Professor Wang Zhentao’s sharing of typical cases in the diagnosis and treatment of vertigo (408)

General situation:Xu XX, female, 51 years old, married , from Zhengzhou, Henan. No history of drug allergy was found. First visit on November 13, 2018.

Complaint:Dizziness and tightness for more than 1 month after the activity.

History of present illness: Dizziness, scalp tightness, dazed eyes, and soreness in both lower extremities after exercising for the past 1 month , relieved after patting, usually sleep well, and then adjust. He has had hypertension for more than 10 years in the past, and now taking Shihuida, the blood pressure can be controlled. Pale red tongue, thin white fur, thin pulse.

Traditional Chinese Medicine Diagnosis:Vertigo

Syndrome type: Dampness stagnation syndrome

Treatment method:< /span>Rehydration and dampness

Preliminary prescriptions< span>:

20 /span>nearly1 after activity for 1, dizziness, scalp tightness, dazed eyes, soreness of both lower extremities, relieved after slapping, normal nausea Sleep can be, two will adjust. Red tongue, thin white fur, thin pulse.

Processing:11< span>Month13Japanese side plus Codonopsis 24g, Zhi Astragalus24g span>, wolfberry15g. Traditional Chinese medicine 7pay, one dose per day, decoct in water.

November 30, 2018 Return: Dizziness after taking the medicine , The scalp is tight and relieved, and it is relieved after patting. Red tongue, thin white fur, thin pulse.

Processing:11month< /span>20Japanese Codonopsis Radix Codonopsis 30g, Sunburn Astragalus 30g< span>, add yam30g. Traditional Chinese medicine 7pay, one dose per day, decoct in water.

Notes:The main symptom of the patient is intermittent dizziness, according to Pale red tongue, thin white coating, deep and stringy pulse, and four diagnostics combined with ginseng can be diagnosed as “dizziness” in traditional Chinese medicine. The treatment is to benefit water and dampness, warm the yang and transform the qi, and then use Wuling powder to control it. In the recipe, Guizhi warms yang and transforms qi, disperses external evils, and makes water and gas come out from the surface; Poria, Polyporus, Alisma, and Atractylodes dilute water and infiltrate dampness, so that water and dampness come out from urination; Five-clawed dragon nourishes qi and strengthens spleen; In the prescription, Tianma calms the liver, suppresses the yang, improves the eyesight; the dogwood meat, mulberry, and hyssop nourish the liver and kidney; licorice harmonizes various medicines. Looking at the whole prescription, if warming Yang and benefiting water, promoting blood circulation, and calming the liver in one side, the dampness will disappear and the disease will be eliminated. The symptoms of the patients at the second consultation were relieved, and Codonopsis and Astragalus were added to invigorate the spleen and qi, and wolfberry to nourish the liver and kidney. Three-diagnosis Codonopsis, astragalus, and yam to strengthen the spleen.