases for MS:
Case-1
Case-2 Case-3
Case-4 Case-5
Case-6
Case-7
Case-8
Case-9 Case-10
Case-11
Case-12 Case-13 Case-14
Case-15