The story of Zou Xu diagnosis room | Pain chest tightness and bloating, qi and pain, pain and dishonadia

Aunt Guo, 65 years old, began to repeatedly develop chest tightness, stomach qi discomfort, and pain discomfort in 2019. After many times of treatment of the hospital for treatment, after the combination of traditional Chinese and western medicine such as promoting blood, protecting the stomach, and analgesic, the condition was delayed. Relief. Now for further treatment, I went to Professor Zou Xu's clinic in May this year.

See chest tightness discomfort, symptoms can be slightly relieved after activity, often panic, pain and discomfort under double threats, obvious on the right side, sword debris, sometimes sorrow, mental tension or sullenness, symptoms can increase the symptoms, which can increase the symptoms. , Dry mouth, poor sleep, 1 line of stool day, sticky quality, small stool. The pulse strings are tight and late. The tongue is dull, and the moss is white and thick.

Auxiliary examination: 2021 gastroscopy showing gastric foundation polyps (3mm*2mm), chronic non -atrophic gastrititis; 2019 and 2022 coronary movie shadow, predators can be seen in the presence of about 40%; 2019 in 2019; 2019; 2019 in 2019; 2019 in 2019; 2019; Orthodox ultrasound: liver, gallbladder, pancreas, and spleen no abnormalities; 2021 abdominal color Doppler ultrasound: gallbladder wall bulge lesions, considering the possibility of gallbladder polyps, no mobilization may not be removed; Consider gallbladder stones; in March 2022, the abdomen CT showed that the liver and gallbladder spleen did not see a clear lesion, and no high -density calcium stones were seen in the gallbladder. Based on color Doppler ultrasound results, the possibility of cholesterol stones was considered.

Professor Zou diagnosed as pain in Changsang's theory and dirty diagnosis theory according to the theory of Changsang Junmai and the theory of dirty diagnosis. ,spleen. In terms of treatment, the liver relief and stagnation, the moistureization and wetness of the wetness, and the mixture of the wet and the soup, which increases and subtracted, increases the yellowing of Huanglitong, Huanglian Qing heat, Wuling San to benefit the water to wet, and firewood to the water. With the liver and qi, Evodia is dredging of the liver and dispersing cold. Give 14 doses, decoction, and instructed the patients to actively move and maintain a comfortable mood. And to balance the needle acupuncture, the acupuncture of Yanglingquan and Hegu acupoints, the symptoms of pain in the patient were relieved at the time.

After 14 days of retracement, the patient's stool increased after taking the medicine. The pain in the right threatening after the stool was significantly relieved, and the mood was relatively comfortable; In the morning, the mouth was dry, the two -sided upper pulse, the pulse was tight, the tongue was tender, and the fur was thin and dry. On the basis of the prescription, the prescription went to Zexie, Poria, and plus tulips, scutellaria baicalensis, and Yin Yin to strengthen the power of clearing heat and relieving depression and dampness. Continue to give 14 doses, decoction.

Three consultations, the patient's complaint under the right threat was further relieved, the attack time was reduced, and the degree of pain was reduced than before. On the basis of the ahead, the prescription is given to the Haijinsha and Money Grass to enhance the power of stones.

【note】

Patients have repeatedly suffering from chest tightness pain, underwriting, or pain under the sword. The complex symptoms seem to have multiple lesions. However, at the beginning of the onset, no obvious organic lesions were seen improved. With the development of the disease, the gallbladder stones were discovered in March this year. Professor Zou pointed out that this is the characteristics of the diseased disease. The pain surrounds the ribs, and even the back of the chest should be relieved. The disease is based on unfavorable liver and gallbladder, and the Shaoyang Meridian qi is not smooth as the basic pathogenesis. Patients are over 60 years old, the spleen and stomach transportation function decreases, the water drinking metabolism is discharged, the stagnation of the middle coke, blocking the gas machine, and the liver biliary is lost in the abolition bar. In addition, the patient's pulse is tight and late. The gas block, adding cold condensation, the liver and gallbladder aircraft are increasing, so the disease is pain. Sticky stool is a wet and medium focus, leaving the performance below. The dry mouth is a manifestation of qi stagnation, and the fluid cannot be inherited. The patient's tongue pipe suggests spleen deficiency and dampness, and liver cold stagnation. Therefore, in terms of treatment, the main goal is to open up the aircraft, so the acupuncture of Yangling Spring and Yangming Sutra of the Shaoyang Sutra of the Shaoyang Sutra shall be given to the Shaoyang and Yangming Jingqi of the Yangming Jing. The effect of the cold and liver's qi makes the middle scorch wet and the evil machine is eliminated. "Tong is not painful." Therefore, after the first consultation, the patient's symptoms of pain and pain relief, and only left under the right threat. Considering this symptom is caused by liver and gallbladder stagnation and long -term stones. Increase qi, relieve liver and gallbladder, and promote stones to eliminate stones.

"Four Gold" to relieve depression and eliminate stones to stop threat pain

Threat pain is the main disease syndrome with the pain of threats on one or both sides. It is a common symptom in hepatitis and gallbladder disease. The pain of pain can be tingled, painful pain, pain, pain, and pain. There are many causes of pain in pain. Speaking chronic hepatitis, acute chronic cholecystitis, and gallstone in modern medicine can cause pain. In the above cases, the patient under the right threaters is more stubborn and difficult to go. In addition to the patients with dampness and stagnation, Professor Zou considers that because of the long time of gallbladder and stagnation, the problem of "stone formation" has occurred. Gold "to eliminate stones and relieve pain.

