A few days ago I had a video consultation with a female teacher, and I had a lot of feelings.

The patient is a class teacher in a middle school and is 32 years old.

According to the patient’s self-reported, she occasionally felt a foreign body sensation in the throat and dry mouth. She thought it was because she usually lectured too much. Later, she found out the thyroid gland during the physical examination at the school. Nodule grade 3.

The report shows:

A cystic-solid nodule of about 3*2mm in the middle layer of the lower left lobe with regular shape and border Clear, CDFI: a little blood flow signal is seen inside.

Ultrasound prompt:

Cystic-solid nodule in left thyroid lobe (TI-RADS: Category 3)

Inspection showed that the patient had a sallow complexion and dark blue around the eyes. The tongue has little red coating and cracks can be seen in the tongue.

After careful inquiry, I learned that as a teacher, she is usually under a lot of pressure. In addition to school education and teaching tasks, there are also family burdens, which leads to very anxious, hot and sleepless, often lying in bed thinking of all kinds of trivial things in school during the day, and my heart hurts, and my menstruation is not normal.

Comprehensive of these conditions, the patient was diagnosed with gall disease, which was caused by liver stagnation transforming into fire. strong>Conditioning emotions, promoting Qi and removing blood stasis.

The following prescription is given to the patient, see:

< strong>Astragalus, Baishao, Bupleurum, Citrus aurantium, Chuanxiong, tangerine peel, Guangmuxiang, Qingpi, Prunella vulgaris, Zhe Fritillaria, Quanzhilou, calcined oysters, and licorice.

A total of 14 doses were given to the patient, and they were instructed to regulate their emotions and not to be restless.

Two weeks of medication, second consultation on February 15, 2022.

The patient reported significant improvement in sleep, normal menstruation, no symptoms of dry mouth, and felt much more relaxed.

On tongue diagnosis, the tongue was red with thin white fur. The original prescription was slightly modified, and 28 doses were given to the patient.

After that, based on this prescription, the dosage was changed, and the patient continued to take it for two months, and five consultations will be held on April 16, 2022.

At the follow-up consultation, the patient’s complexion was ruddy. The patient reported that he slept very well recently, and his spirit was much more relaxed.

The above-mentioned patients face students, parents, school leaders, etc. every day, which shows that they are under a lot of pressure. People who are under high pressure for a long time are prone to liver stagnation and qi stagnation.

Therefore, in the treatment, the focus is on soothing the liver and relieving stagnation, promoting qi and removing blood stasis.

At the same time, we should also pay attention to exercise and maintain an optimistic attitude, so that our body will get better and better.

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