Case 1 Pan, female, 54 years old.
First visit on May 8, 2008.
Chief complaint: the right elbow joint is sore for two years.
History: The patient suffered from "tennis elbow" for two years, and once closed treatment failed. The right elbow joint is sore and uncomfortable, and the forearm is painful when rotating, and it is unwilling to move.
You can't take things with your hands. Accompanied by fatigue, dizziness, stiff head and neck, difficulty sleeping, dry mouth, rectocele, sweating due to baking. Nako, the stool is still being adjusted. Have a history of hypertension, menopause last year.
Red tongue, teeth marks, thin and heavy pulse. Blood 120/90mmHg.
Prescription: Radix Codonopsis 15g, Radix Astragali 30g, Atractylodis Rhizoma 9g, Radix Glycyrrhizae 6g, Radix Angelicae Sinensis 9g, Cimicifuga rhizome 9g, Radix Bupleuri 9g, Pericarpium Citri Tangerinae 6g, Radix Puerariae 90g, Radix Paeoniae Alba 30g, Fructus Gleditsiae Abnormalis 30g, Caulis Spatholobi 30g, 7 doses.
Second diagnosis from May 65438 to May 5, 2008: Sleep improved at night, and the rest were numbness in the front and upper limbs, red tongue, teeth marks and rapid pulse.
Prescription: 30g of Codonopsis pilosula and 60g of Spatholobus suberectus are added with 6g of frankincense, 6g of myrrh and 30g of papaya, and taken in 7 times.
The third diagnosis on May 22, 2008: pain in the right elbow, improvement in proctoptosis, and insomnia. Tooth marks on the edge of tongue, thin pulse.
Prescription: keep it on May 8, and change it to 30 grams of Codonopsis pilosula and 60 grams of Spatholobus suberectus; Add 6g of frankincense, 6g of myrrh, 30g of papaya and 30g of jujube kernel, 7 doses.
The fourth diagnosis on May 29th, 2008: The pain in the right elbow was obviously improved, the head was sometimes numb, the proctoptosis was improved, and the sleep was improved. Tooth marks on the edge of tongue, thin pulse.
Prescription: add 30g of Radix Paeoniae Rubra on May 22nd, 7 doses.
The fifth diagnosis on June 5, 2008: Except for occasional numbness in the head, the symptoms such as pain in the right elbow and proctoptosis were obviously improved. Tooth marks on the edge of tongue, thin pulse.
Prescription: Add 3g of Ramulus Cinnamomi on May 29th, 7 doses.
June, 2008 19, all the symptoms were safe, but yesterday, due to fatigue, I had proctoptosis, teeth marks on my tongue, and a heavy and thin pulse.
Prescription 1: On May 29th, 50g of Astragalus membranaceus was changed to 7 doses.
Prescription 2: Galla Chinensis 200g, fumigating and washing anus for 7 days.
Follow-up from July 65438 to July 2008: All the symptoms were safe, and only 1 case had proctoptosis due to fatigue.
On August 25th, his friend came to see a doctor and told him that the patient had recovered.
Note: "Tennis elbow" is the strong point of acupuncture treatment, and it is rarely reported that people only use Chinese medicine to treat it. In addition to the symptoms of "tennis elbow", patients have many symptoms.
Symptoms such as grip weakness, rectocele, and tooth marks on the tongue are diagnosed as stagnation of middle qi. It is believed that the "tennis elbow" can also be settled with sufficient blood, smooth operation and rising yang.
Therefore, Buzhong Yiqi decoction is added with Spatholobus suberectus, Radix Paeoniae Alba, Radix Puerariae and Fructus Gleditsiae Abnormalis to nourish blood and promote blood circulation, dredge collaterals and raise yang, and then frankincense and myrrh are added to promote blood circulation and relieve pain. It is no accident that the condition improved after two weeks and recovered after six weeks.
Case 2
Wang, female, 26 years old.
2010165438+1initial diagnosis on October 22nd.
Chief complaint: physical pain for two or three months.
Medical history: whole body wandering pain, tingling, sometimes feeling breathless, Nake, stool once every two or three days, dry knot, sometimes poor sleep, pale face, fear of cold. The menstrual cycle is 30 days, and the menstrual period is 7 days. The menstrual color is bright red and there is no blood clot. The number is slightly less. Oral ulcer recurred more than three years ago, but it didn't recur after taking Chinese medicine here for a month, and it recurred recently. The tongue is red, with teeth marks and a thin pulse.
Prescription: Ramulus Cinnamomi 9g, 65438+ Radix Paeoniae Alba 05g, ginger 3 tablets, red dates 6 tablets, ginseng powder 6g (swallowed on an empty stomach in the morning), Radix Codonopsis 30g, Radix Astragali 3Gg, Atractylodis Rhizoma 9g, Cimicifuga 20g, Radix Bupleuri 6g, Pericarpium Citri Tangerinae 6g, Radix Glycyrrhizae 6g, 7 doses.
20 10 12 13 Second visit: After taking 7 doses of medicine, the oral ulcer was removed, the body no longer felt pain, the stool was normal, the sleep was safe, and the fear of cold was relieved. Red tongue and thready pulse.
Prescription: Leave the top, change it to 24g of Angelica sinensis, add 3g of Cinnamomum cassia (below), 14 dose.
Note: it hurts if you don't get through, and it hurts if you don't cash it. Article 62 of Treatise on Febrile Diseases says: "For those who feel pain and slow pulse after sweating, cassia twig, peony and ginger should be added one or two each, and three or two new soups should be added to treat them.
Notes in Medical Zong Jin Jing: "The body aches after sweating are caused by insufficient camp defense, so Guizhi decoction is used to adjust camp defense.
Those who are twice as strong as ginger have slow pulse and cold camp;
It is a peony of the times, with insufficient camp and less blood; People who take part in ginseng will make up for it. Guizhi gets ginseng, the atmosphere circulates, the qi and blood are full, and the bones and muscles are reasonable; Ginseng gets cassia twig, which can dredge exterior and interior, nourish yin and benefit stomach yang, and there is no pain of exterior deficiency. "
The patient has the symptoms of breathlessness, constipation, chills, poor sleep, dull complexion, tooth marks on the tongue coating and thready pulse, all of which are qi and blood weakness and stagnation of middle qi. Therefore, it is very effective to use Xinjia decoction combined with Buzhong Yiqi decoction.