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At the night clinic at the beginning of last month, I received a eldest sister from Yunfu who complained of dizziness, fatigue, body aches and abdominal pain and diarrhea for more than half a year. has not been relieved significantly after treatment with Chinese and Western medicine, so I took the car Visited our hospital for more than 300 miles.
First visit:
. The patient was dizzy, fatigue, body aches and pains, accompanied by irritability, chest tightness, loose stools, abdominal pain before the stool, tasteless mouth , sometimes nausea and vomiting. Obvious breast pain before menstruation, more blood clots in menstrual clip, restless sleep, and more dreams. Check that the tongue is dull with tooth marks, the coating is thin and white, and the pulse is heavy.
Syndrome differentiation:
combined with the four diagnosis of the patient, considering the anxiety state, the syndrome is , liver depression and spleen deficiency phlegm coagulation, liver qi stagnation, irritability, chest tightness, premenstrual breast pain, , spleen and stomach deficiency and cold Seeing tasteless mouth, dizziness, fatigue, abdominal pain, loose stools, spleen deficiency can not nourish qi and blood, so the whole body is sore, phlegm drinking block, light mouth, nausea, poor sleep, dreams, and pulse, so I choose Gui Fuli Zhong Decoction to warm the yang and invigorate the spleen, combined with pain and diarrhea prescriptions for soothing the liver and regulating the spleen, Erchen Decoction to dry dampness and resolve phlegm :
See the clinic for follow-up visit:
. Pain and chest tightness are alleviated, and there is still light mouth, loose stools, low back pain, and more dreams in sleep. Check that the tongue is tender and has tooth marks, the coating is thin and white, and the pulse is stringy. The patient’s mental fatigue improved compared to the previous period, but there was still a light mouth, and loose stools. Considering that the yang qi was not fully restored, he increased the strength of warming yang to drink. The previous prescription was combined with Lingguishugan decoction, and the was added blindly. Wumei tastes sour into the liver, softens the liver and intestines.
Three visits:
came again on August 25, complained that he had no dizziness, body aches, abdominal pain, stool returned to normal, and his mental state improved significantly after taking the medicine . Menstrual cramps a week ago, blood clots were significantly reduced, but there was still breast tenderness. The tongue is light and tender, the fur is thin and white, the tooth marks are not very obvious, and the pulse is sinking. Continue to add and subtract from the front, consider adding angelica to warm the menstruation after menstruation.
Four-diagnosis follow-up:
Returned to the clinic on the evening of September 1st, complaining that the condition has been relatively stable, except for a little more sleepy dreams, there is no obvious discomfort. Add or subtract from the previous prescription, and ask to take the medicine every other day, in order to withdraw the medicine steadily.
#中医来了# #头条健康# @The Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine @本草統目Selected readings from the original works
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