TCM China:  

The Academic Report About Our Hospital By Fadi From Syria, MS
 

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Brief Summary: Fadi, from Syria, suffered from MS. After our TCM treatment, the weakness of his lower limb was lessened a lot, and the trembling was also mitigated. Besides, the walking difficulties became slighter. After 75-day treatment here, his condition has achieved great improvement.

 

Hospitalization Records

Name: Fadi                                                                                                               Sex: Male       

Age: 31                                                                                                                     Hospitalization No.: 0000893 

Date of admission: November 17, 2006                                                                   Date of hospital discharge: February 1, 2007

Number of Hospital admission days: 75 days.

 

Diagnosis of hospital admission:

TCM: Bi-syndrome (impediment syndrome);

WM: 1. Multiple sclerosis; 2. Prolapsed of lumbar intervertebral disc.

Diagnosis of hospital discharge:

TCM: Bi-syndrome (impediment syndrome);

WM: 1. Multiple sclerosis; 2. Prolapsed of lumbar intervertebral disc.

The patient, Fadi, a 31-year-old male, has suffered from lower limb weakness and numbness for five years accompanied by walking difficulties, trembling and urinary incontinence for three years. He came in our hospital for treatment on November 17th, 2006. In 2001, the patient suddenly felt weakness on his lower limb when he was playing football. At that time, he neither paid attention to it, nor did any examination and treatment. But later on his disease condition showed continual aggravation. Three months later, the sensation of numbness began to develop from the lower limb to his toes. He then went to do examination at a local clinic. The clinic gave him glucocorticoid drugs for orally taken (cortisone), and his disease condition became a little better. Two years later, the patient¡¯s lower limb began to tremble; he also had urinary incontinence during the night and pain on his lumbar region. He went to check at the local hospital, but the diagnosis was unclear. He continued taking cortisone orally until now. Since the patient had this disease, his spirit is little bit worse; he experiences bad sleep, but has a good appetite. He has urinary incontinence during the sleep in the night time. His bowel movement is normal.

Procedures of hospital admission:

Since the patient was admitted to our hospital, we gave him Chinese medicine to enrich the liver and kidney, quicken the blood and free the channels. One dosage of the Chinese medicine a day to be drunk twice, also acupuncture and massage combined therapy once a day. The MRI examination from the First Hospital of Huaihua City at November 22, 2006 showed: 1. L4, 5 level neck spinal cores are a little bigger, so it is considered demyelination pathological changes. 2. L5/ S1 discs intervertebral. After confirmed the diagnosis, we continue to give the patient Chinese medicine, acupuncture, massage and traction combined therapies. The patient¡¯s disease condition is better.

Condition of hospital discharging: The patient feels less lower limb weakness; the trembling is mitigated and he feels less walking difficulties. He has obvious pain when pressing on lumbosacral portion. He presents a good spirit and his appetite is good too. His sleep is nice. His bowel movement and urination are normal. Slight red tongue, thin and white tongue fur, fine and deep pulse.

Physical examination: T 36.4¡æ£¬P 80bpm, R 20bpm, BP: 110/70mmHg. heart and lung (¡ª), Abdomen is flat and soft (¡ª).

Doctor¡¯s advice after hospital discharge:

1.      Continue Traditional Chinese medicine therapies;

2.      Avoid physical work;

3.      Doing regularly countercheck.   

 

                                                                              

Records of Hospitalization

Name: Fadi                                            Sex: Male

Nationality: Syrian                        Age: 31  

Birth-place: Syria                        Profession: Athlete

Marital status: Unmarried                 Date of Admission: Nov. 17th, 2006

Onset Season: Spring                     Date of Report: Nov. 17th, 2006

Complainer of history: The patient       

Reliability: Reliable

Chief complaint: The patient has suffered from lower limb weakness and numbness for five years accompanied by walking difficulties, trembling and urinary incontinence for three years.

Present illness:

The patient suddenly felt weakness on his lower limb when he was playing football five years ago. At that time, he did not pay attention to it, but later on his disease condition showed continual aggravation. After three months, the sensation of numbness began to develop from the lower limb to his toes. He then went to do examination at a local clinic. The clinic gave him glucocorticoid drugs for orally taken (unknown specific details), and his disease condition became better. Two years later, the patient¡¯s lower limb began to shake; he also had urinary incontinence during the night and pain on his lumbar region. He went to check at the local hospital, but the diagnosis was unclear. He continued taking glucocorticoid drugs (cortisone) orally until now. Since the patient gets this disease, his spirit is little bit worse; he experiences bad sleep, but had a good appetite. His urination is normal during the daytime, but has urinary incontinence during the night. He has used urethral catheter for three years. His bowel movement is normal. Slight reddish tongue, thin and white tongue fur, fine and deep pulse.

