Brief 
				Summary:                                                                                                                                                                                                                                                                                   
                                                                       
                                                                       
	
				On Nov 25,
				2007, James, from Greek, who suffered from muscular 
				contraction and weakness of his lower limbs, accompanied with 
				difficulty in walking, was hospitalized in our Huaihua Red Cross 
				Hospital. After more than three-month TCM treatment here, the 
				muscular contraction and weakness of his lower limbs have got 
				much improvement, so the difficulty in walking. The edema on his 
				lower limbs almost disappeared.¡¡
				
				
				Record of 
				Hospitalization
                                                                       
                                                                       
	
				
				
				Name: 
				James                                                                                                                Sex: Male
				
				
				Age: 
				
				54                                                                                                                         Profession:  Farmer
				
				
				Nationality: 
				Ireland                                                                                                       Marital 
				Status: Married
				
				
				Onset Season: 
				Autumn                                                                                                 Date of 
				Admission: Nov 25, 2007
				
				
				Complainer: 
				The patient 
				himself                                                                                     Reliability: Reliable
				
				
				Major Complaint:
				The 
				patient has suffered from muscular contraction and weakness of 
				his lower limbs, accompanied with difficulty in walking for 2 
				years, and the condition has been aggravated for one month.
				
				
				Present Illness: 
				In Oct. 2005, the patient began to feel muscular contraction and 
				weakness in his lower limbs, accompanied with difficulty in 
				walking without any obvious causes. But at that time, the 
				patient paid no attention to it, and did no treatment about it. 
				Therefore, the disease was aggravated progressively. In Jan. 
				2006, the patient went to a local hospital for blood examination 
				and EMG examination. As a result, he was diagnosed with 
				
				
				Motor Neuron
				Disease
				(MND). Then the patient was given acupuncture 
				treatment for once a week. He kept the treatment until today, 
				but without any obvious improvement. In July 2007, the patient 
				began to take herbal tea from our hospital. After 4-month herbal 
				tea treatment, he felt that his muscular weakness got better. 
				Over the past one month, the patient¡¯s condition has aggravated. 
				He was able to walk slowly with the support of the crutches. To 
				seek for a better treatment, he was hospitalized in Huaihua Red 
				Cross Hospital at 01: 30 on Nov 25, 2007. Since he 
				got the disease, his spirit and appetite were both normal with a 
				sound 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 
				history of trauma or operation. No history of blood transfusion. 
				History of preventive vaccination not provided. In 2002, he 
				suffered from asthma. Since then, he has been taking medicine 
				for it.
				
				
				Personal History: 
				He was born in Ireland. No contact history of schistosomiasis. 
				No addiction to smoking, alcohol or special food. He was 
				mild-tempered and open-minded.
				
				
				Marital History:
				He got 
				married at the age of 37. He has four sons. His wife and 
				children have been healthy all the time.
				
				
				Family History:
				His 
				father has passed away. His mother keeps healthy. No family 
				history of special disease.
				
				
				Physical 
				Examination:
				
				
				T 36.5¡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 the skull and the five sense 
				organs. No swollen tonsil. Soft neck and the 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 was 80 times/minute. 
				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 the renal region. Bowel sound was normal. No 
				spinal and pelvic deformity or tenderness. His upper limbs were 
				in flexible movement without any abnormality. He has suffered 
				from muscular contraction and weakness, accompanied by 
				difficulty in walking especially serious in his right leg. He 
				had to walk with the support of the crutches. He walked in
				spastic gaits. The muscles of the quadriceps femoris in 
				his lower limbs were atrophic, and below his double knee joints, 
				there was obviously sunken edema. The examination to his raising 
				straight legs was (+). The muscle strength of his lower limbs 
				was Grade 
				
				¢òwith 
				normal muscle hyperthyroidism. The examinations to the anus and 
				pudendum were both normal. His physiological reflex exists. 
				Other pathological symptoms have not been elicited. His tongue 
				was red with little tongue coating. There were cracks in the 
				middle of his tongue with teeth marks at the edge of the tongue. 
				His pulse was deep, thready and weak
				
				
				Diagnostic 
				examination: Not provided.
				
