Record
of Herbal Treatment Of Felix from America Improvement Of
ALS
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Brief Summary:
On July 18,2007, Felix, who suffered from weakness of all
the limbs, as well as difficulties in speaking and swallowing, was
hospitalized in our hospital. After about three-month TCM treatment
here, all his symptoms have been improved significantly.
Complainer: The patient
himself Date of Admission: Oct.14,2007
Major Complaint:
The
patient has suffered from weakness of all the limbs for one and a half years,
and his condition has been progressively aggravated by difficulties in speaking
and swallowing for 10 months.
Present Illness:
In Apr. 2006, the patient fell down to the ground carelessly when walking. At
that time, the patient didn¡¯t feel any discomfort. A week later, the patient had
stiffness of his left ankle joints, but he paid no attention to it. Several days
later, the patient fell down to the ground again when he tried to pick up some
objects. After that, he had stiffness of both ankle joints, accompanied with
discomfort of his left hip and weakness of his arms. He did no examination or
treatment about it. Therefore, the condition was aggravated progressively. In
Dec. 2006, the patient had difficulties in speaking and swallowing along with
choking when drinking water. He still took no examination or treatment. In May
2007, the patient went to a local hospital for a diagnosis. After the EMG
examination, the patient was diagnosed with amyotrophic lateral
sclerosis (ALS). The doctor told the
patient it was incurable and prescribed him rilutek Capsule for one-month oral
taking. He got no obvious improvement. In Aug. 2007, the patient again went to a
local hospital for another examination, and he was diagnosed with
amyotrophic lateral sclerosis
(ALS). To seek for a comprehensive treatment, he arrived in our hospital on
Oct.14,2007. Since he got the disease, his spirit and appetite were
both slightly poor, especially poor in sleep. His bowel movement and urination
were both normal.
Disease History:
No history of typhoid, tuberculosis, hepatitis, malaria or other infectious
diseases. No allergic history of medicine or food. No trauma history. No history
of blood transfusion. History of preventive vaccination not provided.
Personal History:
He was born in the United States. No contact history of schistosomiasis. No
addiction to smoking, alcohol or special food. He was mild-tempered and
open-minded.
Marital History:
Unmarried.
Family History:
His
parents are both healthy. No family history of special diseases.
Physical Examination:
T 36.4¡æ£¬P
80 beats/minute, R 20 times/minute, BP 120/80 mmHg.
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. His skin was moist. No jaundice in the sclera. No superficial
lymph-node enlargement. Bilateral pupils were round and equal in size and
sensitive to light. No deformity of skull and the five sense organs.
No swollen
tonsil. With soft neck and trachea placed in the middle. No enlargement
of the thyroid gland. No congestion of the jugular vein.
No thoracic deformity. Sound of breath was bilaterally normal on auscultation.
No respiratory rales or pleural friction rubs. Heart border was normal. Heart
beat 80/min. Cardiac rhythm was regular. No pathological murmurs on
auscultation. Abdomen touched flat and soft
without tenderness or rebounding tenderness. The liver and spleen were not
palpable. No percussion pains in renal region. Bowel sound was normal. No spinal
and pelvic deformity or tenderness. He suffered from weakness of the
upper limbs with declining gripping power of both hands. In the examination, the
gripping power of his left hand was 12.5 kg, and that of the right hand was 11.4
kg. The extorsion of double forearms was limited. His upper limbs were Grade
¢ó
with normal muscle hypertonicity. Both of his lower limbs were weak with mild
stiffness of double ankle joints. His movement was inflexible. His lower limbs
were Grade
¢ó
with normal muscle hypertonicity. His speaking was neither clear nor fluent,
accompanied by difficulty in swallowing and choking while drinking. Other
physiological reflex exists. The pathological symptoms have not been elicited.
His tongue was slightly red with white and thin tongue coating. His pulse was
weak.
Diagnostic
examination: Not provided.