Past history: No history of typhoid, tuberculosis and hepatitis. No history of food or medicine allergy. Seven years ago, he fractured his right forearm and did internal fixation with steel plate. No history of transfusion. No history of preventive vaccination provided.

Personal history: He was born in Syria, living in a dry environment. No contact history of schistosomiasis. He smokes about 20 cigarettes everyday during the five years. No addiction to alcohol, or special food. He is calm temperament and cheerful.

Marital history: Unmarried.

Family history: His parents still alive. No family history of special disease.

Physical examination:

T 36.4¡æ£¬P 80bpm, R 20bpm, BP: 110/70mmHg.

He is mid-nourished, normally developed and has a clear mind. He is in a positive position and cooperative in examination. His skin is moist. No jaundice in the sclera. No superficial lymph-node enlargement. Bilateral pupils are round, equal in size and sensitive to light. No thoracic deformity. The sound of breath is bilaterally normal on auscultation. No respiratory rales or pleural friction rubs, the heart border is not big. Heart beat is 80bpm. Cardiac rhythm is regular. No pathological murmurs of heart on auscultation. Abdomen is flat and soft without tenderness or rebound tenderness. The lumbar region and lower limb will see the special examination. Liver and spleen are not palpable. Bowel sound is normal. No Spinal and pelvic deformity or tenderness. Both upper limbs without deformity and normal mobility, both lower extremities will see the special examination. The development of the anus or genital was normal. Physiological reflex has pathological features without elicited.

Special examination: The patient has suffered from lower limb weakness and difficulty on walking. He can walk slowly but needs wall to help. He has a sensation of numbness sensation from the inner side of the lower limb to the toes and often trembles. There is one place has obvious tenderness between L4-5. His bilateral piriform muscle has obvious tenderness and radiates to lower limb¡¯s toes. His ankle-joints are stiffness. Straighten-leg raising test is (+), drawer test is (+). Knee tendon is hyperreflexi, Klinefelter syndrome, Babinski syndrome (+).

First diagnosis: TCM diagnosis: Bi-syndrome (impediment syndrome)

Symptom diagnosis: Liver and kidney asthenia; sinews and vessels stasis or obstruction.  

WM diagnosis: 1. Spinal verve is under examination;

 2. Prolapse of lumbar intervertebral disc£¿

                      Dr. Yang qingzhi/ Dr. Dai Lei

                      November 17th, 2006

 Supplementary diagnosis: Multiple sclerosis.

                      Dr. Yang qingzhi/ Dr. Dai Lei

                      November 21st, 2006

                

First Medical Record

10:00 a.m. November 17th, 2006

Fadi, male, has suffered from lower limb weakness and numbness for five years accompanied by walking difficulties, trembling and urinary incontinence for three years.  He was picked up by our workers from Zhijiang Airport and transported to our Huaihua Red Cross Hospital at November 17th, 2006.

Case characteristics:

1. The patient has suffered from lower limb weakness and numbness for five years accompanied by walking difficulties, trembling and urinary incontinence for three years.

2. The patient suddenly felt weakness on his lower limb when he was playing football five years ago. At that time, he did not pay attention to it, but later on his disease condition showed continual aggravation. After three months, the sensation of numbness began to develop from the lower limb to his toes. He then went to do examination at a local clinic. The clinic gave him glucocorticoid drugs for orally taken (unknown specific details), and his disease condition became better. Two years later, the patient found his lower limb began to tremble; he also had urinary incontinence during the night and pain on his lumbar region. He went to check at the local hospital, but the diagnosis was unclear. He continued taking glucocorticoid drugs (cortisone) orally until now. Since the patient gets this disease, his spirit is little bit worse; he experiences bad sleep, but has a good appetite. His urination is normal during the daytime, but has urinary incontinence during the night. He has used urethral catheter for three years. His bowel movement is normal. Slight reddish tongue, thin and white tongue fur, fine and deep pulse.

3. T: 36.4¡æ£¬P: 80bpm, R: 20bpm, BP: 110/70mmHg.

4. He is mid-nourished and normally developed. His mind is clear, chronic face mirroring difficult condition, showing languor expression; He is in a positive position and cooperative in examination.

