Female, 63 years old
Reason for consultation
Palpitations and anxiety
Clinical history
The patient has suffered over the past 2 years anxiety attacks accompanied by palpitations. She also has episodes of irritability, feeling of oppression of the chest and shortness of breath. For 10 days, after an emotional conflict, she has the aforementioned symptoms but with more intensity. She has a feeling of heat rising to the head and sweating. Mental restlessness prevents her from falling asleep at night. No thirst. Prefers cold foods but has little appetite. No abdominal discomfort. Complains of cold and pain in the lower back. Urine and stools normal.
Red tongue with thin white coating
Fine pulse
Diagnosis
Heart: palpitation, insomnia and mental restlessness. For 10 days these symptoms have worsened.
Lower backache and cold:
- Is it related to the C or not? -> in this case no
- There is an added pattern of cold obstructing the Bladder channel
Therapeutic principles
- Treat the Heart
- Balance the Kidneys (to be able to control Liver and Heart)
Treatment
- Heart: BL-15
- Lower back pain: BL-23 or BL-52 (palpate to choose)
- Calm anxiety (balance fire and water inside the Heart channel): HT-7 + PC-7 (Ghost Point) (drainage and shen), HT-3 (water point, it is the Kidney inside the Heart)
- KI-3 (lower back pain, shu point treats pains; yuan point, tonifies the vital energy) (KI-6 and KI-7 would also be valid but they don't have indications for lower back pain)
- SP-6 calm the shen, for insomnia
- Anxiety, palpitation: CV-7 (Mu of MC)