The so -called "four gold" refers to the combined four -flavored traditional Chinese medicine of tulip, chicken gold, Haijinsha, and money grass. Among them, chicken gold, sea jinsha and money grass are also known as "stone dumplings", which are commonly used to treat urinary stones in clinical practice. Money grass grows diuretic and dehumidifies, and stones are good. In addition to the heat and diuretic of Haijin Sha, it is particularly older than pain relief. Although the chicken has no diuretic skills, it is greater than the steady stones. The three are used in combination, for the stones that have been steamed and tormented for a long time, the stones have been special. For patients with gallstone stagnation, you can add melancholy on the basis of "three gold" to relieve the liver and stubborn bile. The combination of the four can play the role of qi and depression, eliminate dampness and stones, so it can be used for the treatment of gallstones. Prevention and adjustment of threat pain

Baining pain in Chinese medicine is mostly hepatobiliary lesions. The fundamental pathogenesis is that hepatobiliary is lost and Shaoyang is not smooth. In the "Inner Canon", there is a record that "three days of Shaoyang suffer, Shaoyang is the main bile, and its pulse follows the threat to the ears, so the chest threats and deafness." It can be seen that the main prevention and treatment of pain is mainly to adjust the Shaoyang liver and gesture machine. In daily life, you can use the following methods to make the pneumatic bar.

1. Keep your mood happily and stabilize your mood

The normal expression of the seven emotions is based on the coordination of liver qi. Instead, changes in emotional will also affect the fluid evacuation changes. So maintaining mental pleasure is very helpful for the regulation of the aircraft. Professor Zou suggested that you can choose outdoor activities, especially in the sun, which is particularly helpful to express depression.

2. Pay attention to sufficient sleep to avoid staying up late

People with insufficient liver and yin can also cause the functional disorders of the liver hypothyroidism and cause pain discomfort. In the "Nei Jing" records "lying, the blood belongs to the liver", when the human body rests at night, the blood can support the liver yin and maintain the normal physiological function of the liver. And during the period from 11 o'clock to 3 am at night, the sutra was popular in the two sutras of the liver and gallbladder. Therefore, entering the sleep state at this time can help the human body's own liver protection and blood.

3. Pay attention to diet to avoid smoke and alcohol fat and sweet

Tobacco -alcoholic fat and sweetness can easily cause the spleen and stomach to weaken, lead to the internal and humid and heat, and block the gas machine and cause pain. In terms of diet, pay attention to light, you can eat more vegetables, fruits, etc., you can also take more lentils, red beans, mung beans and other heat and dampness products. You can also drink flower tea to wake the spleen and dampness. , Egg flower, lentils, etc.

4. Pat the meridians to spar the liver and qi

You can pat the liver or bile meridian of the lower limbs. You can also use your fingertips to press Yanglingquan or Taichong acupoints to relieve the liver and relieve depression. The liver meridian is distributed in the inside of the lower limbs, the bile meridian is distributed outside the lower limbs, and both Jing can be extended from the calf to the thigh. Yanglingquan is located in the depression in front of the fibula head outside the calf, and the Taichong acupoint is located between the first and 2 metatarsal bones (as shown below).

Zou Xu, professor, chief physician, doctoral supervisor, director of the Department of Critical Medicine, Department of Critical Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine. Professor Deng Tietao, a master of Chinese medicine, the heir, the seventh batch of academic experience inheritance of academic experience in the academic experience of old traditional Chinese medicine experts, the third batch of national outstanding Chinese medicine clinical talents, the second national outstanding youth traditional Chinese medicine, Guangdong Province famous Chinese medicine, the Chinese Academy of Traditional Chinese Medical Sciences Name Chinese medicine. He is good at treating cardiovascular diseases, urgency and critical illness, infectious diseases, and suspicious diseases in the treatment of cardiovascular disease.

He served as the leader of the Guangdong team leader in Hubei ’s fourth Chinese medicine medical team and the head of the C6 ward of the Leishan Hospital in Wuhan. The title of "Model of Times" of the Central Propaganda Department.

Later, as a member of the State Council ’s joint prevention and control mechanism and a member of the New Crown Pneumonia Epidemic Extraction of the State Administration of Traditional Chinese Medicine, he assisted Hebei Xingtai, Guangzhou Eighth People's Hospital, Yunnan Ruili, Fujian Xiamen, Shaanxi and other places to conduct joint Chinese and Western medicine joint diagnosis In 2022, as a member of the Central Expert of the Central Division of the Central Affairs of the Central Affairs of the Central Committee, they all achieved good results and were recognized by patients and Chinese and Western medicine.

Won the Central Civilization Office, the National Health and Health Commission "China Good Doctor", the Guangdong Provincial Party Committee and Provincial Government "Guangdong Provincial Advanced Personal Personal Personal Personal Personal Extraordinary Personal", the Provincial Health Commission of the Propaganda Department of the Guangdong Provincial Party Committee, "Guangdong Good Doctor" The title of "the most beautiful retrograde of the new crown virus COVID-19" and the "People's Good Doctor-Medical People Special Contributors" and other titles.

Supply: Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital Lingnan Deng's Nei Keliu Panging Studio

Zou Xu Guangdong Famous Traditional Chinese Medicine Heritage Studio

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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