First Diagnosis:
TCM diagnosis:
flaccidity syndrome
Symptom
identification: Lung-spleen qi vacuity, accompanied with deficiency of the liver
and kidneys.
Western medicine
diagnosis: Amyotrophic Lateral
Sclerosis (ALS)
First Medical Record
Oct.14,
2007
Felix, a 27-year-old
male, has suffered from weakness of all the limbs for one and a half years, and
his condition has been progressively aggravated by difficulties in speaking and
swallowing for 10 months. He was picked up by our staff in Huaihua railway
station and arrived in Huaihua Red Cross Hospital for further treatment at 9: 00
a.m. on Oct.14,2007.
Essentials for
Diagnosis:
1. The patient has
suffered from weakness of all the limbs for one and a half years, and his
condition has been progressively aggravated by difficulties in speaking and
swallowing for 10 months.
2. In Apr. 2006, the
patient fell down to the ground carelessly when walking. At that time, the
patient didn¡¯t feel any discomfort. A week later, the patient suffered from
stiffness of his left ankle joints, but he paid no attention to it. Several days
later, the patient fell down to the ground again when he tried to pick up some
objects. After that, he had stiffness of both ankle joints, accompanied with
discomfort of his left hip and weakness of his arms. He did no examination or
treatment about it. Therefore, the condition was aggravating progressively. In
Dec. 2006, the patient had difficulties in speaking and swallowing along with
choking when drinking water. He still took no examination or treatment. In May
2007, the patient went to a local hospital for a diagnosis. After the EMG
examination, the patient was diagnosed with amyotrophic lateral sclerosis (ALS). The doctor told the
patient it was incurable and prescribed him rilutek Capsule for one-month oral
taking. He got no obvious improvement. In Aug. 2007, the patient again went to a
local hospital for another examination, and he was diagnosed with
amyotrophic lateral sclerosis
(ALS). To seek for a comprehensive treatment, he arrived in our hospital on
Oct.14,2007. Since he got the disease, his spirit and appetite were
both slightly poor, especially poor in sleep. His bowel movement and urination
were both normal.
3. T 36.4¡æ£¬P
80 beats/minute, R 20 times/minute, BP 120/80 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 suffered from weakness of all the
limbs with declining gripping power of both hands. In the examination, the
gripping power of his left hand was 12.5 kg, and that of the right hand was 11.4
kg. The extorsion of double forearms was limited. His upper limbs were Grade
¢ó
with normal muscle hypertonicity. His double ankle joints were in mild stiffness
with slow movement. His lower limbs were Grade
¢ó
with normal muscle hypertonicity. His speaking was neither clear nor fluent,
accompanied by difficulty in swallowing and choking while drinking water. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
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 all the limbs for one and a half years, and his
condition has been progressively aggravated by difficulties in speaking and
swallowing for 10 months. All his limbs were weak, accompanied with languid
expression on his face. His speaking was neither clear nor frequent, accompanied
with difficulty in swallowing and choking while drinking water. His tongue was
slightly red with white and thin tongue coating. His pulse was weak. Because of
the insufficiency of the liquids, abnormality of the qi and blood, and lung heat
scoring the lobes, his body loses the nourishment. What¡¯s more, due to the
deficiency of spleen and stomach, along with the disability of the transportation and transformation,
and shortage of the source of qi-blood, all lead to the malnutrition of the
muscles, and gradually it results in flaccidity.
Western Medicine: The
patient has suffered from weakness of all the limbs for one and a half years,
and his condition has been progressively aggravated by difficulties in speaking
and swallowing for 10 months. He suffered
from weakness of all the limbs with declining gripping power of both
hands. In the examination, the gripping power of his left hand was 12.5 kg, and
that of the right hand was 11.4 kg. The extorsion of double forearms was
limited. His upper limbs were Grade
¢ó
with normal muscle hypertonicity. His double ankle joints were in mild stiffness
with slow movement. His lower limbs were Grade
¢ó
with normal muscle hypertonicity. His speaking was neither clear nor fluent,
accompanied by difficulty in swallowing and choking while drinking water. In May
2007, he was diagnosed with amyotrophic lateral
sclerosis (ALS) in a local
hospital.