				
				First Diagnosis:
				
				
				TCM diagnosis: 1. 
				Wilting syndrome
				
				
				2. Asthma
				
				
				Symptom diagnosis: 
				Liver-Kidney yin vacuity.
				
				
				Western medicine 
				diagnosis: 
				
				Motor Neuron
				Disease
				(MND)
				
				
				First Medical 
				Record
				
				
				Nov. 25, 
				2007
				
				
				James, a 
				54-year-old male, has suffered from muscular contraction and 
				weakness of the lower limbs, accompanied with difficulty in 
				walking for 2 years, and the condition has been aggravated for 
				one month. He was picked up by our staff in Zhijiang Airport and 
				arrived in Huaihua Red Cross Hospital for further treatment at 
				01: 23 a.m. on Nov. 25, 2007.
				
				
				Essentials for 
				Diagnosis:
				
				
				1. The patient has 
				suffered from muscular contraction and weakness of his lower 
				limbs, accompanied with difficulty in walking for 2 years, and 
				the condition has been aggravated for one month.
				
				
				2. In Oct. 2005, 
				the patient began to feel muscular contraction and weakness in 
				his lower limbs, accompanied with difficulty in walking without 
				any obvious causes. But at that time, the patient paid no 
				attention to it, and did no treatment about it. Therefore, the 
				disease was aggravated progressively. In Jan. 2006, the patient 
				went to a local hospital for blood examination and EMG 
				examination. As a result, he was diagnosed with 
				
				
				Motor Neuron
				Disease
				(MND). Then the patient was given acupuncture 
				treatment for once a week. He kept the treatment until today, 
				but without any obvious improvement. In July 2007, the patient 
				began to take herbal tea from our hospital. After 4-month herbal 
				tea treatment, he felt that his muscular weakness got better. 
				Over the past one month, the patient¡¯s condition has aggravated. 
				He was able to walk slowly with the support of the crutches. To 
				seek for a better treatment, he was hospitalized in Huaihua Red 
				Cross Hospital at 01: 30 on Nov 25, 2007. Since he got the 
				disease, his spirit and appetite were both normal with a sound 
				sleep. His bowel movement and urination were both normal.
				
				
				3. T 36.5¡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 has suffered from 
				muscular contraction and weakness, accompanied by difficulty in 
				walking especially serious in his right leg. He had to walk with 
				the support of the crutches. He walked in spastic gaits. 
				The muscles of the quadriceps femoris in his lower limbs were 
				atrophic, and below his double knee joints, there was obviously 
				sunken edema. The examination to his raising straight legs was 
				(+). The muscle strength of his lower limbs was Grade 
				
				
				¢òwith 
				normal muscle hyperthyroidism.
				
				
				6. No thoracic 
				deformity. Chest percussion noted clearly. 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 muscular contraction and weakness of the lower 
				limbs, accompanied with difficulty in walking for 2 years, and 
				the condition has been aggravated for one month. Due to 
				liver-kidney yin vacuity, the essence-blood could not nourish 
				his sinews and vessels, and then it gradually results in 
				flaccidity. As a result, his essence withers and the sinews 
				become dry, and the muscles of the legs decrease. Then the 
				patient keeps a poor spirit. Since the liver and kidneys are in 
				charge of bones engendering essence. With the deficiency of the 
				marrow-essence, the patient feels aching pains of the lumbus and 
				knees with difficulty in walking. The patient¡¯s tongue was red 
				with little tongue coating. There were cracks in the middle of 
				the tongue with teeth marks at the edge of the tongue. The pulse 
				was deep, thready and weak.
				
