A 71-year-old man, slightly pale, showed an anemic appearance. He staggered into the hospital with a painful expression and a sharp pain in his right chest, which was unbearable for him. His foot movement was limited, and he was walking with great difficulty, as if he was in great pain with every step.
After careful examination, it was found that his pulse was large, and his tongue was moist but moss-free, giving people a feeling of weakness and vitality. His abdominal muscles were moderately strong and slightly soft, but the rectus abdominis showed a state of spasm, as if he was silently suffering from the pain in his body. He has a low frequency of bowel movements, only once every 4 to 5 days, which also reflects some discomfort in his body.
After carefully analyzing his condition, the doctor decided to give him rhubarb aconite soup for **. This is an ancient Chinese herbal formula, composed of rhubarb and aconite, which has the effect of clearing heat and detoxifying, warming yang and dissipating cold. After 25 days of medication**, his condition improved significantly.
During this period, his chest pain gradually lessened and he became more comfortable walking. The complexion gradually returned to ruddy, and the symptoms of anemia also improved. The frequency of stool has gradually returned to normal, and the cramps in the abdomen have gradually disappeared. In the end, after 25 days, he was completely ** and regained the vitality of life.
In the theoretical system of traditional Chinese medicine, although intercostal neuralgia is far away from the "hypocilla", there is a profound basis for the selection of rhubarb aconite decoction. This choice is not untargeted, but is based on careful observation and in-depth analysis of the patient's condition.
First of all, the severity of the patient's pain is one of the important indications of rhubarb aconite decoction. The two herbs of aconite and asarum have strong analgesic effects in traditional Chinese medicine, especially for neuralgia. In the history of Chinese medicine, there is a rich experience in using rhubarb aconite soup and boiled licorice soup together, **sciatica. This provides a valuable reference for us to use its intercostal neuralgia today.
Secondly, the abdominal syndrome of rhubarb aconite soup was characterized by paraumbilical and subumbilicus tightness, but the abdominal strength was moderately soft. This means that the patient's abdominal presentation is highly consistent with the indication for rhubarb aconite decoction. This point is particularly important in the diagnosis of traditional Chinese medicine, which provides a direct basis for us to determine the best plan.
Finally, the patient's pale complexion, anemia, and tongue are all manifestations of yin syndrome. The ** direction of the yin pattern coincides with the ** direction of aconite and fine pungent , which further confirms the applicability of rhubarb aconite soup. The patient's stool once every 5 days is not a symptom that must be seen in rhubarb aconite decoction, but it also provides some support for the use of rhubarb.
To sum up, although the intercostal neuralgia is far from the "hypoclanch" part, the selection of rhubarb aconite decoction is based on a comprehensive consideration of the patient's condition and the in-depth application of traditional Chinese medicine theory. This method not only embodies the individualized principle of TCM, but also demonstrates the unique advantages of TCM in neuralgia.
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