Brief Summary:
Miss B,
from USA, suffered from scleroderma. After 20-day treatment in
our hospital, her condition has been improved greatly.
Record of
Hospitalization
Name: Miss
B. Sex: Female
Age: 32 Marital Status: Single
Profession:
Staff of Ford Car Company in USA
Date of hospitalization:
February 16, 2006.
Major complaint:
Multiple atrophy and sclerosis on the skin of her both hands as
well as stiff finger joints for 8 years.
Disease history: The
skin of her both hands became tight without obvious reasons 8
years ago. The wrinkle vanished and
her facial wrinkle also disappeared. There is waxen gloss on the
surface of skin and the skin can not be pinched by hand. Fixed
expression. It’s difficult for her to open and close the mouth.
Tight feeling of her chest. She once took treatment in her local
hospital, and took hormone medicine orally, but without obvious
effects.
Now we find her
skin is atrophic and becoming thinner, it looks like parchment.
Muscular dystrophy. Breath difficulty. Stiffness and deformation
of the finger joints. Restricted activities. Distention and
fullness of the stomach duct. She is aversion to coldness. Cold
limbs. Her both hands are stiff and deformed. Frequent cough.
Phlegm is whitish and yellow. The sleep is OK. Appetite is not
very good. The bowel movement and urination are normal. The
tongue body is shortened and slightly reddish. Thin and whitish
tongue coating. Deep and fine pulse.
Last August she
got first aid in the local hospital because of lung function
failure. She also suffers from the lung fibrosis and pulmonary
emphysema.
Malnutrition.
Normal growth of her
body. The
state of mind is clear. Chronic
disease with sick looking. Fixed facial expression. The skin is
cold and lack of elasticity. No bleeding spots or spider
angioma, and no skin rash. We could not touch the lymph node
under the two jaws and the surface of her whole body. The head
is not deformed. No pressing pains and. The hair does not have
gloss. No eyelid droop and no edema. No hyperemia and bleeding
of the conjunctiva. The sclera is not yellow. The cornea is
transparent. Normal size of the pupillae and well response to
the reflection of light. The hearing ability is normal. No
pressing pains of the nipples. The nasal cavity is smooth and no
abnormal secretion. The oral cavity does not have the unusual
odor. No
cyanosis
of lips.
The movement of the tongue body is not flexible. Atrophic
tongue. The tongue coating is thin and whitish. No hyperemia of
the throat. No swallowing difficulty. The neck is soft. The
trachea is located in the middle. We can see the neck vein
pulsates obviously. The chest is symmetrical. No pressing pains
and no varicosity of the chest wall. The chest does not have
sclerosis.
The breath is shallow and quick. The rhythm is regular. The
sound respouse is symmetrical. The pleura does not have the
frictional feeling. The heart rate is 65 times per minute. The
heart rhythm is uneven. There is no additional sound and the
pericardium fricative. The abdomen is soft. No pressing pains
and no rebound tenderness. No check-up of the liver, the spleen,
the kidney.
Individual
history：
No addiction of
smoking and drinking. Menstrual period lasts 4-5 days per month
and it is slightly reddish. She does not have history of
tuberculosis and hepatitis or other infectious diseases. She has
no experience of blood transfusion or allergy to medicine.
No similar
disease case in the family. Her parents are in good health.
Phsical
examination：
Body
temperature: 36 Celsius degree
Pulse: 20 times
per minute
Heart rate: 60
times per minute
Blood pressure:
110/70 mmHg
Diagnosis:
· TCM :
Numbness of the skin (The kidney Yang is insufficient,
disharmony between yin and wei )
· Western Medicine: scleroderma
February 17,
2006.
Both hands with
belt-shaped atrophy and sclerosis as well as stiff finger joints
for 8 years.
Take one dosage
of herbal tea to warm and invigorate the kidney Yang, harmonize
yin and wei and invigorate the lung qi. And use the herbal
medicine to promote blood circulation and remove blood stasis
and warm vessel.
Last night the
condition is stable and sleep is OK. Her appetite is
unsatisfactory. The bowel movement and urination are normal.
Tongue body is slightly reddish, the tongue coating is thin and
whitish. Deep and fine pulse. Other doctors take part in the
treatment are physician-in-charge Dr. Ming and Dr. Qiu. They
approve my treatment plan with acupuncture and massage
treatment.
Dr. Ming / Dr. Yang
February 18,
2006.