Diagnostic
Differentiation:
TCM: The patient¡¯s
flaccidity syndrome should be differentiated from impediment syndrome.
Flaccidity syndrome is characterized by limp, weak, and emaciated limbs with
muscular atrophy. A patient suffered from flaccidity 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 and bones, muscles and
joints, with occasional numbness or swelling, though, no paralytic
manifestations. They are not difficult to be distinguished in clinics.
Western Medicine:
Flaccidity
syndrome should be differentiated from Myasthenia Gravis (MG), which is an
acquired autoimmune disease with the transferring obstacles owing to
the reduced
acetylcholine receptor in the site of neuromuscular junction. 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
flaccidity syndrome patients.
First Diagnosis:
TCM diagnosis:
Wilting syndrome
Symptom
identification: Lung-spleen qi vacuity, accompanied with deficiency of the liver
and kidneys.
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 the care of
a companion.
4. Regular diet.
5. Herbal tea (to
supplement the center and boost qi, enrich and nourish the liver and kidneys):
one dosage a day and drink twice.
Main herbs used in
the herbal tea: baisheng (white ginseng), baishu (ovate atractylodes root),
shanyao (dioscorea), etc.
6. Acupuncture and
massage: once a day.
7. Have more medical
examinations if necessary.
Date: Oct. 15,2007 Time: 10:00 a.m.
Today the patient
complained to Dr. Yang that all his limbs felt weak, accompanied with stiffness
of his double ankle joints and inflexible movement. His speaking was neither
clear nor fluent, along with difficulty in swallowing and choking while drinking
water. The results of the three major routine examinations
are all normal. The examination to
the six items of hepatitis B is normal, and the examinations to the function of
his liver and kidneys are both normal. The result of Electrolyte turned out to
be normal and the examination to sternum is normal, too. The ECG examination is
also normal.
Examination: T 36.4¡æ£¬P
80 beats/minute, R 20 times/minute, BP 120/80 mmHg.
His heart and lung were normal, and his abdomen was soft and flat.
Dr. Yang¡¯s analysis:
1. The patient has
suffered from weakness of the limbs and his condition has been progressively
aggravated for one and a half years, accompanied with difficulties in speaking
and swallowing for 10 months.
2.
He suffered from weakness of all the
limbs with declining gripping power of both hands. In the examination, the
gripping power of his left hand was 12.5 kg, and that of the right hand was 11.4
kg. The extorsion of double forearms was limited. His double ankle joints were
in mild stiffness with inflexible movement. His speaking was neither clear nor
fluent, accompanied by difficulty in swallowing and choking while drinking
water. His tongue was slightly red with white and thin tongue coating. His pulse
was weak.
3. National
examination: In May 2007, he was diagnosed with amyotrophic lateral
sclerosis (ALS) in a local
hospital.
According to the
above information, TCM considered it as flaccidity syndrome. Because of the
insufficiency of the liquids, abnormality of the qi and blood, and lung heat
scoring the lobes, his body loses the nourishment. What¡¯s more, due to the
deficiency of spleen and stomach, along with the disability of the transportation and transformation,
and shortage of the source of qi-blood, all lead to the malnutrition of the
muscles, and gradually it results in flaccidity. Dr. Yang¡¯s analyzed it was
Lung-spleen qi vacuity, accompanied with deficiency of the liver and kidneys.
Principle of TCM
treatment: Supplementing the center and boosting qi, enriching and nourishing
the liver and kidneys
Herbal tea prescribed
for four days including baisheng (white ginseng), baishu (ovate atractylodes
root), shanyao (dioscorea), etc. One dosage a day and drink twice.
