Patient: Ms. Li, 34 years old.
Chief complaints: stomach bloating, palpitation, insomnia, dreaminess, anxiety and depression.
Pulse: Weak strings
Pulse Analysis:
Strings: The main liver and gallbladder are white, and the liver qi is stagnant and emotionally disordered.
Fine: The main blood is less, and the spleen deficiency is the source of qi and blood biochemistry.
Weak: The main yang is weak and weak, and the tympanic arterial canal is insufficient.
Tongue Analysis:
- The spleen and stomach area is "V", which is a typical image of a strong stomach and a weak spleen and a weak tongue, a strong stomach is a strong stomach, and a weak spleen is a deficiency of spleen yang, indicating that the middle focus is blocked, and the cold and heat are not adjusted, so the stomach is distended.
- If the tip of the tongue is concave, the brain is not nourished, which is manifested as insomnia and dreams.
- If the liver and gallbladder on both sides of the tongue are high, the liver is depressed and stagnant, and the mood is out of balance, so it is irritable, depressed, and anxious.
Dialectic: Liver stagnation, cold and heat are unbalanced.
Treatment principle: soothe the liver and relieve depression, calm cold and heat.
Recipe:
- Four inverse dispersion: soothing the liver and depression, flirting with the will. Fangzhong takes Bupleurum into the liver and gallbladder meridians, raises yang qi, soothes the liver and relieves depression, matches with white peony, and can regulate qi and blood.
- Banxia Xingxin Soup: Hard work and bitterness, calm the cold and heat. In the middle of the summer, scatter the knots to remove the ruffian, reduce the inversion and stop vomiting. The bitter cold of skullcap and coptis is used to relieve heat and open the ruffian, and jujube and ginseng are used to warm and nourish qi to replenish spleen deficiency.
- Jujube soup: nourishing blood, calming the nerves, and helping sleep. Add angelica, white peony and wolfberry to enhance the function of nourishing blood and liver. Add wheat winter, raw wheat winter nourishes yin and clears heat, and adds mother-of-pearl to calm the nerves.