5. No thoracic deformity. Chest percussion noted resonance. Sound of breath was bilaterally clear on auscultation. No pleural friction rubs. Heart border is not big. Heart beat is 80bpm. Cardiac rhythm is regular.

6. The patient has suffered from lower limb weakness and difficulty on walking. He can walk slowly but need wall to help. He has numbness sensation from the inner side of the lower limb to the toes and often trembles. There is one place has obvious see tenderness between L4-5. His bilateral piriform muscle has obvious tenderness and radiates to lower limb¡¯s toes. His ankle-joints are stiffness. Straighten-leg raising test is (+), drawer test is (+). Knee tendon is hyperreflexi, Klinefelter syndrome, Babinski syndrome (+).

7. Accessory examination: Not provided yet.

Diagnostic basis

TCM: The patient has suffered from lower limb weakness and numbness for five years accompanied by walking difficulties, trembling and urinary incontinence for three years. Bi-symptom (Impediment syndrome), is caused by evil Qi, such as wind, cold, damp and heat, etc, which blocked the channels and network vessels or affected Qi-blood transportation. These lead to pain on limbs, sinews, bones, joints, muscles and so on. It is a kind of disease that the critical ill patients will have the symptoms of soreness, numbness or joints inhibited bending and stretching, stiffness, swelling or deformity, etc. The uncritical ill patients have the disease on the four limbs, joints or muscles, but the critical one will have it in the Zang (five viscera). It is the basic PathomeChanism of Bi-syndrome (impediment syndrome) that the evil Qi, such as wind, cold, damp, heat, phlegm or stasis stagnated and accumulated in the limbs, sinews, vessels, joints or muscles; or the channel vessel was blocked or obstructed and caused pain if it was unopened. At the beginning of Bi-syndrome (impediment syndrome), it is repletion if the evil of wind, cold, damp or heat is obvious. A long period of Bi-syndrome will lead to consume and injury Qi-blood, damage Zang-fu (bowels and viscera), and it is vacuity if insufficiency of the liver and kidney. Lingering disease procedure, or not recovered for a long period, is usually vacuity-repletion with miscellaneous pathoconditions of phlegm-stasis mutually combined and liver-kidney depleted-vacuity.

Western medicine basis: The patient has suffered from lower limb weakness and numbness for five years accompanied by walking difficulties, trembling and urinary incontinence for three years. The patient has suffered from lower limb weakness and difficulty on walking. He can walk slowly but needs a wall to help. He has a sensation of numbness from the inner side of the lower limb to the toes and often trembles. There is one place has obvious tenderness between L4-5. His bilateral piriform muscle has obvious tenderness and radiates to lower limb¡¯s toes. His ankle-joints are stiffness. Straighten-leg raising test is (+), drawer test is (+). Knee tendon is hyperreflexi, Klinefelter syndrome, Babinski syndrome (+).  

 

Diagnostic differentiation£ºBi-syndrome differentiated from Wei-syndrome: Bi-syndrome caused by the evil of wind, cold, damp or heat which flows into the interstices of the flesh, the channel and network vessels and then blocked the sinews, vessels and joints. First of all, the main point we have to differentiate pain and no-pain from the two syndromes. Bi-syndrome is focused on the pain in the joints. On the contrary, Wei-syndrome usually has no pain but weakness in the body and limbs. Secondary, observe the movement obstruction of the limbs. Wei-syndrome is characterized by weakness of movement, but Bi-syndrome is characterized by pain, which affects the movement. These should be differentiated.

WM differentiated from Rheumatoid arthritis: Rheumatoid arthritis indicated in clinical items: Stiffness in the morning time, at least has one articular paining during the movement, or has tenderness; has swelling in one articular soft tissue or has accumulated liquid. At least have one articular swelling (the time interval won¡¯t excess three months of two articular symptoms), symmetry articular swelling, and the position of the protruded bone, the limbs bending and stretching, or subcutaneous nodules around the articular. These should be differentiated.    

First diagnosis: Bi-syndrome (impediment syndrome)

Symptom diagnosis: Liver and kidney asthenia; sinews and vessels stasis or obstruction. 

WM diagnosis: 1. Spinal verve is under examination;

 2. Prolapsed of lumbar intervertebral disc?

 Supplementary diagnosis: Multiple sclerosis.

