(Disclaimer: This article is only for popular science purposes, in order to protect patient privacy, the information in the following content has been processed) Abstract: The patient usually works under stress, thinks a lot, is easily bored, often suffers from chest tightness and shortness of breath, the two ribs are full and uncomfortable, according to the tongue and pulse identification comprehensive analysis, considered to be due to qi stagnation evidence, liver depression, spleen deficiency, qi mechanism is not smooth, so with the method of draining the liver and strengthening the spleen, regulating the qi mechanism, given The patient’s symptoms improved after 3 weeks. [Basic information] Female, 25 years old [Disease type] Qi stagnation [Hospital] Daqing Hospital of Traditional Chinese Medicine [Consultation date] April 2021 [Treatment plan] Oral administration of prolotherapy + abdominal breathing training + stretching training [Treatment period] 3 weeks of outpatient treatment [Treatment effect] Chest tightness, shortness of breath, and discomfort in the rib cage improved significantly I. Initial interview The patient is a 25-year-old female who took care of her child after giving birth and often suffers from insomnia She is anxious and easily loses her temper with her children, lover and parents because of some small things. In the past 2 months, the patient felt that she had chest tightness and distension, fullness in both sides of the chest, dry mouth and poor appetite, dry stools and sometimes thin stools, and sometimes headache and fear of cold. The patient’s tongue was light and slightly toothed, with thin and greasy moss, a stringent pulse, a pale complexion, poor luster, dry skin, low menstruation in the past 2 months, and abdominal pain and discomfort before menstruation. According to the patient’s tongue, pulse and symptoms, the patient’s current physical condition belongs to Qi stagnation evidence, liver depression, spleen deficiency, Qi flow is not smooth, resulting in the body Qi and blood flow disorder, so the liver and spleen, regulate the Qi flow, to be given oral treatment with free remote san. At the same time, the patient was taught to perform daily abdominal breathing training, which can raise the clear and lower the turbid, and the combination of breathing and exhalation can strengthen the qi regulation. At the second week of follow-up, the patient felt that the symptoms of shortness of breath seemed to have improved, and his mood had also improved, and he was no longer unhappy with his family over some trivial matters. At the same time, the patient was given 1 week of prolotherapy. At the third week of follow-up, the patient’s complexion was already rosy, and the symptoms basically disappeared at the initial consultation. The patient was told to pay attention to his diet and living habits, mainly light and easily digestible food, avoid staying up late, go to bed early and wake up early, and insist on abdominal breathing training and stretching training. The patient was treated for 3 weeks from the initial consultation to the final consultation. After the TCM evidence-based treatment, the patient’s many discomforting symptoms caused by Qi stagnation were greatly improved. At the end of the consultation, the patient was in a good mood and in good spirits, and the symptoms of dysmenorrhea, headache and coldness were improved. The symptoms were resolved after the TCM identification treatment, and the patient felt a marked difference in her physical and mental state compared with that before the treatment, and she was full of spirit and could concentrate on some things. I am glad that after the treatment, the patient’s chest tightness and shortness of breath and discomfort in the rib cage improved significantly. The patient had a phase of depression and anxiety because she was taking care of her child at home after giving birth, and the uncomfortable mood state could trigger the dysfunction of the internal organs of the body. Therefore, I told the patient that she needed to actively regulate her mind, learn to reasonably release stress, and listen to music, plant some flowers, and read books at home to divert her attention in order to cultivate her body. I also advised her to regulate her work and rest schedule to ensure good sleep, to eat a light diet, to eat more vegetables, to keep her bowels open, to do abdominal breathing exercises and stretching exercises at home or in the park to improve the physical state of liver depression and qi stagnation, to do some activities she likes in her leisure time to promote a happy mood, and to greatly improve the state of qi stagnation with medication. V. Personal insight For this patient, after giving birth and taking care of the child at home, lack of social communication, their own emotions tend to fall into a low point, and in the absence of help, they are prone to depression and bullheadedness, resulting in a low mood. Liver depression and qi stagnation are caused by both internal and external factors. The liver’s ability to regulate the flow of qi and blood around the body cannot be regulated, and the external emotional stimulation can easily aggravate the state of qi stagnation and lead to symptoms.