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.
¡¡
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
