Sudden elevation of blood pressure resulting from syndrome differentiation faults： Acase report

患者,女,71岁,双手手指关节、双臂、双肩及颈部疼痛.初次就诊予桂枝芍药知母汤加减,用附子温阳.服药三剂后,出现头晕,血压180/60mmHg.再次就诊予加味生脉散,滋阴养阴.第二天,患者血压降到了130/65mmHg.

A 71-year-old woman suffered the pains from her finger joints, arms, shoulders and neck. The first prescription was theadd and subtract of Guizhishaoyaozhimu decoction, which could warm Yang via Fuzi （Radix Aconiti Carmichaeli）. Afterthree oral doses of medication, she felt sleepy with a blood pressure of 180/60 mmHg. The second prescription was theadd of Shengmai Powder which could nourish Yin. The next day, her blood pressure was reduced to 130/65 mmHg.