General:LiXX, female, 57 years old, employee, from Zhengzhou, Henan. No history of drug allergy was found. 2018 year06month08the first visit.
Complaint:Paroxysmalsubxiphoid pain for half a year.
History of present illness:The patient developed a subxiphoid process six months ago Pain, pulling sensation, tolerable, lasting for several minutes, irregular attacks, occasional pain in the flanks and flanks, easy sweating, covered head, astringent eyes, poor appetite, dry mouth, poor sleep, difficulty in falling asleep, two bowel movements are acceptable , red tongue, thin white fur, thin pulse. Historical hypertension10more than 10 years, which can be controlled.
Traditional Chinese Medicine Diagnosis: chest pain disease
Syndromes:Shaoyang Syndrome
Therapeutic Law:Reconciling Shaoyang, Promoting Qi and Relieving Pain
Prescription for initial diagnosis:
>January 23, 2019TwoClinic: strong>Pain in the flanks and flanks, obvious emotional agitation, improved after taking the medicine, repeated symptoms, worsening in the past 1month, irritability, anorexia, poor sleep, difficulty in falling asleep, and two bowel movements Can. Dark red tongue, white and greasy coating, deep and stringy pulse.
Processing:6month< /span>8Japanese Fushen Reform20g, plus gardenia, light tempeh each12g . Traditional Chinese medicine 7pay, one dose per day, decoct in water.
Notes:Xiao Chai Hu Tang originated from “Treatise on Febrile Diseases” “, is the main prescription for the treatment of Shaoyang disease, functions to reconcile Shaoyang, strengthen the righteousness and eliminate pathogenic factors, mainly treats cold and heat, chest and flank fullness, silent refusal to eat, upset, like vomiting, bitter mouth, dry throat, dizziness, thin and white tongue coating, Pulse embolism. This recipe is composed of Bupleurum, Scutellaria, Pinellia, Ginger, Ginseng, Licorice, Jujube7. Among them, Bupleurum and Scutellariae are used to clear the bitterness and cold, and there are ginger and Pinellia to disperse evil, and ginseng, jujube, and licorice are used to supplement the sweetness. The symptoms such as pain under the xiphoid process and flank and flank appear after the patient is angry, which is caused by the stagnation of liver qi. Therefore, Xiaochaihu decoction is used to soothe the cardinals of Shaoyang, add cymbidium, notoginseng, and green skin to soothe the liver and promote qi, and Yanhu Suoxing Qi and pain relief; patients with poor sleep, nervousness, and abnormal mental and emotional state, so add keel, oyster to calm the nerves, Fushen, Zaoren nourish the heart and calm the nerves; five-clawed dragon nourishes the qi and invigorates the spleen, jujube, ginger, licorice invigorates the spleen and Stomach, licorice and can reconcile various medicines. At the second visit, the patient’s symptoms were relieved compared with the previous one, and it recurred after half a year of drug withdrawal, accompanied by irritability, and the syndrome differentiation was the same as before.