Doctor¡¯s requirement
is to take four dosages of the herbal tea of the above prescription. Acupuncture
and massage for once a day. The patient will have more medical examinations if
necessary.
Date: Oct. 16,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He still said that all his limbs
felt weak, accompanied with stiffness of his double ankle joints and inflexible
movement. The extorsion of double forearms was limited. Besides, his speaking
was neither clear nor fluent, along with difficulty in swallowing and choking
while drinking water.
Examination: T 36.4¡æ£¬P
80 beats/minute, R 20 times/minute, BP 120/80 mmHg.
His heart and lung were normal, and his abdomen was soft and flat.
His spirit and appetite got better, and his sleep was sound. Both of his bowel
movement and urination were normal. His tongue was
slightly red with white and thin tongue coating. His pulse was weak. Doctor¡¯s requirement is
to take herbal tea of the same prescription. One dosage a day and drink twice.
Date: Oct. 20,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved a lot. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite got better,
and his sleep was sound. Both of his bowel movement and urination were normal.
His tongue was
slightly red with white and thin tongue coating. His pulse was weak. Doctor¡¯s requirement is
to take herbal tea of the same prescription. One dosage a day and drink twice.
Date: Oct. 25,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite got better,
and his sleep was sound. Both of his bowel movement and urination were normal.
His tongue was
slightly red with white and thin tongue coating. His pulse was weak. Doctor¡¯s requirement is
to take herbal tea of the same prescription. One dosage a day and drink twice.
Date: Oct. 30,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite got better,
and his sleep was sound. Both of his bowel movement and urination were normal.
His tongue was
slightly red with white and thin tongue coating. His pulse was weak. Doctor¡¯s requirement is
to take herbal tea of the same prescription. One dosage a day and drink twice.
Date: Nov. 5,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite got better,
and his sleep was sound. Both of his bowel movement and urination were normal.
His tongue was
slightly red with white and thin tongue coating. His pulse was weak. Doctor¡¯s requirement is
to take herbal tea of the same prescription. One dosage a day and drink twice.
Date: Nov. 10,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite got better,
and his sleep was sound. Both of his bowel movement and urination were normal.
His tongue was
slightly red with white and thin tongue coating. His pulse was weak. Doctor¡¯s requirement is
to take five dosages of the herbal tea of the same prescription. One dosage a
day and drink twice.
Date: Nov. 16,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Nov. 20,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Nov. 25,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Nov. 30,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Dec. 5,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Dec. 10,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Dec. 10,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s requirement is to take herbal tea of the same
prescription. One dosage a day and drink twice.
Date: Dec. 16,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Dec. 20,
2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Dec. 25,2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Dec. 30,
2007 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms were getting better. He
also felt the stiffness of his double ankle joints and inflexible movement got
some improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved obviously. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Jan. 5,2008 Time: 9:00 a.m.
The patient did not
complain about any other special discomfort. He said that the weakness of all
his limbs and the limited extorsion of double forearms got much better. He also
felt the stiffness of his double ankle joints and inflexible movement got much
improvement. Besides, he still had difficulty in speaking with unclear and
influent words, but the symptom of difficulty in choking while drinking water
was improved significantly. In the examination, his heart and lung were
normal, and his abdomen was soft and flat. His spirit and appetite were both
normal, and his sleep was sound. Both of his bowel movement and urination were
normal. His
tongue was slightly red with white and thin tongue coating. His pulse was weak.
Doctor¡¯s
requirement is to take herbal tea of the same prescription. One dosage a day and
drink twice.
Date: Jan. 8,2008 Time: 9:00 a.m.
The patient did not complain about any other special discomfort. He said that
the weakness of all his limbs and the limited extorsion of double forearms got
much better. He also felt the stiffness of his double ankle joints and
inflexible movement got much improvement. Besides, he still had difficulty in
speaking with unclear and influent words, but the symptom of difficulty in
choking while drinking water has been improved significantly. The patient
demanded to leave the hospital today.
