A certain patient, male, 30 years old,
On August 6, 2015, the first diagnosis of
- main complaint: The heart is full of 3 years.
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The tongue has pale tooth marks , the coating is slippery, the pulse is slippery, the pulse is weak after several feet, and the pulse is weak when pressed in the inch gate.
- Western medicine diagnosis: chronic superficial gastritis ;
- Traditional Chinese medicine diagnosis : epigastric disease;
- syndrome is: spleen and stomach deficiency, yin fire upward.
treatment to nourish the spleen and stomach and relieve yin fire. Li Dongyuan Li Dongyuan Pupiwei Shengyang Decoction plus and subtract
Prescription:
Raw Astragalus 25g, Codonopsis pilosula 10g, fried Atractylodes macrocephala 10g
Poria 20g, yam 15g, Codonopsis 10g
Huangbo 6g, scutellaria baicalensis 6g, Bupleurum 5g, liters of mahjong 5g
method Pinellia halves 10g, 六后六后 10g, 可一后 10g, 可一后 未分类 10g, 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分类 未分
Second Clinic (August 20, 2015)
Swelling and reducing, body strength increased, dry mouth improved compared with before, still have insomnia, cold waist, and unformed stool. The tongue is pale, the pulse is deep and the pulse is weak.
50g night-fed vinegar, 25g dried ginger, 10g atrial tablets, 14 doses, decocting and taking the same method as before.
Third diagnosis (September 5, 2015)
All symptoms are reduced, and the stomach bloating is still there after eating too much or overwork. I like to eat warm food and water. Remove the stove heart soil from above
, reduce the night jacking to 30g, 5 doses, and make fine powder, and make water pills, 10g each time, twice a day.
Note: The patient in this case is deficient in spleen and stomach, and transforms into yin fire. The difference is that in addition to stopping in the spleen and stomach, causing dry mouth, this yin fire also disturbs the mind and causes insomnia.
In addition, the patient also has diarrhea and waist soreness and hindrance, and spleen and kidney yang deficiency. Therefore, Professor Wang chose Xieyinhuo Bupiwei Shengyang Decoction, add Huanglian to clear the heart fire, and use Liujunzi Decoction to increase the spleen-strengthening power, and add Yizhiren, Caixin Earth, Cuscuta, and Morinica to warm the yang spleen and kidneys.
During the second diagnosis, the patient's symptoms decreased and the effect was not updated. Add the night to relieve the nerves and help sleep. Add dried ginger aconite to warm the spleen and kidneys, which also means Shenjie Decoction.
three diagnosis is the final stage of treatment, so this prescription is used to prepare pills to slow down the picture to ensure the solid foundation. At the end of the treatment of chronic diseases, when patients need to take medicine for a long time, they often change the decoction to pills. On the one hand, they can save the medicinal materials and reduce the economic burden of the patients;
, and on the other hand, it can facilitate the patients to take medicine, increase the patient's compliance, and achieve better results.
Professor Wang often encounters such patients in clinical practice. In addition to the bloating of the stomach, he also has a series of symptoms such as fatigue, dizziness, dry and bitter mouth and no desire to drink, diarrhea, and frequent oral ulcer attacks. Professor Wang Qingguo attributed the cause of the disease to spleen and stomach deficiency, yang energy does not rise, and yin fire is superior. The treatment is based on the method of "relieving Yin Fire to nourish the spleen and stomach" in Li Dongyuan's " Spleen and Stomach Theory ".
Li Dongyuan believes that the generation of "yin fire" is closely related to the spleen and stomach in the middle burner.
If the spleen and stomach are deficient and the qi fortune is insufficient, the abdominal distension will occur.
The spleen and stomach are the foundation of acquired nature. If the qi and blood are not born, the qi of the clear yang gradually fades and cannot reach the level, so dizziness and fatigue are seen, the clear yang does not rise, and the turbid yin does not fall, which will cause diarrhea.
Splenishing earth is weak. On the one hand, the heart fire will be more prosperous, causing "heart fire to ride on earth";
On the other hand, the heart fire is too strong and the earth is deficient and cannot control water, so the fire in the lower burner liver and kidney will also move with the heart fire. At this time, the excessive heart fire and the dragon fire of the liver and kidney combined into Yin fire, which can cause the whole body's fire.
Because of fire inflammation, yin fire is prone to invading the upper Jiao and clear orifices, causing dry mouth, bitter mouth, and sores.
Fire evil is also easy to invade the yin blood, so Yin fire can spread throughout the body as the blood is transmitted. If it disturbs a certain organ, then the sign of fire and heat will be seen in a certain organ.
Although this evil of fire and heat can be relieved by bitter cold and clear, its root cause is in the middle burner. If the symptoms are not treated, the yin fire will arise again immediately.
and the stomach is bitter and cold, and it will violate the "reviation and deficiency" and will also aggravate the condition.
Therefore, Li Dongyuan's preparation of Bupixia Xieyinhuo Shengyang Decoction is used to treat the treatment. The prescription is astragalus, Atractylodes, and Roasted Licorice. It replenishes the deficiency of the spleen and stomach. Bupleurum, Shengma, and Qianghuo liters clear yang to reduce turbid yin, and uses Scutellaria baicalensis, Coptis chinensis, and gypsum to make the Yin fire produced. The usage is clever and the combination is precise.
Professor Wang Qingguo believes that today's urban residents have many shortcomings in their endowments, and they are often laborious and like quiet and hate movement. In addition, they stay up late for a long time and lack the biochemical effect of yang energy. If they eat raw and cold for a long time, they are too hungry and too full, and seriously damage the spleen and stomach, they are prone to symptoms of Yin fire.
This disease is especially common in civilian staff such as IT, accounting, and design. Li Dongyuan's rule of law can often achieve satisfactory results.
Tonication of spleen and stomach sanitary Yinhuo Shengyang Decoction
Tonication of spleen and stomach sanitary fire Shengyang Decoction,
Tonication of Chai Shen samsara and Atractylodes and Atractylodes and Qiang;
Scutellaria baicalensis baicalensis gypsum grass,
Spleen and stomach yang rises yin fire and falls.
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