				
				Western medicine: 
				The patient has suffered from muscular contraction and weakness 
				of the lower limbs, accompanied with difficulty in walking for 2 
				years, and the condition has been aggravated for one month.
				He has suffered from 
				muscular contraction and weakness, accompanied by difficulty in 
				walking especially serious in his right leg. He had to walk with 
				the support of the crutches. He walked in spastic gaits. 
				The muscles of the quadriceps femoris in his lower limbs were 
				atrophic, and below his double knee joints, there was obviously 
				sunken edema. The examination to his raising straight legs was 
				(+). The muscle strength of his lower limbs was Grade 
				
				
				¢òwith 
				normal muscle hyperthyroidism. In Jan. 2006, he went to a local 
				hospital for a blood examination and EMG examination, and was 
				diagnosed with 
				
				Motor Neuron
				Disease
				(MND).
				
				
				Diagnostic 
				Differentiation:
				
				
				TCM: The patient¡¯s 
				wilting syndrome should be differentiated from impediment 
				syndrome. In the late period of impediment syndrome, because of 
				aching limbs joints, the patient can not do any movements. The 
				limbs are out of work for such a long time and the muscles are 
				weak and atrophic, which is similar to flaccidity. But 
				impediment syndrome is generally characterized by painful 
				joints. The patients who suffer from wilting syndrome feel that 
				the limbs are weak and limp. In general, there is no pain in 
				limbs joints. They are not difficult to be distinguished in 
				clinics.
				
				Western 
				medicine: Wilting syndrome should be differentiated from 
				myasthenia gravis, which is an acquired autoimmune disease with 
				the transferring obstacles of nerve-muscles, and is caused by 
				the autoimmune reaction resulting from the acetylcholine 
				receptor (AchR) of the striated muscle. It can occur at any age 
				and there are about 60 percent people stricken before 30 years 
				old. Women are more often affected than men are. The most 
				obvious characteristics of MG are rapid fatigability of the 
				affected skeletal muscles, and will be improved with rest or 
				medicines that inhibit the activity of cholinesterase. MG 
				patients of different ages often have different clinical 
				manifestations and courses, which are different from those of 
				wilting syndrome patients.
				
				
				First Diagnosis:
				
				
				TCM diagnosis: 
				1.Wilting syndrome
				
				
				2. Asthma
				
				
				Symptom 
				identification: Liver-Kidney yin vacuity.
				
				
				Western medicine 
				diagnosis: 1.Motor 
				Neuron
				Disease
				(MND)
				
				
				2. Asthma
				
				
				Plans for treatment 
				strategy and nursing:
				
				
				1. Routine care of 
				traditional Chinese internal medicine.
				
				
				2. Grade II care.
				
				
				3. High-protein and 
				low-fat diet.
				
				
				4. Herbal tea (to 
				enrich and supplement kidneys and liver, to strengthen sinews 
				and free the network channels): taking 3 dosages of the herbal 
				tea and one dosage a day and drink twice.
				
				
				Prescription: 
				Varied Decoction of the Major Yin-Enriching Supplementation.
				
				
				Main herbs used in 
				the herbal tea: zexie (alisma tuber), huangqi (astragalus root), 
				baishao (white peony), etc.
				
				
				5. Acupuncture and 
				massage: once a day.
				
				
				6. Have more 
				medical examinations if necessary.
				
				
				 
				
				
				Date: Nov. 25,
				2007                               Time: 10:00 a.m.
				
				
				
				He has suffered from muscular contraction and weakness, 
				accompanied by difficulty in walking for 2 years, especially 
				serious in his right leg. He had to walk with the support of the 
				crutches. He walked in 
				spastic gaits. 
				Below his double knee joints, there was obviously sunken edema. 
				He felt that his lower limbs were weak along with aching pains 
				of the lumbus and knees. The muscles of double legs were 
				atrophic, while the movement of his joints was normal. His diet 
				was normal, so were his bowel movement and urination. His mouth 
				was dry and was eager to drink. His tongue was red and tender 
				with little tongue coating. There were cracks in the middle of 
				his tongue with teeth marks at the edge of the tongue. His pulse 
				was deep, thready and weak.
				
