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Abstract: A 34-year-old male patient reported that he felt distension and pain in both ribs, bitterness in the mouth, and tightness in the chest for unknown reasons 4 days ago, and felt emotionally unstable, always wanting to get angry, and his temper had also become larger, which was not relieved even after resting and calming down at home, so he also came to the hospital for consultation. After identifying the symptoms and disease, he was diagnosed with liver depression and blood stasis, and was treated with medication and physiotherapy.
Basic information】Male, 34 years old
Disease Type】Liver stagnation and blood stasis
Hospital】Qilu Hospital of Shandong University
Date of Consultation】January 2022
Treatment plan】Oral medication (Zhuangyao Pill, Chai Hu Liver Dredging Pill), Chinese physiotherapy (acupuncture)
Treatment period】In-hospital treatment for 10 days, followed by discomfort
Effect】The disease has been cured, the symptoms of swelling and pain in the ribs, bitterness in the mouth and chest tightness have disappeared, and the mood has become stable, no longer angry all the time.
I. Initial consultation
The patient, a 34-year-old male, reported that the symptoms of distension and pain in both ribs, bitterness in the mouth and chest tightness had lasted for 4 days, and he felt emotionally unstable, always wanting to get angry for unknown reasons, and his temper had gradually grown recently. During physical examination, the patient’s tongue was purple and dull with white greasy coating, the pulse was stringent and there was a lump in the lower abdomen under the hypochondrium.
Treatment history
The patient was suffering from liver stagnation and blood stasis, which was caused by the stagnation of liver qi and blood stasis in the liver, and needed to use medicine and acupuncture to unblock the liver and regulate qi and blood. So the patient was first prescribed Zhuangyao Pill and Chaihu Shuhepian Pill for oral administration, both of which have the effect of de-stagnating liver and Qi and can help relieve the patient’s discomfort caused by liver Qi stagnation, and Chaihu Shuhepian Pill also has the effect of reducing distension and relieving pain, which can alleviate the patient’s symptoms of distension and pain in both ribs. In addition, during the period of taking the medicine, the patient was given acupuncture and moxibustion at the foot San Li point, Guan Yuan point, He Gu point and Yang Ling Quan point to regulate the patient’s yin and yang as well as qi and blood by stimulating the meridians.
Treatment effect
The patient’s body gradually improved after the treatment plan of Chinese medicine and Chinese physical therapy. On the 10th day of in-hospital treatment, the patient complained that the symptoms of distension and pain in both ribs, bitterness in the mouth and tightness in the chest disappeared, and he became emotionally stable and did not feel bored and angry all the time, and his sleep, diet and bowel movements were normal.
IV. Precautions
When the patient was discharged from the hospital, I felt very happy for the patient, but since the disease is often prone to recurrence, the following precautions were repeatedly instructed to the patient upon discharge.
1, usually you can do something that interests you, such as painting, jogging, cycling, etc., which can help to adjust your mind, and good and stable emotions can help to regulate the liver.
2, a reasonable diet, a balanced daily intake of bananas, milk, chicken, millet, dates and other foods, not too much intake of stimulating food, and a reasonable rest, can help their own health.
3.If you have abnormal adverse symptoms after discharge, you should seek medical review in time and not take medication on your own.
V. Personal insight
If you do not take care of your liver, it is easy for the liver to be attacked by evil qi, which will lead to the discovery of lesions in the liver. Like the patient in this case, he was suffering from liver stagnation and blood stasis due to liver qi stagnation and blood stasis in the liver.