Today the spirit
is not very good. The stomach is uncomfortable. A little bit
diarrhea. Therefore we adjust the formula to recuperate the
spleen and the stomach.
Formula:
agastache 6g, tangkuei 6g, amomum fruit
6g, etc.
Dr. Yang
February 19,
2006.
Today the spirit
and sleep are good. Poor appetite and no desire for food. The
tongue body is slightly whitish. Thin and whitish tongue
coating. The pulse is fine.
Formula:
cinnamom twig 10g carthamus
flower 10g millettia root and stem 30g etc.
Dr.
Yang
February 20,
2006.
Today the spirit
is unsatisfactory.
Distending pains
of the stomach. She desires to vomit after eating. Tongue body
is slightly reddish. The tongue coating is thin and white. Fine
and rapid pulse. Headache and running nose.
Formula:
bupleurum root 6g, ovate atractylodes root
10g, Poria 10g, etc.
Dr. Yang
February 21,
2006.
Today she feels
good. Stomach distention disappeared. The appetite is better
than before. Facial skin is not so tight. Tongue body is
slightly reddish. The tongue coating is thin and whitish. The
pulse is fine and rapid and deep. The bowel movement and
urination are normal.
Formula:
Poria 10g, codonopsis root 10g, salvia root
10g, etc.
Dr. Yang
February 22,
2006.
Today she feels
good. After several days acupuncture and massage treatment
together with the help of the external use medicine treatment,
the facial skin is softer than before. The spirit is good. She
went to sleep at 3 o'clock in the early morning. Stomach
distention disappeared. No diarrhea. Tongue body is slightly
reddish. The tongue coating is thin and whitish. The pulse is
deep, fine and rapid. The bowel movement and urination are
normal.
Dr. Yang
February 23,
2006.
The facial
expression gets obvious improvement. The muscles of the limbs
relax. The spirit is good. The distention of the stomach
vanished. The tongue can elongate longer than before. The tongue
coating is thin and white. Saliva is few. The pulse is deep,
thin and rapid. The feces and urination are normal.
Formula:
Poria 10g,
codonopsis root 10g, salvia root 10g, etc.
Dr. Yang
February 25,
2006.
Today she feels
good. The facial skin is more relaxed than before. The wrinkle
appears while smiling. No stomach distention. The finger joints
can move more flexibly. The damaged skin is not as sunken as
before. The mouth can open for approximately one and a half
finger wide. Tongue body is slightly reddish. The tongue coating
is thin and white with spots. The pulse is fine, rapid and
powerful. The appetite is good. The bowel movement and urination
are normal. The sleep is good.
Formula:
Poria 10g, codonopsis root 10g, salvia root
10g, etc.
Dr. Yang
March 1, 2006.
The facial skin
is more softer than before. The wrinkle appeared when she
smiles. The finger joints can move more flexibly and not so
stiff. Lower limb is a little bit swollen. Tongue body is
slightly reddish. The tongue coating is thin and whitish with
spots. The pulse is fine, rapid and powerful. Good appetite and
sleep. Bowel movement and urination are normal.
Formula:
Poria 10g, codonopsis root 10g, salvia root
10g, etc.
Dr. Yang
March 4, 2006.
She feels
discomfort of the stomach. Stomach distention. Burp. Stiffness
of the neck. The stiffness of the hand skin is obviously relaxed
and softer. We can see the wrinkle after pressing her skin. When
she smiles the face has the wrinkle as well. The bowel movement
and urination are normal. The sleep is good. Tongue is slightly
whitish. The tongue coating is thin and whitish with spots. The
pulse is fine and string-like.
Formula:
Poria 10g, tangkuei 10g, peach kernel 10g,
etc.
Dr. Yang
March 7, 2006.
She doesn’t feel
neck stiffness today. After pressing her skin, we can see the
wrinkle. We can also see the dimple when she smiles. The bowel
movement and urination are normal. The sleep is good. Tongue is
slightly whitish. The tongue coating is thin and white. Fine and
string-like pulse.
Formula:
Poria 10g,
tangkuei 10g, peach kernel 10g, etc.
Dr. Yang
Based upon
our very successful help to many scleroderma patients,
scleroderma is now one of the significant focuses of our
hospital.
95%
Recovery of my 14 Years' Scleroderma, the Letter from Dr.Walid
More other successful treatment cases for
scleroderma:
Case-1
Case-2
Case-3
Please check the video on
youtube or
check the video on youk
