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皮肤干燥瘙痒综合症Slaughter先生  

 

 

   

 

 

 

明大夫主治来自的英国先生Slaughter皮肤干燥瘙痒综合症之病历

 

Record of Hospitalization

Name: Jonathan Slaughter              Gender: Male

Age: 38                                         Marital State: Married

Profession: Ballet Dancer               Address of Birth: Worthing, UK

Nationality: British                          Current Address: see below*

Date of Hospitalization: August 1, 2004.   Record Date: August 1, 2004

    Major complaint: Dry skin for 38 years, severe itching, 24 hours scratching everyday, multiple skin ulcers, past treatments no help.

   Disease history: Jonathan complained that when he was born, mother found cuts on his arms and dry skin. So his mother tried to use western cortisone and steroid external use cream for him to relieve the dryness of the skin. When he was 18 years old, he went to Central Ballet School in London and studied Ballet techniques for two years. During this period, he still was using the cream, pills and injections.

 

*Chibashi Chuouku Aoba Cho 1269 Aoba Cho No Mori Koen Dori 7-401 Japan

 

 

   When he was 25 years old, he tried to stop steroid, then he felt pretty much worse. The symptoms are fatigue, sorness of the joints, joint stiffness, thick skin, even could not turn his neck.. When he was 32 years old, he went to Tokyo, Japan to teach the local people the techniques of Ballet. He used quite a lot herbal treatment in Japan for two years, yet no obvious improvement was found; he was given fire-purging Chinese herbal medications and this even made him feel cold in hot summer.

   Currently, the major complaint is dry sense of the skin which feels like hard paper, fatigue, itching very severely, and has to scratch all the time, falling off of the skin flakes at most parts of the body skin. The two hands, two feet and the back part of the knees have obvious ulcers, especially the swelling of the two feets and ankles is severe. Thirst and liking much water of normal temperature, constipation often.

   Five years ago, he felt irregular beats of the heart. But right now, this feeling has disappeared. Asthma lasted all the time till recent four years, during which no onset of asthma was found. When asthma happened, it is three or four times every week. He feel always blockaded nose, nasal excretion is yellow.

   Jonathan is allergic to horse, any other animal with body hair, sometimes honey and alcohol. He also said the right kidney is bigger than the left kidney, but no nephritis or kidney stone or infection was found.

   The total body check is carried out. T37.1C, P 90 beats/per minute, BP 120/70 mmHg.

   The left pulse is thready and string-like, right pulse soggy. The tongue is enlarged, moist and without tongue coating.

   Diagnosis: Yin deficiency, fulminant fire, external wind disturbing, blood dryness, the skin fails to be nourished.

   Treatment strategy: Moistening yin, clearing heat, expelling wind, stopping itching, enriching blood.

    So the formula for oral use is as follows. Take 200 milliliters in the morning 10:00 AM, and another 200 milliliters in the afternoon 4:00 PM.

glehnia root 12g    ophiopogon tuber 12g   Solomon’s seal root 12g    

scrophularia root  12g    honeysuckle 15g     wild chrysanthemum flower 15g  

xanthium 10g   cnidium seed 10gschizonepata 1 0g      ledebouriella 10g    

ligusticum root 12g      peach kernel 12g tangkuei root 10g

   The second formula is for external use for bathing, soaking, washing the skin for twenty minutes in 11:00 AM and 5:00 PM for another twenty minutes.

schizonepata 30g     ledebouriella 30g    licorice root 50g   

honeysuckle 80g    xanthium 50g stemona 50g     salvia root 30g

cnidium seed 50g  glehnia root40g     ophiopogon tuber 40g     

Solomon’s seal root 40g scrophularia root 40g     rhubarb 20g   

 

Prescribed by Dr. Ming  2004.8.1

   August 2, Jonathan said he could get used to the internal use herbal tea and external use soup. Washing and soaking the skin for 15 minutes. It is too early to say if there is good change. But it seems to him that he feel the skin on the arms is less itching. The ulcer on the feet is less itching and would like to have some cream to moisten the local skin.

                                                                     Dr. Ming, 2004, 8, 2.