                      Dr. Yang qingzhi/ Dr. Dai Lei

                      November 22nd, 2006

Plan of the treatment:

1. On routine care of traditional Chinese internal medicine

2. On grade II care

3. Nice food

4. Herbal tea: Add or reduce Hidden Tiger Pill. The prescription: Shudi (Cooked rehmannia), Duzhong (eucommia), Guiban (tortoise plastron), etc. One dosage a day and drink by twice.

5. Massage once a day

6. Acupuncture once a day

7. Functional training once a day

8. Have more medical examinations if necessary

Dr. Yang Qingzhi/ Dr. Dai Lei


Date: 20th of November 2006
                              Time: 9:00 a.m.   

The patient still feels lower limb weakness, numbness and trembling, especially in the left lower limb; it is accompanied by tenderness about the left side of L5/L4 to the left lower limb. He has urinary incontinence and difficulties to stool. Dull red tongue body, yellow tongue fur, string like and slippery pulse. In TCM, it is insufficiency of the liver and kidney and damp-heat static obstruction. The treatment is better to enrich the liver and kidney, dispel damp, transform phlegm and free the network vessels. The prescription will be seen the temporary doctor¡¯s advice. WM diagnosis is unclear at present. His examination records from Syria are still on route. We will give him a diagnosis meeting when his examination records arrive.

Dr. Yang Qingzhi

 

Date: 23rd of November 2006                               Time: 9:00 a.m.   

The patient¡¯s examination records from Syria have arrived. Yesterday morning, we brought the materials to the MRI Department of the First People¡¯s Hospital of Huaihua City and gave the patient a diagnosis meeting there. It was very hard to make a definite diagnosis due to the poor quality of MRI films. Yesterday afternoon, we brought the patient to the First people¡¯s Hospital to recheck his cervical vertebra MRI and lumbar vertebra MRI. The confirmed diagnosis is: 1. Multiple sclerosis; 2. L5/S1 lumbar intervertebral disc. Traditional Chinese Medicine treatment mainly to supplement the liver and kidney, free the channels and quicken the network vessels. The prescription is seen the temporary doctor¡¯s advice.

Dr. Yang Qingzhi

  

Date: 26th of November 2006                               Time: 9:00 a.m.   

The patient says the pain of his lumbar and left lower limb is lighter. His lower limb has more power than before and can be roused up about 70cm and the numbness sensation is a little better, as well. Red tongue, yellow and dry tongue fur, string like and slippery pulse. Take Lujiao (deerhorn glue) away but add Zhimu (anemarrhenae) in to the former prescription. Continue the principle of clear heat and enrich Yin.

Dr. Yang Qingzhi

 

Date: 29th of November 2006                               Time: 9:00 a.m.   

The patient says that the pain of his lower limb is lessening gradually day by day; the sensation of numbness and trembling are turning better. It¡¯s mainly indicated on his lower limb lack of strength, very hard to walk and urine out of control during the night time. Dull and red tongue, yellow tongue fur, string like and slippery pulse. The principle of the treatment is supplement the liver and kidney, dispel damp, free the channels and quicken the network vessels. The prescription is seen the temporary doctor¡¯s advice.

Dr. Yang Qingzhi

 

Date: 3rd of December 2006                               Time: 10:00 a.m.     

The patient says that his lower limb has more strength than before, the sensation of numbness and trembling are reducing. The distending pain on his left lower limb is gradually relieved. The movement of his ankle joints is more flexible than before. Incontinence of urine during the night time, he needs to use urethral catheters. His bowel movement is normal and usual diet and appetite. Slight yellow tongue fur, string like and slippery pulse. No strength when repressing. The treatment principle is mainly to supplement the liver and kidney, strengthen sinew and bone, free the channels and quicken the network vessels. The prescription is Shoudi (Cooked rehmannia), Guiban (tortoise plastron), Duzhong (eucommia), etc. Five days.

Dr. Yang Qingzhi

  

Date: 8th of December 2006                              Time: 9:00 a.m.   

The patient says that the symptoms of weakness, numbness and trembling on his lower limb are mitigated, but he still can not control his urine during the night time. Dull red tongue, yellow tongue fur, string like pulse. No strength when repressing. Five days.

Dr. Yang Qingzhi

 

Date: 11th of December 2006                               Time: 9:00 a.m.   

The patient says that the symptoms of weakness, numbness and trembling on his lower limb are mitigated, but he still can not control his urine during the night time. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. He presents with a good spirit. His sleep is good. His appetite is as usual. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The rest are good. Dull red tongue, thin and white tongue fur, string like pulse. No strength when repressing hard. Continue the same treatment as above.  

