Huang Mou, male, 31 years old, initial diagnosis: 2022-1-19
Complaint: Insomnia for 1 year.
Symptoms: Difficulty falling asleep, waking up at 5-6 o'clock. Dream-like, both ears and eyes ringing, a little dry mouth, bitter mouth, stomach two can be. hair loss.
Physical examination: bulbous conjunctival hyperemia. The tongue is slightly reddish, mossy white, and puns are more abundant.
TCM Diagnosis of Sleepless Disease (Evil in Shaoyang)
Prescription: Chai Hu Jia Keel Oyster Soup Plus Minus North Chai Hu 24 g Skullcap 9 g Licorice Root 9 g Dang Ginseng 9 g
Fa Ban Xia 12g Ginger 9g Jujube 12g Raw Keel 30g
Raw magnet 20g mountain meat 15g cooked ground yellow 15g sour jujube kernel 15g Yuanzhi 9g Porphyra 15g chrysanthemum 15g oyster 20c
A total of 7 doses, 2 times a day, 1/2 dose at a time, taken with boiled water. Second diagnosis (2022-1-30) symptoms: symptoms are the same.
Physical examination for ball conjunctival hyperemia. The tongue is slightly reddish , mossy white , and the veins are slow and slippery. Diagnosis of traditional Chinese medicine: sleepless disease (kidney deficiency liver depression certificate) Prescription: nourishing water and clear liver drink plus or minus
Cooked ground yellow 10g angelica 10g red peony 10g peony skin 15g sour jujube kernel 15g mountain meat 15g poria 12g yam 15g North Chai Hu 10g fried gardenia 10g Ze diarrhea 10g Porphyra 15g chrysanthemum 15g Yuanzhi 10g keel 20g oyster 20g A total of 5 doses, 2 times a day, 1/2 dose, boiled water. Third Consultation(2022-2-7)
Symptoms: Falling asleep is better, you can sleep directly until dawn, and you can quickly fall asleep when you wake up halfway. Binaural tinnitus is slightly reduced, no dry mouth, bitter mouth, stomach intake, two can be. hair loss.
Physical examination: slight hyperemia of the bulbous conjunctiva. The tip of the tongue is slightly red, mossy, the left chord of the vein is thin, inches away, and the right is slightly floating. disposal:
2022-1-30 Prescription based on magnets instead of oysters. Analysis and experience:
It is difficult to fall asleep at the first diagnosis, and I wake up at 5-6 o'clock in bed, with tinnitus in both ears, slightly dry mouth, bitter mouth. Ball conjunctival hyperemia at the time of presentation. The tongue is slightly reddish, mossy white, and puns are more abundant. Article 263 of the Treatise on Typhoid Fever: "Shaoyang is sick, bitter in the mouth, dry in the throat, and dizzy." Article 264 of the Treatise on Typhoid Fever: "Stroke in Shaoyang. Both ears hear nothing. Eye red...", the tongue is red, the pulse is more punish, so the comprehensive consideration is evil in Shaoyang, and chai hu jia keel oyster soup plus minus wu zhi kidney liver thinning medicine. There was no improvement at the second diagnosis, but the pulse was slow and slippery, indicating a slight decrease in heat potential, the blood veins were more moderate than before, and there were details of improvement in the absence of obvious symptom improvement. After some consideration, the first diagnosis takes difficulty falling asleep with dry mouth, bitter mouth, and red eyes as a breakthrough, considering the evidence of evil fever, supplemented by real heat and long-term injury and blood loss such as hair loss. Therefore, the treatment is mainly to dispel real heat, supplemented by deficiency, but there is no improvement in symptoms after treatment, only a few details are improved. So I changed my mind and changed
The focus of the certificate. Patients with tinnitus and hair loss may also be considered as a supervisor
The image of yin and deficiency, accompanied by the empirical manifestations of hepatic depression fever such as dry mouth and bitter mouth. Mainly hypochondria, supplemented by depression and heat, it is necessary to use nourishing water to clear the liver and drink with chrysanthemum flowers to clear the liver, dragon needles, and yuanzhi to calm the gods. Sleep can be achieved during the third consultation, and tinnitus is slightly reduced. Bulbar conjunctival hyperemia is less severed than before. Only the tip of the tongue is slightly red, indicating accurate dialectics, and at this time, the left chord of the pulse is thin, and the inch is not enough to reflect the essence of its insufficient yin blood. Following the front, because the pharmacy does not have a medicine for oysters, it is replaced by a magnet, which is also taken from its clever ears and eyes.
Insomnia has become the most common problem in modern people. Western medicine sleeping pills can be simple, effective and quick to help fall asleep. However, most of them need to be taken for a long time
Maintenance, and there are adverse drug reactions, drug dependence, and insufficient drug tolerance. After comprehensively adjusting the balance of physical state, Chinese medicine is expected to be cured, and in most cases, it is not necessary to take long-term medication. In the solution
At the same time, insomnia is also adjusting the body from a whole to a healthier state. However, the disadvantage is that in the face of all kinds of individuals, it is difficult to achieve accurate dialectics at once, and it is likely that on the basis of multiple trial and error, it is necessary to find a most suitable program for an individual. The one-day dialectic is accurate, and the effect is also faster. In this case, only 5 medications were prescribed at the time of the second diagnosis, and the insomnia symptoms that lasted for up to 1 year could be basically recovered. The key to the accuracy of the dialectic in this case is that the grasp of the proportion of virtual reality requires the doctor's keen recognition of the details of the change and the ability to switch ideas in a timely manner. This case is also only clinically numerous
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