Summary of case history,　The patient developed chest tightness and pain due to improper diet, and then bilateral breast excessive pumping and cupping, aggravated chest tightness and chest pain, chest and back tightness, difficulty in articulation, and inability to speak loudly. He was treated in many hospitals, but the effect was not good, and his condition was improved after dialectical treatment by WANG Yigang.,TCM diagnosis,　liver stagnation and Qi stagnation, disease stasis and collaterals, chest Yang obstruction syndrome.,Western medicine diagnosis,　1. cardiac neurosis, 2. depression.,Therapeutic methods,　1. Kinetic needle guidance, 2. traditional Chinese medicine, 3. Chinese patent medicine.,Clinical outcomes,　After 4 times of treatment, the patient's chest tightness and chest pain were obviously improved, and his speech function was normal.