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 14th of December 2006                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. He presents with a good spirit. His sleep is good. His appetite is as usual. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness; numbness and trembling on his lower limb are mitigated a little bit, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine, deep and string like pulse. No strength when repressing hard. Continue the same prescription as before. The prescription is Shoudi (Cooked rehmannia), Guiban (tortoise plastron), Duzhong (eucommia), etc. One dosage a day and drink by twice, 5 days.

Dr. Yang Qingzhi/ Dr. Dai Lei

  

Date: 17th of December 2006                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. He presents with a good spirit. His sleep is good. His appetite is as usual. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness; numbness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. No strength when repressing hard. Continue use the same prescription.

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 20th of December 2006                              Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. He presents with a good spirit. His sleep is good. His appetite is as usual. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness; numbness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. No strength when repressing hard. Continue use the same prescription. The prescription is Shoudi (Cooked rehmannia), Guiban (tortoise plastron), Duzhong (eucommia), etc. One dosage a day and drink by twice, 5 days.  

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 23rd of December 2006                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. He presents with a good spirit. His sleep is good. His appetite is as usual. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness; numbness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. No strength when repressing hard. Continue use the same prescription.

Dr. Yang Qingzhi/ Dr. Dai Lei

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Date: 26th of December 2006                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. He presents with a good spirit. His sleep is good. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness; numbness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. No strength when repressing hard. Continue use the same prescription. The prescription is Shoudi (Cooked rehmannia), Guiban (tortoise plastron), Duzhong (eucommia), etc. One dosage a day and drink by twice, 5 days. 

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 29th of December 2006                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness; numbness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. No strength when repressing hard. Continue use the same prescription.

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 1st of January 2007                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness; numbness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. No strength when repressing hard. Continue use the same prescription.

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 4th of January 2007                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness; numbness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. No strength when repressing hard. Continue use the same prescription.

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 7th of January 2007                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness and trembling on his lower limb are obviously become less, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. No strength when repressing hard. Continue use the same prescription. The prescription is Shoudi (Cooked rehmannia), Guiban (tortoise plastron), Duzhong (eucommia), etc. One dosage a day and drink by twice, 5 days. 

Dr. Yang Qingzhi/ Dr. Dai Lei 

¡¡

Date: 10th of January 2007                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. The prescription is Shoudi (Cooked rehmannia), Guiban (tortoise plastron), Duzhong (eucommia), etc. One dosage a day and drink by twice, 5 days. 

Dr. Yang Qingzhi/ Dr. Dai Lei

¡¡

Date: 14th of January 2007                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. Continue use the same prescription.

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 18th of January 2007                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. Continue use the same prescription. The prescription is Shoudi (Cooked rehmannia), Guiban (tortoise plastron), Duzhong (eucommia), etc. One dosage a day and drink by twice, 5 days. 

 

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 22nd of January 2007                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. Continue use the same prescription.

Dr. Yang Qingzhi/ Dr. Dai Lei

¡¡

Date: 26th of January 2007                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness and trembling on his lower limb are obviously relieved, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. Continue use the same prescription. The prescription is Shoudi (Cooked rehmannia), Guiban (tortoise plastron), Duzhong (eucommia), etc. One dosage a day and drink by twice, 5 days. 

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 30th of January 2007                               Time: 9:00 a.m.   

Today the patient doesn¡¯t complain of any special discomfort. No aversion to cold. No fever. No headache or dizziness. No nausea or vomiting. He presents with a good spirit. His sleep and appetite are good. His bowel movement and urination are normal. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The patient says that the symptoms such as weakness and trembling on his lower limb obviously are become much less. He can walk about 10 meters along with the wall¡¯s help, but he still can not control his urine during the night time. Dull red tongue, thin and white tongue fur, fine and deep pulse. Continue use the same prescription. The prescription is Shoudi (Cooked rehmannia), Guiban (tortoise plastron), Duzhong (eucommia), etc. One dosage a day and drink by twice, 5 days. 

Dr. Yang Qingzhi/ Dr. Dai Lei

 

Date: 31st of January 2007                               Time: 9:00 a.m.   

Today the patient¡¯s general condition is good. Physical examination: heart and lung (¡ª), Abdomen is flat and soft (¡ª). The check result is the same as before on his lower limb. The patient will leave our hospital tomorrow.

Dr. Yang Qingzhi/ Dr. Dai Lei 

 

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