   August 3, Jonathan said the taste of the herbal tea is acceptable, not too much bitter and not too much cold in nature. Yesterday afternoon after coming back from exposing to strong sunlight for two hours, itching is even stronger, and the feet feel hurting stronger. But if exposing too strong sunlight in the past, he has to scratch strongly, but this time he did not need to scratch. This morning he feels the skin seems to be a little bit moist. I checked the total body skin, dry indication and flakes could be found. It is obvious that the ulcers at the back of the two knees are disappearing. The ulcers of the feet are still obvious. So the internal use herbal formula is as follows:

glehnia root 12g    ophiopogon tuber 12g   Solomon’s seal root 12g    

scrophularia root  12g    trichosanthes root 10g  honeysuckle 15g  

wild chrysanthemum flower 15g   xanthium 10g   cnidium seed 10g   cicada molting  10g

schizonepata 1 0g     ledebouriella 10g     tangkuei root 10g     anemarrhena root  10g   

arctium seed 10g                                            

   Two dosages: 200 ml in the morning, another 200ml in the afternoon.

   The external use formula is as follows:

schizonepata 30g     ledebouriella 30g    licorice root 50g    honeysuckle 80g   

xanthium 50g   stemona 50g     cnidium seed 50g  glehnia root40g    

ophiopogon tuber 40g      Solomon’s seal root 40gscrophularia root 40g    

trichosanthes root 40g  phellodendron bark 40g   anemarrhena root 40g     

rhubarb 20g    cicada molting 40g     flavescent sophora root  40g  

arctium seed 40g              

   Two dosages: washing externally once in the morning 11:00AM, 5:00PM.

   Offer external use ointment, Meibao Moist Scalds Ointment to use external on the feet to moisten the local skin, twice a day.

                                                               Dr. Ming, 2004.8.3

   August 4, Slaughter said yesterday from the morning till 9:30 PM, rare feel itching sense. In the past, the whole daytime and night are of severe itching. But after 9:30, he feels itching and has to scratch, sleep is relatively relaxed. This morning the itching of the face is relatively more compared to other part of the total body skin. I found that the ulcers of the two feet are getting better, swelling is reduced 20%.  

                                                                         Dr. Ming, 2004.8.4

   August 5, Slaughter is feeling that itching degree is reduced 50% percent in the daytime and 90% percent reduced at night. I found that the skin is becoming little bit moist and the ulcers on the feet are continuing to heal.

                                                                Dr. Ming, 2004.8.5

   August 6, the skin itching degree is continuing to decrease. The feet itching is reduced obviously. Now the upper part of the body including the face, neck, chest, upper back is still dry and itching. More skin flakes come down. Advice the patient to use Meibao Moist Scalds Ointment on these severe parts of skin for two to three days to see the result. I tried to touch the skin; the skin feels like hard paper. So the internal use formula is trying to strengthen the effect of moistening the skin.

glehnia root15g    ophiopogon tuber 15g   Solomon’s seal root 15g    

scrophularia root  15g    asparagus tuber 15g    trichosanthes root 10g   

honeysuckle 15g   wild chrysanthemum flower 15g   xanthium 10g   cnidium seed 10g   

cicada molting  10g     schizonepata 1 0g     edebouriella 10g    

tangkuei root 10g     anemarrhena root  10g    arctium seed 10g    

   The external use formula also strengthens the effect to moistening the skin.

schizonepata 30g     licorice root 100g    honeysuckle 80g   xanthium 50gstemona 50g     cnidium seed 50g   glehnia root60g    ophiopogon tuber 60g    Solomon’s seal root 60g     scrophularia root 60g     trichosanthes root 60g   asparagus tuber 60g     phellodendron bark 40g   anemarrhena root 40g   rhubarb 20g    cicada molting 40g    

flavescent sophora root  40g    arctium seed 40g 

   In addition offer another tube of Meibao Moist Scalds Ointment, use on the upper part of the body skin.

                                                   Dr. Ming, 2004.8.6

    August 7, the general condition is continuing to be improved. The crispy and hard skin which touches like hard paper is becoming moist. The scratching is much less, and itching degree reduced obviously. Sleep is calm, appetite good, spirit good. Jonathan used cream on the top part of the body skin twice yesterday. The ulcers on the feet are being improved.                                       

Dr. Ming, 2004.8.7

    August 8, the skin is becoming obviously moist. Only the skin of the neck is still dry apparently. The itching is still from time to time, but much relieved. The spirit and sleep are quite good. Yesterday, some friends in Huaihua and our hospital accompanied Jonathan to our local park. Since the weather is too much hot, so when coming back after 5 hours sightseeing, the itching worsens a little bit, but compared to before, the itching is much slighter.

