Medical record: Patient female, initial diagnosis on April 2, 2019. Symptoms include numbness in the left finger for several years, difficulty falling asleep for many years, excessive dreaming, shallow sleep, early awakening, dizziness, headache, tinnitus, chills, occasional shortness of breath, palpitations, and spontaneous sweating

Medical record: Patient female, initial diagnosis on April 2, 2019. Symptoms include numbness in the left finger for several years, difficulty falling asleep for many years, excessive dreaming, shallow sleep, early awakening, dizziness, headache, tinnitus, chills, occasional shortness of breath, palpitations, and spontaneous sweating. Have a history of multiple lacunar infarction. The tongue is dark red, with thick roots in the moss, cracks in the middle, and slight tooth marks on the edges. The sublingual collaterals are stagnant and curved, and the veins are thin and slightly stringy.

[Syndrome differentiation]: Sequela of stroke numbness (deficiency of qi and blood, stagnation of collaterals).

Treatment Principles : Benefiting Qi and nourishing blood, resolving blood stasis and unblocking collaterals.

Prescriptions : Sour jujube kernels, Chuanxiong, Zhimu, Fushen, Yejiateng, Fructus Aurantii, Sundried Ginseng, Radix Pseudostellariae, Codonopsis pilosula, Salvia miltiorrhiza, Squid bone, Jiaohawthorn, Jiaoshenqu, Stir fried malt, Turmeric, Gardenia jasminoides, Prunella vulgaris, French Pinellia, Magnolia officinalis, Roasted licorice, Gastrodia elata.

Usage : Take water decoction once a day, divided into three doses.

[Efficacy]: The patient's sleep was improved and his fingers were numb. In addition to the tranquilizing and tranquilizing medicine, the products of ground beetle worm, scorpion, and earthworm were added to dredge the collaterals. The patient's sleep, dizziness, shortness of breath, and brain ringing were improved, and his left finger was numb from time to time. The tongue is red with thin yellow fur, and the veins are thin and stringy.

On May 28, 2019, follow-up visit: Finger numbness improved, and the prescription for tonifying qi and blood was continued. All symptoms were reduced during follow-up.

Prescriptions : Sundried Ginseng, Astragalus membranaceus, Pseudostellaria, Atractylodes macrocephala, Poria cocos, Atractylodes macrocephala, Gardenia jasminoides, Yizhiren, Acorus calamus, Coptis chinensis, Cinnamon, White peony, goji berry, Xianling spleen, Acacia bark, roasted licorice, roasted hawthorn, roasted Shenqu, fried malt.

Usage : Take water decoction once a day, divided into three doses.

Note : In this medical case, although the patient was in his old age and sought medical attention due to numbness in his fingers, he had difficulty falling asleep for a long time. He had multiple dreams and woke up early, which seriously affected the patient's life and was not conducive to the recovery of vitality. Therefore, the main contradiction at this time was the deficiency of vital energy. The main focus was to replenish vital energy, calm the mind, and aid sleep; When the sleep turns slightly, the positive qi gradually recovers, and you can start to remove blood stasis. In addition to supplementing qi and nourishing blood, add ground beetle worms, scorpions, and dragons to remove blood stasis and dredge the collaterals, so as to help the circulation of vital energy.

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