Wu, female, 17 years old, first seen on November 20, 1983 Complaint: palpitation, chest tightness for 4 years, aggravated for more than 1 year. History: palpitations and chest tightness appeared after strenuous exercise 4 years ago, relieved after rest, and then suddenly fainted during exercise on May 7, 1983, and was sent to the hospital for resuscitation, and was diagnosed as “hypertrophic cardiomyopathy” after ECG, ECG vector, echocardiography, and X-rays at Fu Wai Hospital in August 1983, and was relieved by hospitalization in Western medicine, and is now coming for She was hospitalized in Western medicine and was relieved by Western medicine. Symptoms: palpitation, shortness of breath, chest tightness, swelling and pain at times, pale color, dizziness, fatigue, weakness, cold limbs, thirst and no drinking, lips slightly purple, tongue with dark edges and purple tips, with petechiae, and thin and weak pulse. Diagnosis in Chinese medicine: palpitation and chest paralysis, evidence of insufficient heart qi, chest yang not spreading, blood stasis and obstruction. Heart qi insufficiency, palpitation, shortness of breath, chest tightness, dizziness, fatigue; chest yang is not vibrant, so the face is pale, cold limbs cold; lips purple, tongue dark edge tip purple, petechiae, pulse is thin is stasis blood blockage phenomenon. Western medicine diagnosis: hypertrophic cardiomyopathy. Treatment: Benefiting qi and warming yang, broadening the chest and activating blood circulation. Prescription: Juniperus allium cepa baijiu Tang combined with Si Jun Zi Tang and Ling Gui Jie Gan Tang plus subtractions. Gua Lou 15g, Allium sativum 10g, Gui Zhi 5g, Radix Codonopsis 10g, Rhizoma Atractylodis Macrocephalae 10g, Poria 15g, Salviae Miltiorrhizae 15g, Peach kernel 10g, Safflower 6g, Glycyrrhiza Glabra 6g. In the formula, Gua Lou, Allium sativum, and Gui Zhi broadens the chest and promotes yang; Radix Codonopsis, Rhizoma Atractylodis Macrocephalae, Poriae, and Glycyrrhiza Glabra benefit qi, strengthens the spleen; Salviae Miltiorrhizae, Peach kernel, and Safflower invigorate blood stasis. The whole formula plays the effect of warming yang and benefiting qi, broadening the chest and activating blood circulation. Second diagnosis: after taking 18 doses of medicine, chest tightness, distension and pain, palpitations were obviously reduced, purple and dark petechiae on the tip of the tongue were obviously reduced or subsided, and the pulse was slightly strong. Poor sleep at night, oral ulcers, red corn-like acne around the mouth and lips, nose and forehead, tongue fat, pale pointed red, with teeth marks, thin and yellowish moss, pulse is smooth on the left and fine on the right. The patient is young, dampness and heat are contained within, and the phase fire is in excess, so the treatment is to clear and harmonize the method. Medicinal: 1, Huanglian 10g, on the cinnamon 1g, Zhu Ru 10g, half-summer 10g, Poria 15g, Psoria 15g, Gua Piper 15g, Citrus aurantium dulcis 10g, Dampi 10g, stiff silkworms 10g, Mentha piperita 10g, fried jujube kernel 15g, six one loose packet of 15g. decocted. 2, mulberry leaf 10g, bitter ginseng 10g, Mentha piperita 15g, Cyperus rotundus 10g, borax 6g, 6g of children’s tea. brewed gargle. Third diagnosis: after 18 doses of oral soup, oral acne has been cured, palpitations and shortness of breath greatly reduced, chest tightness occasionally, menstrual flow with blood clots, color purple-red, abdominal paroxysm, tongue with a few petechiae, white slippery moss, smooth pulse, dampness-heat in addition to the phase of fire clear, is still the original method of change, medicinal: cinnamon sticks 6g, Gua Pou Pi 9g, Semen Xie 9g, Chen Pi 9g, Radix Panax Quinquefolium Chinense 20g, Poria 9g, Salviae Miltiorrhizae 15g, Radix Paeoniae Lactiflorae 12g, safflower 3g, Radix Angelicae Sinensis 10g, Folium Ulmoides 3g. Danggui 10g, yujin 10g, yuanhu 9g, fourth diagnosis: taking 8 doses of medicine, chest pain disappeared, palpitations did not occur, poor sleep at night, dry mouth at night, the heart is hot, tongue tip red, thin and greasy moss, pulse string slippery inch big. Deficiency of heart yin, internal disturbance of deficiency heat, treatment to nourish the heart yin, clear deficiency heat, with the method of activating blood circulation and removing blood stasis. Medicinal use: sasanqua 12g, maitake 9g, wheat 15g, poria 10g, gardenia 6g, edamame 9g, Zhimu 6g, Salvia miltiorrhiza 10g, tulip jin 9g, calamus 10g, scape hebecarpembemerosa hebecarpemerosa hebecarpembemerosa hebecarpemerosa hebecarpemerosa 6g, licorice 3 g. Serving 7 doses, the symptom disappeared. Comment: Young people often have more Yang, vitality and vigor, the deficiency of Yang Qi or a momentary change, warm tonic should pay attention to the changes in the condition, with the evidence to adjust the use of drugs. In this case, pale color, cold limbs, with a small amount of Gui Zhi warm yang qi, 18 doses and the emergence of mouth sores, acne, that is, to adjust and rest. Then serve 8 doses of yin deficiency and internal heat suddenly appeared, in order to nourish the yin of the heart, clearing the deficiency of heat to close the work.