The patient's complexion is slightly yellow and less, he likes heat and hates cold slightly, his wrist and joints are numb, his complexion is unchanged, his muscle strength is acceptable, his fingers are not swollen, he feels cold when holding, he is slow to respond to scratching and other stimuli, his tongue is pale and petechial, his fur is white and greasy, and his pulse is heavy and slippery. Syndrome differentiation is blood stasis (deficiency of both qi and blood, yang deficiency and cold, cold coagulation of meridians); Treatment should be warming yang and benefiting qi, nourishing blood and activating blood, dispelling cold and dredging channels.
The prescription of Huangqi Guizhi Wuwu Decoction is: 50g of Huangqi, 30g of Paeonia Rubra 15g, cassia twig, 6g of Angelica sinensis 15g, 6g of scorpion, centipede 1, ginger 15g and jujube 15g. After taking 7 doses of medicine, the symptoms did not improve. Considering that the patient has been ill for a long time, it won't work for a while, and he was given 7 doses, but the result hasn't worked yet.
After careful consideration for a long time, I thought of Zhimi Fuling Pill and thought that stopping phlegm in phlegm would also lead to numbness of limbs. White and greasy tongue coating and heavy and slippery pulse are the pathological factors of phlegm-dampness blocking collaterals. So close the upper finger-Fan Fuling Pill to calculate the curative effect; 50g of Radix Astragali, 0/5g of Radix Paeoniae Rubra/kloc, 30g of Ramulus Cinnamomi, 6g of Radix Angelicae Sinensis 15g, 6g of Scorpio, 0/0g of Scolopendra/kloc, 30g of Rhizoma Pinelliae 1 0g, 30g of Poria, 6g of Fructus Aurantii 15g, mirabilite (westernized) and ginger/kloc. After taking the medicine, the phlegm-like stool was relieved twice, and the numbness symptoms were relieved after 5 doses. If the effect is not right (sodium sulfate is reduced to 3g), just eat it. When the drug was taken at the dose of 10, the numbness disappeared and the disease was cured. It has been more than half a year now, and the patient has never had another attack.
Experience: Hand numbness is very common in clinic. Hemp is the feeling that ants walk on the skin or get an electric shock, and wood is as heartless as wood. It is mostly caused by deficiency of both qi and blood, yang deficiency and cold, malnutrition of meridians, stagnation of qi and blood, obstruction of meridians, or stagnation of cold, dampness, phlegm and blood stasis. The origin of miscellaneous diseases rhinoceros candle numbness origin says: "numbness, wind deficiency syndrome is also cold-dampness phlegm-blood disease." Numbness, rather than itching or pain, is inside the muscles, such as tens of millions of insects scurrying around, or being slutty like insects walking with voices. If you press it repeatedly, the more you scratch, the more numb you get. Wood is neither itchy nor painful, and muscles are like human muscles. If you don't know, you can't feel it, just like the thickness of wood. " "Medicine is numb" further points out: "Hemp belongs to phlegm deficiency; The wood was all wet, bloody and harmless. If it is ruthless, then it is also. "
The patient was initially diagnosed as deficiency of both qi and blood, yang deficiency and cold coagulation, and cold coagulation of meridians. The application of Huangqi Guizhi Wuwu Decoction failed. After detailed examination, it is considered that there are still pathological factors of phlegm-dampness blocking collaterals. Washing clothes with cold water for a long time leads to yang deficiency, qi and blood deficiency, stagnant water, accumulation of phlegm and turbidity, obstruction of meridians, poor blood circulation and dystrophy of meridians, so hands are numb. The limbs are the collection of all yang. Huangqi Guizhi Wuwu Decoction is an ancestral prescription for the treatment of blood stasis, which warms the yang and benefits qi, dredging collaterals and activating collaterals. Angelica sinensis is added to help it nourish blood and promote blood circulation. "Shizhai Bai Yi Xuan Fang" has a saying: "Phlegm is turbid, the stomach is stagnant, the temper is not strong, the upper body is beating with qi, and the limbs belong to the spleen, so the qi is depressed, so the arm is attacked." All limbs are full of qi in the spleen, and the spleen is wet and produces phlegm, which is drunk in the limbs; Zhimi Fuling Pill can not only clean the latent sputum in abdominal cavity, but also melt the flowing sputum in limbs. Adding scorpion and centipede helps to find phlegm in meridians. The whole prescription * * * has the effects of warming yang and dredging channels, benefiting qi and nourishing blood, dispelling cold and resolving phlegm.