				
				Admittance 
				diagnosis: Wilting syndrome
				
				
				Symptom diagnosis: 
				Spleen-kidney lungs vacuity.
				
				
				Western medicine 
				diagnosis: 
				
				Motor Neuron
				Disease
				(MND)
				
				
				Principle of TCM 
				treatment: enriching and supplementing the liver and kidneys, 
				strengthening the sinews and freeing the network channels.
				
				
				Doctor¡¯s 
				requirement is to take three dosages of the herbal tea of the 
				same prescription.
				
				
				 
				
				
				Date: Nov. 27, 
				2007                               Time: 9:00 a.m.
				
				
				Three regular 
				examinations and the examination to the functions of the liver 
				and kidneys are all normal. Doctor¡¯s requirement is to add peach 
				kernel and other herbs into his formal herbal tea for three 
				dosages.
				
				
				 
				
				
				Date: Nov. 30,
				2007                               Time: 9:00 a.m.
				
				
				The swellings on 
				his lower limbs lessened. There was no other abnormality. He was 
				in a good condition. The doctor advised him to take another five 
				dosages of the herbal tea of the former prescription.
				
				
				 
				
				
				Date: Dec. 5,
				2007                               Time: 9:00 a.m.
				
				
				The patient¡¯s sleep 
				and diet are almost normal. His lower limbs were heavy and weak 
				with difficulty in walking. He felt that his limbs were cold. 
				The doctor advised him to take five dosages of the herbal tea of 
				the following prescription, including the following herbs: 
				huangqi (astragalus root), baisheng (white ginseng), baji 
				(morinda root), and so on.
				
				
				 
				
				
				Date: Dec. 10,
				2007                               Time: 9:00 a.m.
				
				
				The muscles of his 
				legs were atrophic. Below his knee joints, the symptoms of edema 
				and weakness both lessened. The doctor advised him to keep 4 
				dosages of the herbal tea of the above prescription.
				
				
				 
				
				
				Date: Dec. 14,
				2007                               Time: 9:00 a.m.
				
				
				Below his knee 
				joints, the symptoms of edema disappeared. The symptoms of 
				losing balance lessened when he walked. Doctor¡¯s requirement is 
				to take five dosages of the herbal tea of the same formula.
				
				
				 
				
				
				Date: Dec. 19,
				2007                               Time: 9:00 a.m.
				
				
				The patient¡¯s sleep 
				was poor, so the doctor added spiny jujube kernel, polygala 
				root, etc. into the former herbal tea. He will take one dosage a 
				day for further examination.
				
				
				 
				
				
				Date: Dec. 25,
				2007                               Time: 9:00 a.m.
				
				
				The strength of his 
				lower limbs increased, and his edema lessened significantly. 
				Other conditions were normal. The doctor arranged his herbal tea 
				as following formula: shudi (cooked rehmannia root), huangqi 
				(astragalus root), and huainiuxi (achyranthes root), etc, and 
				take 7 dosages.
				
				
				 
				
				
				Date: Dec. 26,
				2007                Time: 9:00 a.m.
				
				
				Summary Stage
				
				
				James, a 
				54-year-old male, has suffered from muscular contraction and 
				weakness of his lower limbs, accompanied with difficulty in 
				walking for 2 years, and the condition has been aggravated for 
				one month. He was hospitalized in Huaihua Red Cross Hospital for 
				TCM treatment at 01: 23 a.m. on Nov. 25, 2007. So 
				far, he has been hospitalized for 30 days.
				
				
				Admission 
				Condition:
				
				
				T 36.5¡æ£¬P 
				80 beats/minute, R 20 times/minute, BP 120/80 mmHg.
				
				
				His 
				heart and lungs were normal, and his abdomen was soft and flat.
				
