Brief Summary:
On 17th
Sep. 2009, Ruben from Sweden, who has suffered from MS,
accompanied with the weakness of two lower limbs, urinary
incontinence, tinnitus and poor vision for 13 years, was
hospitalized in our hospital. He has achieved significant
improvement after 33 days TCM treatment here.
Record of Hospitalization
Name:
Ruben Birthplace: Sweden
Sex:
Male Profession: Business man
Age:
49
Date of Admission: Sep 17,
2009
Nationality:
Sweden Date of Record:
Sep 17, 2009
Marital Status:
Married Onset Season: Great
Cold
Complainer:
The patient himself
First Medical Record
Date: Sep. 17, 2009 Time:
19: 00 p. m.
Ruben, a 49-year-old man, has suffered from MS, accompanied with
the weakness of two lower limbs, urinary incontinence, tinnitus
and poor vision for 13 years, was hospitalized in our hospital
on Sep. 17£¬2009.
Essentials for Diagnosis:
1. The patient has suffered from
the urinary incontinence and the weakness of two lower limbs for
13 years, and has no ability to walk for 5 years.
2. In Sep. 2009, the patient began to feel the weakness of the
lower limbs, urinary incontinence and vague vision. So he went
to the local hospital for examination. He
was examined by MRI at the local hospital (name unknown) and
diagnosed as MS. The doctor told him there was no medical
treatment but gave him interferon injection, twice per week and
without other solution. After two months, he did not get much
improvement. In 2004, the condition became worse with the
weakness of two lower limbs and at the same time he had spasms
of the muscles. He could not walk, so he stayed on the
wheelchair. In order to search for further comprehensive
treatment, the patient came to our hospital at 19:00 p.m. on
Sep. 17, 2009. Since he suffered from this disease, his spirit
and appetite were not good.
3.
T 36.7¡æ,
P 88 times/minute, R 20 times/minute, BP 135/80mmHg.
4. He grew normally with common nutrition. His mind was clear.
He had an expression of chronic illness and tiredness. His body
was in a positive posture and he was cooperative with clear
mind.
5. No thoracic deformity. Sound of breath was bilaterally normal
on auscultation. No sound of pleural friction. Heart border was
normal. Heart beat was 88 times/minute. Cardiac rhythm was
regular. No pathological murmurs on auscultation.
6. The vision is reduced. He had
tinnitus, urinary incontinence, and weakness of the two lower
limbs. He had spasms of the lower limbs¡¯ muscles. He could not
walk and stayed on the wheelchair. The two lower limbs¡¯
myodynamia level is of two degree.
7. Accessory
examination: none.
Diagnostic Basis:
TCM: The patient has suffered from the weakness of two lower
limbs, urinary incontinence for 13 years. Besides he could not
walk by himself for 5 years. Liquid-blood depletion, deprived
nourishment of the sinews and vessels are the main symptoms of
this disease. Liver-kidney depletion, liquid-blood could not
provide enough nutrition to sinews.
The waist is the house of the kidneys, the kidneys govern the
bones. Lack of the essence causes the limp waist and knees.
Liquid-blood depletion causes the tinnitus, dizziness. The
tongue is small and thin. Pulse is weak. So he was diagnosed
with MS.
Western Medicine: The patient has suffered from the weakness of
two lower limbs, urinary incontinence, besides he could not walk
for 5 years. He had spasm of the two lower limbs¡¯ muscular. He
has reduced vision, tinnitus, two-degree myodynamia of two lower
limbs. In 1996, he was diagnosed with MS by his local hospital.
Diagnostic Differentiation:
TCM:
The patient's wilting pattern should be differentiated from
impediment pattern. Wilting pattern is mainly characterized by
limp, weak, and emaciated limbs with the numbness of the
muscles. But the patient usually has no joint pains. On the
contrary, impediment pattern is generally characterized by the
joint pains. So they are not difficult to be distinguished.
Western Medicine: The patient¡¯s MS should be differentiated from
neuromyelitis optica. The symptoms of neuromyrlitis optica are
limited to the lesion parts of the optic nerve and spinal cord.
There are no symptoms of cranial nerve palsy, nystagmus,
language disorders, ataxia, etc. So they are not difficult to be
distinguished.
First Diagnosis:
TCM diagnosis: Wilting pattern
Symptom identification: Liver-kidney yin vacuity, obstruction of
qi and blood .
Western Medicine diagnosis: MS
Plans for treatment strategy and nursing:
1. Routine care of
traditional Chinese internal medicine.
2. Grade II care.
3. Accompanied by
assistants.
4. Low-fat and
high-protein diet.
5. TCM treatment
strategy: Fortify the spleen and boost the kidneys, move qi and
supplement the blood.
6. Herbal tea: one
dosage a day and drink twice.
7. Acupuncture and
massage: once a day.
8. Supplement each
examination for admission.
Date: Sep. 18, 2009 Time:
11:00 a.m.
The patient had suffered the weakness of two lower limbs and
urinary incontinence for 13 years. Besides he could not walk for
5 years. He needed the wheelchair to help him move the body. He
had reduced vision and tinnitus, spasms on the thigh and limbs.
He suffered a lot from this, liver-kidney yin vacuity. So he
needed to enrich the liver and kidneys, and move qi and
supplement the blood. So was given two special prescriptions. 4
dosages in total.
Date: Sep. 22, 2009 Time:
10:00
The patient's urinary incontinence had improved. In the night,
he had no urinary incontinence and he can control urination for
two or there times. During the daytime, the times of urinary
incontinence also became less. But he still had the weakness of
his two lower limbs. According to his latest symptoms, the
prescription changed a little. 5 dosages in total.
Date: Sep. 27. 2009 Time: 10:00
The phenomenon of urinary incontinence had got obvious
improvement. The patient can control the urination by himself
during the night. Besides, he can stand up for twice to three
times everyday with the help of holding up something. For each
time he could insisted on there to five minutes. He still felt
the weakness of lower limbs. So our expert team changed the
prescription a little. 4 dosages in total.
Date: Oct. 1, 2009 Time: 10:00
The patient could control the urination. Urinary incontinence
disappeared. The prescription was the same. To consolidate the
effect he had 5 dosages in total.
Date: Oct. 6, 2009 Time: 10:00
The patient's symptoms were the same as before. Insecurity of
kidney qi, our expert added sha fei zi 15g to the prescription.
5 dosages in total.
Date: Oct. 11, 2009 Time:
10:00
There was no symptom of urinary incontinence. The muscular
jumpings of the two lower limbs had got obviously improvement.
The color of tongue is dark red. Based on the original
prescription, our experts added some other herbs in it, such as,
mugua (chaenoomeles) 10g, honghua (carthamus) 15g, huai niuxi
(achyranthes) 10g, etc.
Date: Oct. 16, 2009 Time:
10:00
The patient's condition was stable. The weakness of the lower
limbs was further improved. The patient could keep his legs for
five to ten minutes. Based on the formal prescription, our
expert added another one kind of herb in it.
Date: Oct. 20, 2009 Time:
10:00
The patient has got obvious progress after treated by our
experts for 33 days. He has no urinary incontinence. The
phenomenon of muscular jumpings disappeared. The strength of the
lower limbs has become stronger than before. So he decided to
leave our hospital and go back to his own country.
More other
successful treatment cases for MS:
Case-1
Case-2 Case-3
Case-4 Case-5
Case-6
Case-7
Case-8
Case-9 Case-10
Case-11
Case-12 Case-13 Case-14
Case-15
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