Female, 40 years old on February 24, 2022
Having been in panic for half a month.
The patient complained that half a month ago he had palpitations, palpitation, upset, loose stools, dry mouth, nausea, unable to fall asleep, four adverse symptoms, palpitations when cold, muscle twitching, unstable, pale tongue coating White, deep and thin pulse.
TCM syndrome differentiation: Taiyin disease, excessive drinking water and weak heart yang.
Proposed prescriptions:
Guizhi, licorice, keel and oyster soup, Zhenwu soup.
20g cinnamon twig, 10g licorice, 45g dragon bone, 45g oyster, 15g cooked aconite, 30g poria, 10g white peony root, 10g ginger, 20g fried Atractylodes with bran, 5 doses of traditional Chinese medicine, one dose per day, drink ( Decoction method), orally.
03.01 The symptoms above are significantly reduced, palpitations are significantly reduced, stools are formed, dry mouth is reduced, four inverse conditions are significantly alleviated, muscle twitching is significantly improved, pulse is deep and thready, tongue is pale and white coating, add 6g of cinnamon to the patient.
05.23 I went to the doctor because of cough and complained of symptoms.
The patient has loose stools and four inverse conditions. He feels palpitation when he is cold, his muscles are twitching, his tongue is pale and the coating is white, and his pulse is deep and thready. This is a Taiyin disease with internal deficiency and coldness.
If the muscles are beating, drink water for yang deficiency.
Dry mouth is due to lack of fluids.
Heart palpitations and palpitations are caused by resistance to the heart and lack of heart yang.
Being upset is upset due to Yang deficiency, not Shaoyang, Yangming, or Gardenia fermented soybean soup.
Article 64 of "Treatise on Febrile Diseases": If a person sweats excessively, crosses his hands and feels anxious, and has palpitations in his heart and wants to be massaged, Guizhi Licorice Decoction is the treatment.
Guizhi is suitable for serious body fluid injuries caused by various mistreatments such as sweating, diarrhea, vomiting, etc. The important feature is that the Qi rushes upward.
Some people mistakenly believe that cassia twig is pungent and warm and causes sweating. If yin deficiency occurs after body fluid injury, cassia twig can no longer be used.
This prescription, from the perspective of the Six Classics, belongs to Taiyang disease. The key points of syndrome differentiation of this prescription are: For those who have palpitation in the heart but cannot find it, drinking water will cause palpitations. Usually I Poria cocos will be added.
Guizhi, Licorice, Dragon Bone and Oyster Decoction is a combination of Guizhi, Licorice, Dragon Bone and Oyster Decoction, which has the effect of sedating, calming and calming the nerves.
Zhenwu Decoction: Zhenwu Decoction is used for yang deficiency and water syndrome. In the Jingfang medical system, it belongs to Shaoyin and Taiyin syndrome, and is often used in clinical practice.
Article 82 of "Treatise on Febrile Diseases": If Taiyang disease causes sweating and incomprehensible sweating, and the person still has fever, palpitations in the heart, dizziness, and body shaking and shaking, Zhenwu Decoction should be used. .
Article 316 of "Treatise on Febrile Diseases": Shaoyin disease that persists for two to three days and lasts until four to five days, with abdominal pain, difficulty in urination, heavy pain in the limbs, and pain from the lower part, is considered to have water vapor. If the person has cough, urination, diarrhea, or vomiting, Zhenwu Decoction can treat it.
The key points of syndrome differentiation of this prescription are: dizziness, palpitations, edema or pain in lower limbs, and deep pulse.
This prescription is for the combination of Shaoyin and Taiyin.
Patients with palpitations in the heart, dizziness, body tremors, shaking, heavy and painful limbs, difficulty urinating, abdominal pain, constipation or vomiting are all important reasons for using this prescription.
I use it for dizziness/vertigo and insomnia. The most commonly used method is Zhenwu Decoction plus Long Mu, which has the effect of warming yang and diluting water.
Zhenwu Decoction has the effect of warming yang and diluting water, strengthening the spleen and drinking water.
Among them, Poria cocos is light and diuretic, and is mainly used to treat palpitations under the heart.
Atractylodes macrocephala strengthens the spleen and removes dampness, and is mainly used to treat dysuria.
Aconite is pungent, warm and dry. It can warm and unblock the twelve meridians, invigorate the yang, remove paralysis and relieve pain.
Ginger anti-vomiting powder can dispel cold and strengthen the stomach.
White peony root can nourish yin and diuresis, harmonize the body and eliminate paralysis.
These five herbs are compatible with each other and supervised by each other. Not only can they synergistically exert the effects of warming yang and diuresis, strengthening the spleen and avoiding each other's side effects.
The combination of Guizhi, Licorice, Keel, Oyster and Zhenwu Decoction often has a very good effect. It warms the yang, dilutes the water and calms the nerves. I often use it to treat dizziness, headache, palpitations, arrhythmia and insomnia.
Lin Jiaming, from Guangxi