General situation:Wang, Female, 69 years old, from Zhengzhou, Henan Province, was first diagnosed on December 12, 2017.
Complaint:The tip of the tongue has been numb for 3 years, which worsened with chest pain for half a month.
History of present illness:< span>3 years ago, the patient had numbness on the tip of the tongue without obvious incentives, and was diagnosed with “coronary heart disease” by a hospital in Beijing. After taking Xuesaitong capsules orally, the effect was good. Nearly half a month ago, the numbness on the tip of the tongue was aggravated, and it was obvious at night, accompanied by precordial symptoms. The pain in the area was obvious when taking a deep breath. He was treated in Xuchang People’s Hospital and diagnosed with coronary heart disease and angina pectoris. He was treated with drugs such as Lipitor and Xinkang. Past history of hyperlipidemia for more than 10 years. BP: 140/60mmHg, dark red tongue, thin white fur, deep and thin pulse.
Traditional Chinese Medicine Diagnosis: chest pain and heartache span>
Syndromes:Deficiency of Qi and Yin
Treatment:Replenishing Qi and nourishing Yin
Preliminary prescriptions: span>
by words: >Traditional Chinese medicine believes that “the tongue is the seedling of the heart”, “Lingshu·Meridian” says: “The difference between the hand and Shaoyin… This.” The collaterals of the heart are directly connected to the tongue, and the physiological functions and pathological changes of the heart are directly reflected on the tongue through the meridians. The patient has a history of coronary heart disease and is presenting with pain in the precordial area and numbness at the tip of the tongue, which should be viewed as a whole and treated together. Check the tongue and pulse, the tongue is dark red, the coating is thin and white, and the pulse is deep and thin. Syndrome differentiation: “Qi and Yin Deficiency” dogwood meat and mulberry nourish the liver and kidney, consolidate the root and cultivate Yuan; Compatible with Salvia miltiorrhiza, safflower, and Chixueteng to promote blood circulation and remove blood stasis. Papaya, white peony root, mulberry branch nourishing yin and activating collaterals, earth element, whole worm, black-headed snake and other flesh-and-blood sentient products, promote blood circulation and dispel wind.
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