General:Witch XX, Female, 58 years old, retired worker, from Zhumadian, Henan. No history of drug allergy was found. First consultation on June 26, 2018.
Complaint:Intermittent dizziness for more than 3 months.
History of present illness:Dizziness without obvious cause before 3 months, BP 160 /87mmHg, taking Shihuida and Betaloc, blood pressure was measured at 150/80mmHg, occasional dizziness, fatigue, naphthalene, and two bowel movements. Pale red tongue, thin white fur, deep and stringy pulse.
Traditional Chinese Medicine Diagnosis:Vertigo
Syndromes:Liver and Kidney Insufficiency
< strong>Treatment:Nourishing liver and kidney
Prescription prescriptions:
Review on July 03, 2018: The dizziness improved slightly after taking the medicine, and the limbs consciously Fatigue, poor control of blood pressure 130-147/80mmHg, average sleepiness, and normal bowel movements. Pale red tongue, thin white fur, thin pulse.
Processing:Added on June 26 Five-clawed dragon 30g. 10 Chinese medicines, one dose per day, decoct in water.
Remarks:Patients mainly reported intermittent dizziness Symptoms can be diagnosed as “dizziness” in traditional Chinese medicine according to the light red tongue, thin white coating, deep and stringy pulse, and the four diagnostic methods are combined. The treatment is based on nourishing liver and kidney, calming liver and subduing yang. Patients with the liver and kidney yin are gradually deficient, the kidney yin deficiency cannot nourish the liver wood, resulting in liver yin deficiency, liver and kidney yin deficiency, can not nourish the head, dizziness; , body yin and use yang, excessive emotion, liver qi stagnation, qi stagnation transforms into fire, liver yin dark consumption, wind and yang rise and move, upper disturbance to clear the orifice, dizziness and other symptoms. Fang Zhongshan dogwood meat, Ligustrum lucidum, mulberry, Eclipta to nourish the liver and kidney; Tianma, chrysanthemum, Gujingcao to calm the liver and subdue yang; Rhodiola rosea to invigorate qi and activate blood; Phellodendron rhizoma, Zhimu clears heat and dries dampness, nourishes yin and reduces fire; Peony nourishes the yin and softens the liver; Geshan eliminates the spleen and stomach; licorice harmonizes various medicines. The dizziness is relieved in the second diagnosis, but the limbs are still weak. The spleen dominates the limbs, and the spleen is the source of phlegm. Spleen deficiency can easily lead to phlegm and turbidity.