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Medical Case 2 - Guizhi plus Gegen Decoction Syndrome

The second aunt at home usually suffers from migraine headaches, which are more severe on the surrounding sides and worsen when encountering wind, cold and dampness. Suffering from frozen shoulder, stiffness and discomfort in the shoulder and neck, stiff neck, difficulty in moving, often stiff neck, no sweat on one side of the body for a long time, dry eyes, blurred vision, and cholecystitis, pain from time to time, difficulty sleeping I often wake up at 4 or 5 a.m. with good appetite and normal bowel movements.

The patient was treated with acupuncture more than half a year ago. Although the effect was good, it was not long-lasting, so it was decided to treat it with prescriptions. Zhong Jingyun said: For those with Taiyang disease, strong neck and back, anti-sweating and bad wind, add cinnamon twigs. Pueraria lobata soup is the main drink. Definitely use Guizhi plus Pueraria lobata decoction as the base, add Clematis to dispel rheumatism, unify the meridians, relieve paralysis and pain, and add Chicken Spatholobus to promote blood circulation and nourish the blood, soothe the muscles and activate the collaterals; because it is a rheumatic headache, and it is biased towards Shaoyang, Add Chuanxiong, Angelica dahurica, Asarum, and Qianghuo to dispel rheumatism and relieve pain; for cholecystitis, add Bupleurum and Scutellaria baicalensis to relieve gallbladder qi and clear away gallbladder fire; for dry eyes and unclear vision, add a little wolfberry.

? Pueraria lobata: 30g Guizhi: 10g White peony root: 30g Zhigancao: 10g?

? Clematis: 15g Millet Spatholobus: 30g Bupleurum : 20g wolfberry: 15g?

? Chuanxiong: 10g Asarum: 3g Qianghuo: 6g? Angelica dahurica: 6g?

? Scutellaria baicalensis: 10g once fried Take two doses

? ***Take 20 doses

The effect of taking the medicine is not obvious at first, and then gradually I feel the muscles in the back of my neck relax, the numbness and pain in my shoulders and neck are relieved, the symptoms of stiff neck are relieved, and the neck pain is relieved. The movements of my body gradually become more flexible, my gallbladder pain has not occurred, and my headaches have been better treated. I ride the tram to and from get off work in Yunqian. If I don't wear a hat, my head will hurt. Now I can do it without wearing it. However, the disease of not sweating half of the body has not been cured.

Press 1: The prescriptions prescribed by Shangyu are more for the upper walking head, and the effect of promoting blood circulation and dredging the collaterals is stronger. However, the blood-tonifying medicines are only two flavors of white peony root and Millet Spatholobus. If there is less blood, the effect will be poor. This is because Angelica sinensis is added to the original prescription to help replenish the blood. The medicine is more powerful, and most of them are medicines for dispersing wind and cold. The properties of the medicine are warm and pungent. For people with yin deficiency, it can cause dry mouth and irritability. If heat is added to the prescription, the prescription will gradually improve.

Note 2: The earliest mention of half-body sweating in the Sutra is "Sweating tends to cause depression and makes people dry" in "Suwen·Qi Tongtian Lun". The cause is anger or fatigue. Damage to a person's yang energy is, according to Western medicine theory, local damage to nerves or blood vessels. Therefore, it should be treated by replenishing yang, stimulating menstruation and activating blood circulation. In fact, it is a syndrome of Guizhi plus Gegen Decoction, which must be considered.