Name: Chen Yanzong

Sex: male

Age: 5.5 years old boy

Nationality: China

May 25, 2005.

Major complaint:

There is hematuria (bleeding in urine) for one year long. The laboratory check shows that the hematuria is found once every two days. There is no albumin in the urine. Slight pains around the umbilicus. The lymph nodes at the back of his ears are easy to be swollen. He is 20 kilograms in weight. He catches a common cold five to six times each year. The tongue has slightly numb sense. No palpitations. Night sweating. Good sprit and sleeping. No cough and phlegm.

He was diagnosed with the scrofula of hilus of the lung when he was two years old. Taking the western medicine for half a year, then he was found to have hematuria. The eyes couldn¨t see the blood in the urine. Not so much urine daily. Drinking little water and rare night urination. He is not aversion to the coldness in winter. The tip of the tongue is slightly red. Yellow and thin tongue coating.

In recent one year, he took the Chinese medicine acanthopanax and astragalus grain, etc., for eight months. Neither obvious improvement nor worsening of the condition is found.

Diagnosis:

Chronic nephritis (western medicine)

Kidney deficiency, failure of the blood to run inside the channels (Chinese medicine)

Simmer the herbal tea, taking 60 milliliters each time in the morning and another 60 milliliters of tea in the afternoon.

Formula:

mulberry seed 10g,  cuscuta seed 7g,  lycium berry 7g,  complanate astragalus root 7g,  cornus fruit 12g,  codonopsis root 10g,  ovate atractylodes rhizome 10g,  Chinese yam 6g,  poria 6g,  moutan bark 6g,  baiwei cynanchum 6g,  madder root 6g,  imperata 10g,  dandelion 10g,  typha pollen 6g,  cephalanoplos 6g,  biota leaf 6g,  alisma tuber 6g,  wild chrysanthemum flower 10g

                                                                                                                                            Dr. Ming

June 6, 2005.

The laboratory report about hematuria is still 0-1/HP. The appetite, spirit and sleeping are normal. No night urination. Slight night sweating. The urine is sometimes clear, sometimes yellow. The stool is of normal state, once every two days. 20 kilos in weight. No bitter or sour taster in the mouth. No thirst. The tip of the tongue is red. The tongue coating is thin and yellowish.

Formula:

scutellaria root 2g,  mulberry seed 10g,  cuscuta seed 7g,  lycium berry 7g, complanate astragalus 7g,  cornus fruit 12g,  codonopsis root 10g,  ovate atractylodes rhizome 10g,  Chinese yam 6g,  poria 6g,  moutan bark 6g,  baiwei cynanchum 6g,  madder root 6g,  imperata 10g,  typha pollen 6g,  cephalanoplos 6g, biota leaf 6g,  alisma tuber 6g,  dandelion 10g,  wild chrysanthemum flower 10g

                                                                                                                                             Dr. Ming

June 10, 2005.

The tongue is red and the tongue coating at the back of the tongue is yellow and greasy. The appetite, spirit and sleeping are the same as usual. Today¨s laboratory report shows RBC 0-1/HP. Today, strengthening the formula, nourishing the kidneys, astringing and stopping the bleeding. The treatment strategy is nourishing the kidneys and strengthening the spleen, astringing and stopping the bleeding.

Formula:

notoginseng 1g,  sumac gallnut 7g,  euryale 7g,  lotus seed 7g,  cuttle-fish bone 7g, agrimony 7g,  biota leaf 7g,  cephalanoplos 7g,  typha pollen 6g,  alisma tuber 6g, scutellaria root 7g, , mulberry seed 7g,  cuscuta seed 7g,  complanate astragalus seed 7g,  cornus fruit 12g,  codonopsis root 12g, ovate atractylodes rhizome 12g,  poria 7g,  Chinese yam 7g,  dandelion 10g

                                                                                                                                                 Dr. Ming

Decocting with water, taking l00 milliliters each time in the morning and in the afternoon separately.

June 13, 2005

The tip of the tongue is red. The yellow tongue fur is increasing little bit. Good appetite, sleeping and spirit. Today¨s laboratory report shows no hematuria, so continue this last formula.

Formula:

Notoginseng 1g,  gardenia fruit 7g,  sumac gallnut 7g,  euryale 7g,  lotus seed 7g, cephalanoplos 7g,  agrimony 7g,   biota leaf 7g,   typha pollen 6g,  alisma tuber 6g, scutellaria root 7g,  mulberry seed 7g,  cuscuta seed 7g,  complanate astragalus seed 7g,  cornus fruit 12g,  codonopsis root 12g,  ovate atractylodes rhizome 12g,  poria 7g,  Chinese yam 7g,  dandelion 10g,  wild chrysanthemum flower 10g

                                                                                                                                                      Dr. Ming

June 16, 2005.

The tongue is slightly numb. His mother said he has more gas passing these two days than before. Dry mouth. The urine is yellowish. No night urination. Spirit and sleep are in common condition. After taking the tea he feels slightly abdominal pains for about one minute.

Red tip of the tongue. Yellowish and thin tongue coating.

Formula:

notoginseng 1g,  gardenia fruit 7g,  sumac gallnut 7,  euryale 7,  lotus seed 7, agrimony 7,  lotus node 7g,  cephalanoplos 7g,   alisma tuber 6g,  pearch kernel 7g,  carthamus flower 7g,  phellodendron bark 7g,  mulberry seed 10g,  cuscuta seed 7g, complanate astragalus seed 7g,  cornus fruit 12g,   codonopsis root 12g,  ovate atractylodes rhizome 12g,  Chinese yam 7g,  dandelion 10g,  wild chrysanthemum flower 10g,   poria 7g

                                                                                                                                                          Dr. Ming

June 20, 2005.

The bowl movement is once a day. In the past the bowl movement is twice to three times a day. On June 18, the test of the occult blood shows negative and the albumin shows +-, and the URO 33.9 umol/L. The appetite, sleeping and spirit are as usual. The urine is yellowish. No or just one time night urination these two days. Red tongue tip. Yellow and slightly greasy tongue coating.

Formula: 

notoginseng 1g,  amommum seed 6g,  bamboo leaf 6g,  sumac gallnut 7g,  euryale 7g, Cherokee 7g,  lotus seed 7g,  imperata 10g,  cephalanoplos 7g,  alisma tuber 7g, agrimony 7g,  pearch kernel 7g,  mulberry seed 10g,  cuscuta seed 7g,  complanate seed 7g,  cornus fruit 10g,  codonopsis root 12g,  ovate atractylodes rhizome 12g, Chinese yam 7g,  dandelion 10g,  wild chrysanthemum flower 10g

                                                                                                                                                                  Dr. Ming

June 27, 2005.

On June 25, the laboratory report continues to show improved status that the test of the occult blood in the urine is negative, the albumin is negative as well. The bowl movement is once per day. The urine is sometimes clear and sometimes yellowish.

Appetite, sleeping and spirit are normal. Red tongue tip, yellow and slightly greasy tongue coating.

Formula:

notoginseng 1g,  amommum seed 6g,  bamboo leaf 6g, sumac gallnut 7g, euryale 7g Cherokee 7g,  lotus node 7g,  imperata 10g,  cephalanoplos 7g,   alisma tuber 2g,  agrimony 7g,  pearch kernel 7g,  mulberry seed 10g,  cuscuta seed 7g,  complanate astragalus seed 7g,  cornus fruit 10g,  codonopsis root 12g,   ovate atractylodes rhizome 12g,  Chinese yam 7g,  dandelion 10g,  wild chrysanthemum flower 10g