    So almost continue the same treatment strategy, put some blood quickening herbs to improve the slight swelling of the feet.

So the oral use formula is as follows:

glehnia root15g    ophiopogon tuber 15g   Solomon’s seal root 15g    

scrophularia root  15g    asparagus tuber 15g     trichosanthes root15g     

honeysuckle 15g   wild chrysanthemum flower 15g   xanthium 10g   cnidium seed 10g   

cicada molting  10g  schizonepata 1 0g     ledebouriella 10g     tangkuei root 10g    

anemarrhena root  10g    arctium seed 10g    carthamus flower  10g

The external soaking formula is

schizonepata 30g     icorice root 100g    honeysuckle 80g   xanthium 50g

stemona 50g     cnidium seed 50g   glehnia root60g     ophiopogon tuber 60g    

Solomon’s seal root 60g  scrophularia root 60g     trichosanthes root 60g  

asparagus tuber 60g     phellodendron bark 40g    anemarrhena root 40g  

rhubarb 20g     cicada molting 40g     flavescent sophora root  40g    arctium seed40g  

tangkuei root 40gcarthamus flower 40g     peach kernel 40g     

    August 9, the skin continues to become moist. The feet itching are still there sometimes. The itching at the upper part of the body is reduced greatly. 

       Dr. Ming, 2004.8.9

    August 10, all the conditions continue to improve. The skin is becoming moist and itching is reduced greatly. Now the major task is to promote the recovery of the feet swelling. So strengthen the blood quickening to reduce the swelling of the feet.

    The internal use formula two dosages as below:

glehnia root15g    ophiopogon tuber 15g   Solomon’s seal root 15g    

scrophularia root  15g    asparagus tuber 15gtrichosanthes root15g     

honeysuckle 15g   wild chrysanthemum flower 15g   xanthium 10g   cnidium seed 10g   

cicada molting  10garctium seed 10g   tangkuei root 10g     igusticum root 10g    

peach kernel 10g    carthamus flower  10g anemarrhena root  10g    sparganum 8g     

zedoary 8g

   The external use formula is changed to the following:

licorice root 100g    honeysuckle 80g   xanthium 50g  temona 50g    

cnidium seed 50g   glehnia root60g     ophiopogon tuber 60g     Solomon’s seal root 60g   

scrophularia root 60g    trichosanthes root 60g   asparagus tuber 60g    

phellodendron bark 40g    anemarrhena root 40g   rhubarb 20g     cicada molting 40g  

flavescent sophora root 40g    arctium seed 40g   tangkuei root 40g   

carthamus flower 40g     peach kernel 40g     sparganum 50g      zedoary50g                           

    Dr. Ming, 2004.8.10

   August 11, the skin is becoming moist. Yesterday massage half an hour of the legs. The feet swelling are reduced very well. Even we could see the veins now.

Dr. Ming, 2004.8.11

   August 12, Jonathan said yesterday is the best day that he feels so good, almost no itching. The mind and body are totally relaxed. The swelling on the feet is almost gone. Add cnidium 10g in the internal use formula. Add cnidium 50g in the external use formula.                                       

                                                                                               Dr. Ming, 2004.8.12

    August 13, the general condition is steady. The skin is more moist. While yesterday feels very itchy. This is due to the purpose we wish to promote the final blood stasis on the feet.

                                                                                     Dr. Ming, 2004.8.13

   August 14, tomorrow Jonathan will leave Huaihua back for Tokyo by taking flight from Zhang Jiajie to Shanghai. He said that he could find and feel 90% recovery, this is the fastest recovery compared to any other treatments in the past, and also he said that we could not imagine the nightmare he experienced in his 38 years, so he was very pleased. Continue to former formulas for one day.

    In general, the TCM treatment is very effective and safe, and good recovery has been obtained to Jonathan's case. After 14 days treatment, the itching is almost gone, the skin becomes moist, skin flakes very little, the multiple ulcers are cured. The critical point for this successful treatment is accurate Syndrome Identification and different Treatment Determination. Chinese medicine is curing the root of this disease. So hope he could continue to use the formula in Japan for a period to consolidate the result so that 100% recovery can be got. Try to avoid spicy foods, alcohol, beer, fishy foods, relax the mind, keep the happy emotion.

                                                         Dr. Ming

August 14, 2004.

 

 

 
 
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