Female 29 years old

Reason for consultation

Aphonia

Clinical history

A year ago she became aphonic due to crying from a family tragedy. Since then:

• aphonia if she talks a lot
• hoarse voice
• sadness
• dizziness, with feeling of emptiness in the head
• physical and mental asthenia
• amnesia
• loss of appetite
• weakness of the lower back and lower limbs
• amenorrhea for 3 months
• weight loss
• dry mouth and throat
• red tongue with little coating
• fine and deep pulse

Diagnosis

• sadness -> lung-> voice -> Lung-Yin deficiency
• Kidney-Yin deficiency -> dryness, lower back, amenorrhea, weight loss, fine pulse, etc.

the broken bell does not ring

Therapeutic principles

• Tonify Lung-Yin and Kidney-Yin
• Treat the voice
• Calm dizziness
• Treat insomnia

Treatment

• Treat the voice:
  • KI-4 -> Great Bell -> chronic loss of voice and chronic pharyngitis
  • LU-10 (throat dryness and sadness) + LI-18 (aphonia), LU-9 (tonification), CV-17 (zong qi point),
• Tonify Kidney-Yin:
  • KI-3, KI-6, SP-3, ST-36
• Sadness:
  • LU-5 (we already used LU-10)