				
				He has suffered from muscular contraction and weakness, 
				accompanied by difficulty in walking especially serious in his 
				right leg. He had to walk with the support of the crutches. He 
				walked in 
				spastic gaits. The muscles of the quadriceps femoris in his 
				lower limbs were atrophic, and below his double knee joints, 
				there was obviously sunken edema. The examination to his raising 
				straight legs was (+). The muscle strength of his lower limbs 
				was Grade 
				
				¢òwith 
				normal muscle hyperthyroidism. His spirit, appetite and sleep 
				were all poor. His bowel movement and urination were both 
				normal. His tongue was red with thin and white tongue coating. 
				His pulse was thready and weak.
				
				
				Admission 
				Diagnosis:
				
				
				TCM diagnosis: 
				Wilting syndrome
				
				
				Symptom diagnosis: 
				Liver-Kidney yin vacuity
				
				
				Western medicine 
				diagnosis: 
				
				Motor Neuron
				Disease
				(MND)
				
				
				The 
				Course of Diagnosis:
				
				
				Since 
				the patient was hospitalized here, he was prescribed herbal tea 
				to enrich and supplement liver and kidneys, to strengthen the 
				sinews and free the network channels.
				
				
				Prescription: 
				Varied Decoction of the Major Yin-Enriching Supplementation.
				
				
				
				One 
				dosage a day and drink twice. 100ml each time, accompanied with 
				acupuncture and massage once a day for a comprehensive 
				treatment. The patient¡¯s condition got some improvement.
				
				
				The 
				Current Condition:
				
				
				T 36.4¡æ£¬P 
				80 beats/minute, R 20 times/minute, BP 120/82 mmHg.
				
				
				His 
				heart and lungs are normal, and his abdomen is soft and flat. 
				The strength of his lower limbs has increased. The edema in his 
				lower limbs has lessened obviously. The patient still has 
				difficulty in walking and needs the support of crutches. 
				The atrophy in the 
				muscles of the quadriceps femoris also has got much obvious 
				improvement. The examination to his raising straight legs was 
				(+). The muscle strength of his lower limbs was Grade 
				
				
				¢òwith 
				normal muscle hyperthyroidism. His spirit, appetite and sleep 
				were all poor. His bowel movement and urination were both 
				normal. His tongue was red with thin and white tongue coating. 
				His pulse was thready and weak.
				
				
				The 
				Current Diagnosis:
				
				
				TCM 
				diagnosis: Wilting syndrome
				
				
				Symptom diagnosis: 
				Liver-Kidney yin vacuity.
				
				
				Western medicine 
				diagnosis: 
				
				Motor Neuron
				Disease
				(MND)
				
				
				Plans 
				for treatment strategy:
				
				
				1. 
				Continue to take the herbal tea.
				
				
				2. 
				Acupuncture and massage for once a day.
				
				
				3. 
				Keep a pleasant mood and open-minded spirit.
				
				
				4. 
				Take some functional exercise properly.
				
				
				 
				
				
				Date: Dec. 30,
				2007                               Time: 9:00 a.m.
				
				
				The 
				strength of his lower limbs has increased. The edema on his 
				lower limbs has lessened obviously. His heart and lungs were 
				normal, and his abdomen was soft and flat. 
				His spirit, 
				appetite and sleep were all good. His bowel movement and 
				urination were both normal. His tongue was red with white tongue 
				coating. His pulse was deep, thready and weak. The doctor 
				advised him to follow the former formula.
				
				
				 
				
				
				Date: Jan. 5,
				2008                               Time: 9:00 a.m.
				
				
				The 
				strength of his lower limbs has increased. The edema on his 
				lower limbs has lessened obviously. His heart and lungs were 
				normal, and his abdomen was soft and flat. 
				His spirit, 
				appetite and sleep were all good. His bowel movement and 
				urination were both normal. His tongue was red with white tongue 
				coating. His pulse was deep, thready and weak. The doctor 
				advised him to take another 5 dosages of the herbal tea of the 
				former formula.
				
