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Brief Summary: June 7th, 2006, a 16 years old girl who has got MS (multiple sclerosis) for 6 yeas and comes from Australia. She could not stand well and could not walk in a stable way. She has got 70% obvious improvement as to all her symptoms in two months treatment.

 

Record of Hospitalization 

Name: Miss M                Sex: female

Age: 16                        Profession: student

Nationality: Australia 

Date of hospitalization: June 3, 2006 

Marital Status: not married

Major complaints: Numbness of the lower limbs. No strength of anklebone and the knee joints. Lack of stability when walking. Her condition aggravated progressively in recent six years.  

History of present illness: The patient got a fever six years ago, afterwards she suffered numbness of the lower limbs and no strength of anklebone and knee joints. She was diagnosed with multiple sclerosis at the local hospital. She was treated by western medicine but there was no improvement. Her condition even aggravated progressively, lack of stability when walking.

She is not aversion to coldness. She has fever sense. Frequent night urination, more than 4 times each night. Regular food intake. The urine is normal. Constipation. The bowel movement is once every seven days. The tongue coating is thin and whitish.

She has no infectious disease history of tuberculosis, hepatitis and typhoid. No history of blood transfusion and no allergy to any medicine. No addiction of smoking and drinking.

She began to menstruate when she was 14 years old. She has one menstruation every 3-6 months. Black color and clots of the menstrual blood. She is under treatment for regulating menstrual cycle. One of her uncles in her family has MS. Her parents are both healthy.  

Physical Examination: Normal growth of her body and common nutrition level. Clear consciousness and cooperative. No yellow stain of the skin sclera. No edema of the superficial lymph nodes. Normal growth of her head and five sense organs. Sensitive to the light reflection. Symmetrical size of the pupillae. Dry lips. No hyperaemia in the throat. No edema of the tonsil and thyroid gland. Her neck touches naturally soft. Thoracic cage is symmetrical. Normal vocal fremitus. Clear percussion sound. Normal breath sound in the lungs. Spirant of the pleura. The heart rate are 70 times per minute. Normal rhythm of the heart. The abdomen is flat and soft. No pressing pains and no rebound tenderness. No pressing pains in the region of kidneys. Normal intestinal gurgling sound. No malformation of spinal column and limbs. No pressing pains and no warm sense of the lower limbs. When lying on the bed, her feet couldn¡¯t  be straightened.  

Diagnosis: multiple sclerosis  (deficiency of liver and kidney) 

Treatment strategy: Clearing heat, moisturizing dryness, nourishing the stomach and yin, tonifying the liver and kidney. The acupuncture and massage practiced each day.

 

June 4, 2006

Good sleep. The night urination is once. Whitish and thin tongue body. Yellowish tongue coating. Fine and rapid pulse.  

June 5, 2006

The bowel movement is four times until today. The stool is soft. Night urination is once.  

June 6, 2006

The night urination and bowel movement are once. No obvious discomfort. Good spirit. The routine urine examination indicates that there exists blood in her urine.  

June 8, 2006

Good sleep. The night urination is once. Fine and rapid pulse. The tongue coating is thin and whitish.

astragalus root 30g£¬ white peony root 10g£¬ ophiopogon tuber 15g£¬ tangkuei 10g£¬ etc. 

June 11, 2006

The night urination is once. Good spirit. The foot can straighten. Fine and rapid pulse. The tongue coating is thin and whitish.  

June 12, 2006

No discomfort. Good spirit. The night urination is once. Reduced frequency of shaking when she walks.  

June 19, 2006

The night urination is seven times. Urine is normal after the routine urine examination.

June 23, 2006

Great improvement of walking ability. She can walk for much distance. The shaking frequency is obviously reduced but there is still no good change of his balance ability. Deep and fine pulse. Whitish and thin tongue coating.  

astragalus root 30g£¬ ovate atractylodes root 20g£¬ dipsacus root 10g£¬ eucommia bark 10g£¬ etc. 

June 27, 2006

She can walk with more strength. Very good spirit. Obviously reduced night urination. The pulse is deep and fine. Whitish and thin tongue coating. The treatment strategy will focus on fortifying spleen, boosting qi, nourishing liver and kidney.  

poria 10g£¬ lycium berry 15g£¬ mulberry 15g£¬ codonopsis root 15g£¬ etc. 

July 2, 2006

Good spirit and sleeping quality. The night urination was three times. She drank 2500ml water. The pulse is deep and fine. Whitish and thin tongue coating. She keeps on with the herbal tea.  

July 3, 2006

She caught a cold last night. Runny nose. Sore throat. We suggest she stop the herbal tea.  

July 5, 2006

She feels dizzy and hot sense and takes temperature. It is 37.6 C. The pulse is fine and rapid. Whitish tongue coating.  

angelica root 10g, mint 10g, notopterygium root 10 g, turmeric 10g, etc. 

July 8, 2006

Dizziness. Hot sense. Aversion to the coldness. She gets temperature at 37.5 C. The heart rate is 72 times per minute and the rhythm is regular. No rale in the lungs.  

July 10, 2006

She feels lack of strength because of the cold. Fine pulse. Whitish and thin tongue coating. The treatment strategy will focus on fortifying spleen and boosting qi, tonifying the liver and kidney.  

poria 10g£¬ rubus berry 15g£¬ codonopsis root 15g£¬ dipsacus root 10g£¬ etc.

July 14, 2006

The patient feels abdominal pains at afternoon. Obvious pains of the left body.  

July 19, 2006

The abdominal pains relieved. Her walking ability becomes more stable than before. The shaking frequency is reduced obviously. Fine pulse. Whitish and thin tongue coating.

cooked rehmannia root 20g£¬ eucommia bark 12g£¬ white peony root 15g£¬ lycium berry 15g£¬ etc. 

July 24, 2006

She can walk with more strength and stability. She keeps on with the previous formula and add epimedium 15g and rubus berry 15g into the original formula.  

July 28, 2006

Walking ability is stable. No any bad reaction to the herbal tea. Fine pulse. The tongue coating is whitish and thin.

cooked rehmannia root 20g£¬ cornus fruit  15g£¬ millettia root and stem 15g£¬ tangkuei 10g£¬ etc. 

August 2, 2006

She has had menstruation for 11 days. Little amount. Fine pulse. Whitish and thin tongue coating.  

dried rehmannia root 15g£¬ moutan root bark 10g£¬ codonopsis root 15g£¬ spiny jujube kernel 20g£¬ etc. 

August 4, 2006

During the treatment, she doesn¡¯t feel any discomfort. The tongue coating is thin and whitish. Fine pulse.  

Another MS case that we helped well.

Janos, is 41-year-old male comes from Hungary. He is suffering from MS. On November 20, he started to receive TCM treatment. Before the treatment, he had double vision for 13 years. And he had no power of double lower limbs. His steps were not stable. After receiving TCM treatment for 23 days, his double vision disappeared. Double lower limbs have more strength. The balance of walking improves a lot. Sometimes he can walk without a stick.

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