男性，57歲，
主訴：3日前開始覺頭暈，現頭暈，左後腦痛，項強，腦中熱感，自覺說話時舌頭不俐落。
舌診：暗紅，前部苔薄白，根部白厚，舌下絡脈粗
脈診：弦硬
中醫診斷：肝腎陰虛，肝陽上亢，中風先兆。
方藥：鎮肝熄風湯加減
結果：兩服藥後，自覺80%眩暈感已去，舌轉動如常
複診：上藥再服一副，之後服六味地黃丸善後
注意：如有以下症狀，應警惕中風。寫字變形；動作忽然不靈活；或動作 緩慢；說話含糊，舌頭感覺麻木，不流利；面色如醉等。
Pre-stroke case
Male, 57 years old
Complaints: Started to feel dizzy 3 days ago. He describes it as feeling like sitting on a boat, pain on the back of
the left side of his head, stiff neck, feels as if heat is inside his head, his tongue does not feel
smooth when he talks.
Tongue Observation:
Dark red color, white thin coating in the
front part of the tongue, white thick coating at the root of the tongue. The
sublingual veins are thick.
Pulse
Examination:
taut (tight , stretched and rigid)
Diagnosis:
Ying
deficiency of liver and kidney, Hyperactivity of liver-yang, pre-stroke
Major
formula:
Zhen
Gan Xi Feng Tang
Result:
After 2 days herbs, 80% dizziness feeling
gone, tongue feeling back to normal.
Second
treatment:
One
more day herbs as the same formula as
the first visit, then use Liu Wei Di Huang Wan to nourish liver and kidney yin.
Symptoms
that might indicate you are at risk of having a stroke soon:
There is sudden deterioration in writing, body movements are less flexible, face is flushed as if drunk, numbness or unusual feeling in the tongue, degradation of speech, and feeling of intense heat from within the head.
There is sudden deterioration in writing, body movements are less flexible, face is flushed as if drunk, numbness or unusual feeling in the tongue, degradation of speech, and feeling of intense heat from within the head.