				
				 
				
				
				Date: Jan. 11,
				2008                               Time: 9:00 a.m.
				
				
				Since the patient 
				was hospitalized in our hospital, he has increased four 
				kilograms in weight. 
				The 
				strength of his lower limbs has increased a lot, and his limbs 
				have become more flexible. The edema on his lower limbs has 
				lessened obviously. So far, He kept a pleasant mood. He would 
				continue to take another 5 dosages of the herbal tea 
				of the former 
				formula.
				
				
				 
				
				
				Date: Jan. 16,
				2008                               Time: 9:00 a.m.
				
				
				His condition was 
				the same as the above. Therefore, the doctor advised him to take 
				another 5 dosages of the herbal tea of the former formula.
				
				
				 
				
				
				Date: Jan. 21, 
				2008                               Time: 9:00 a.m.
				
				
				The strength of his 
				lower limbs has increased significantly, and the limbs turned 
				out to be more flexible than before. The edema on the limbs has 
				almost disappeared. The patient was very excited and also built 
				the confidence of the TCM treatment. He demanded to extend time 
				for further treatment. The doctor adjusted his formula a little 
				and asked him to take another 5 dosages.
				
				
				 
				
				
				Date: Jan. 26,
				2008                               Time: 9:00 a.m.
				
				
				The patient¡¯s 
				condition has kept stable. The doctor adjusted his herbal tea a 
				little, adding Lycium into the former herbal tea and advised the 
				patient to take another 5 dosages.
				
				
				 
				
				
				Date: Jan. 26,
				2008                 Time: 9:00 a.m.
				
				
				Summary Stage
				
				
				James, a 
				54-year-old male, has suffered from muscular contraction and 
				weakness of the lower limbs, accompanied with difficulty in 
				walking for 2 years, and the condition has been aggravated for 
				one month. He was hospitalized in Huaihua Red Cross Hospital for 
				TCM treatment at 01: 23 a.m. on Nov. 25, 2007. So 
				far, he has been hospitalized for 60 days.
				
				
				 
				
				
				Admission 
				Condition:
				
				
				T 36.5¡æ£¬P 
				80 beats/minute, R 20 times/minute, BP 120/80 mmHg.
				
				
				His 
				heart and lungs were normal, and his abdomen was soft and flat.
				
				
				He has suffered from muscular contraction and weakness, 
				accompanied by difficulty in walking especially serious in his 
				right leg. He had to walk with the support of the crutches. He 
				walked in 
				spastic gaits. The muscles of the quadriceps femoris in his 
				lower limbs were atrophic, and below his double knee joints, 
				there was obviously sunken edema. The examination to his raising 
				straight legs was (+). The muscle strength of his lower limbs 
				was Grade 
				
				¢ò 
				with normal muscle hyperthyroidism. His spirit, appetite and 
				sleep were all poor. His bowel movement and urination were both 
				normal. His tongue was red with thin and white tongue coating. 
				His pulse was thready and weak.
				
				
				Admission 
				Diagnosis:
				
				
				TCM diagnosis: 
				Wilting syndrome
				
				
				Symptom diagnosis: 
				Liver-Kidney yin vacuity.
				
				
				Western medicine 
				diagnosis: 
				
				Motor Neuron
				Disease
				(MND)
				
				
				The 
				Course of Diagnosis:
				
				
				Since 
				the patient was hospitalized here, he was prescribed herbal tea 
				to enrich and supplement liver and kidneys, strengthen the 
				sinews and free the network channels.
				
				
				Prescription: 
				Varied Decoction of the Major Yin-Enriching Supplementation.
				
				
				
				One 
				dosage a day and drink twice. 100 ml each time, accompanied with 
				acupuncture and massage once a day for a comprehensive 
				treatment. The patient¡¯s condition got some improvement.
				
				
				The 
				Current Condition:
				
				
				T 36.5¡æ£¬P 
				80 beats/minute, R 20 times/minute, BP 120/80 mmHg.
				
				
				His 
				heart and lungs are normal, and his abdomen is soft and flat. 
				The strength of his lower limbs has increased a lot. The edema 
				on his lower limbs has almost disappeared. The difficulty in 
				walking has got some improvement. 
				The muscle strength 
				of his lower limbs was Grade 
				
				¢òwith 
				normal muscle hyperthyroidism. His spirit, appetite and sleep 
				were all good. His bowel movement and urination were both 
				normal. His tongue was red with thin and white tongue coating. 
				His pulse was thready and weak.
				
				
				The 
				Current Diagnosis:
				
				
				TCM 
				diagnosis: Wilting syndrome
				
				
				Symptom diagnosis: 
				Liver-Kidney yin vacuity.
				
				
				Western medicine 
				diagnosis: 
				
				Motor Neuron
				Disease
				(MND)
				
				
				Plans 
				for treatment strategy:
				
				
				1. 
				Continue to take the herbal tea.
				
				
				2. 
				Acupuncture and massage for once a day.
				
				
				3. 
				Keep a pleasant mood and open-minded spirit.
				
				
				4. 
				Take some functional exercise on his lower limbs properly.
				
				
				 
				
				
				Date: Feb. 1, 2008  
				                             Time: 9:00 a.m.
				
				
				The patient said 
				that his right knee joint was painful, but the movement was 
				normal. The doctor required him to keep the formula of Jan. 26th 
				and take 5 dosages.
				
				
				.
				
				
				Date: Feb. 5,
				2008                               Time: 9:00 a.m.
				
				
				The patient¡¯s 
				condition has kept stable. The doctor adjusted his herbal tea a 
				little and told him to take another 5 dosages.
				
				
				 
				
				
				Date: Feb. 10,
				2008                               Time: 9:00 a.m.
				
				
				The patient told 
				the doctor that there were no special changes. Therefore, he 
				will continue to take another 5 dosages of the herbal tea of the 
				same formula.
				
				
				 
				
				
				Date: Feb. 15,
				2008                               Time: 9:00 a.m.
				
				
				The patient 
				sometimes feels that his knee joints are painful. It is 
				considered as the changes of the weather. Therefore, he will 
				continue to take another 5 dosages of the former prescription.
				
				
				 
				
				
				Date: Feb. 20,
				2008                               Time: 9:00 a.m.
				
				
				The strength of his 
				lower limbs has increased, and the difficulty in walking has 
				improved a lot than before. There was still a slight swelling 
				and dumbness in the lower limbs. The doctor adjusted his herbal 
				tea as following: shudi (cooked rehmannia root), huangqi 
				(astragalus root), niuxi (achyranthes root), etc. and take 5 
				dosages.
				
				
				 
				
				
				Date: Feb. 25th 
				2008                               Time: 9:00 a.m.
				
				
				Recently, the 
				patient sat for much more time, so the swelling on his lower 
				limbs has been aggravated. The doctor adjusted the above herbal 
				tea a little and required him to take 4 dosages.
				
				
				 
				
				
				Date: Feb. 26,
				2008                 Time: 9:00 a.m.
				
				
				Summary Stage
				
				
				James, a 
				54-year-old male, has suffered from muscular contraction and 
				weakness of his lower limbs, accompanied with difficulty in 
				walking for 2 years, and the condition has been aggravated for 
				one month. He was hospitalized in Huaihua Red Cross Hospital for 
				TCM treatment at 01: 23 a.m. on Nov. 25, 2007. So 
				far, he has been hospitalized for 90 days.
				
				
				Admission 
				Condition:
				
				
				T 36.5¡æ£¬P 
				80 beats/minute, R 20 times/minute, BP 120/80 mmHg.
				
				
				His 
				heart and lungs were normal, and his abdomen was soft and flat.
				
				
				He has suffered from muscular contraction and weakness, 
				accompanied by difficulty in walking especially serious in his 
				right leg. He had to walk with the support of the crutches. He 
				walked in 
				spastic gaits. The muscles of the quadriceps femoris in his 
				lower limbs were atrophic, and below his double knee joints, 
				there was obviously sunken edema. The examination to his raising 
				straight legs was (+). The muscle strength of his lower limbs 
				was Grade 
				
				¢ò 
				with normal muscle hyperthyroidism. His spirit, appetite and 
				sleep were all poor. His bowel movement and urination were both 
				normal. His tongue was red with thin and white tongue coating. 
				His pulse was thready and weak.
				
				
				Admission 
				Diagnosis:
				
				
				TCM diagnosis: 
				Wilting syndrome
				
				
				Symptom diagnosis: 
				Liver-Kidney yin vacuity.
				
				
				Western medicine 
				diagnosis: 
				
				Motor Neuron
				Disease
				(MND)
				
				
				The 
				Course of Diagnosis:
				
				
				Since 
				the patient was hospitalized here, he was prescribed herbal tea 
				to enrich and supplement the liver and kidneys, to strengthen 
				the sinews and free the network channels.
				
				
				Prescription: 
				Varied Decoction of the Major Yin-Enriching Supplementation
				
				
				
				One 
				dosage a day and drink twice. 100 ml each time, accompanied with 
				acupuncture and massage once a day for a comprehensive 
				treatment. The patient¡¯s condition got some improvement.
				
				
				The 
				Current Condition:
				
				
				T 36.4¡æ£¬P 
				80 beats/minute, R 20 times/minute, BP 120/82 mmHg.
				
				
				His 
				heart and lungs are normal, and his abdomen is soft and flat. 
				The strength of his lower limbs has increased a lot. The 
				difficulty in walking has got much more improvement than before.
				The muscle 
				strength of his lower limbs was Grade 
				
				¢òwith 
				normal muscle hyperthyroidism. His spirit, appetite and sleep 
				were all good. His bowel movement and urination were both 
				normal. His tongue was red with thin and white tongue coating. 
				His pulse was deep and thready.
				
				
				The 
				Current Diagnosis:
				
				
				TCM 
				diagnosis: Wilting syndrome
				
				
				Symptom 
				identification: Liver-Kidney yin vacuity.
				
				
				Western medicine 
				diagnosis: 
				
				Motor Neuron
				Disease
				(MND)
				
				
				Plans 
				for treatment strategy:
				
				
				1. 
				Continue to take the herbal tea.
				
				
				2. 
				Acupuncture and massage for once a day.
				
				
				3. 
				Keep a pleasant mood and open-minded spirit.
				
				
				4. 
				Take some functional exercise on his lower limbs properly.
				
				
				 
				
				
				Date: Feb. 29,
				2008                               Time: 9:00 a.m.
				
				
				The edema in the 
				patient¡¯s lower limbs has lessened. Doctor¡¯s requirement is that 
				he should continue to take five dosages of the herbal tea of the 
				same prescription.
				
				
				 
				
				
				Date: Mar. 4,
				2008                               Time: 9:00 a.m.
				
				
				The patient¡¯s 
				condition has kept normal. He will continue to take another 4 
				dosages of the herbal tea of the same prescription.
				
				
				 
				
				
				Date: Mar. 9, 2008 
				                              Time: 9:00 a.m.
				
				
				After the 
				hospitalization in our hospital and the treatment of enriching 
				and supplementing the liver and kidneys, accompanied by 
				strengthening the sinews and freeing the network channels, the 
				muscular contraction and weakness of his lower limbs have got 
				some improvement, so has the difficulty in walking. The edema on 
				his lower limbs has lessened significantly. He demanded to leave 
				the hospital with three-month herbal tea of the former 
				prescription and 10-day honey pills for home taking.
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