Case A Edema of the whole body for 1 month Sever edema of the body, especially in lower half of the body, abdominal fullness and distension,dyspnea,he

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强敬缪
5 years ago
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1 Edema Dr Igor Micunovic Ph.D

2 Case A Edema of the whole body for 1 month Sever edema of the body, especially in lower half of the body, abdominal fullness and distension,dyspnea,headache and dizziness, difficulty in urination and defecation, deep excessive pulse Excessive fluid retention in the interior Driving out fluid retention Shi Zao Tang 十枣汤 Gansui (Radix Kansui), Daji (Radix Euphorbiae Pekinensis) Yuanhua (Flos Genkwa) Dazao

3 Shi Zao Tang 十枣汤 Gansui good at eliminating retention of fluid and dampness from meridians Daji Yuanhua monarch eliminating fluid retention excels in eliminating it from zang fu organs, intestine and stomach removing fluid and phlegm from the chest and hypochondrium Dazao Assistant& guiding reinforce the spleen and stomach,reduce the toxic and drastic properties of the drugs so that they can achieve the purgative result without affecting the healthy qi

4 Case B Abdominal pain for 5 months Mild pain in abdomen at times, lessened by pressure and warmth, pale tongue with white coating, thready, wiry pulse Syndrome of interior contraction due to consumption (by deficient cold in middle jiao) Warming middle jiao and tonifying deficiency, regulating the interior to relieve spasms Xiao Jian Zhong Tang 小建中汤 Yitang(Saccharum Granorum), Baoshaoyao, Guizhi(Ramulus Cinnamomi), Dazao, Shengjiang, Zhigancao,

5 小建中汤君饴糖Yitang 温中补虚缓急止痛 warm middle-jiao, relieve spasm and alleviate painpromote yang 臣: 桂枝Guizhi 温运阳气芍药Baishaoyao 滋阴养血柔肝缓急止痛桂+饴辛甘化阳以温建中阳 transforming pungent sweet into yang and warming middle jiao 芍+饴酸甘化阴以增养阴血缓急止痛之效 transforming sour sweet into yin to nourish blood and alleviate Xiao Jian Zhong Tang pain 芍药桂枝共为臣药一散一收,以调和阴阳化生气血dispersing and astringing

6 桂枝汤与小建中汤比较桂枝汤桂枝君芍药生姜大枣炙甘草小建中汤加饴糖君倍芍药桂枝汤辛甘养阳酸甘化阴调和营卫阴阳解肌发表小建中汤辛甘养阳酸甘化阴调和营卫阴阳温中补虚和里缓急桂枝汤主治外感风寒表虚证或营卫不和证小建中汤主治虚劳里急腹痛等

7 小建中汤 Xiao Jian Zhong Tang 佐 shengjiang生姜 dazao大枣补益脾胃增强温中脏之效reinforcing spleen and stm 使 zhigancao炙甘草甘温益气调和诸药 sweet and warm,reinforce qi, mediating drugs 辛甘化阳酸甘化阴于气血营卫之中取治于中通过温建中气资助营卫化生以养五脏故名建中甘温补中调养阴阳药用平和

8 Case Alternating chill and fever for 3 weeks Accompanied with fullness and discomfort in the chest and hypochondrium, poor appetite, bitter taste in the mouth, dry throat, dizziness, thin white coating, wiry pulse Cold induced shaoyang syndrome Harmonizing shaoyang Xiao Chai Hu Tang 小柴胡汤 Chaihu(Radix Bupuleuri), Huangqin(Radix Scutellariae), Renshen, Zhigancao, Banxia(Rhizoma Pinelliae), Shengjiang, Dazao

9 君 chaihu柴胡重用之以透少阳半表之邪辛散疏畅少阳枢机的郁滞臣 Huangqin黄芩清泄少阳半里之热 * 柴芩相配透表泄热调畅气机和解少阳 Banxia shengjian renshen dazao zhigancao 佐半夏生姜和胃降逆止呕人参大枣益气扶正以祛邪外出使兼炙甘草充实正气以防邪气内传调和诸药配伍要点柴胡黄芩配伍参枣草之义 * a. b.

10 Case Diarrhea for 2 months Accompanied with cold pain in the epigastric abdomen, preference for warmth and pressure, poor appetite, vomiting, cold limbs, pale tongue with white coating, deep thready pulse Deficiency cold syndrome of spleen and stomach Warming middle jiao to dispel cold, replenishing qi to invigorate spleen Li Zhong Wan 理中丸 ( 加附子为附子理中丸 ) Renshen, Ganjiang(Rhizoma Zingiberis), Zhigancao, Baizhu(Rhizoma, Atractylodis Macrocephalae), Fuzi(Radix Aconiti Lateralis Preparata)

11 理中丸 Li Zhong Wan 辛热温中散寒甘温益气健运中焦健脾燥湿复其升降益气补中佐调和诸药 Ganjiang monarch Renshen minister Baizhu adjuvant Zhigancao Zhigancao guiding It is named Lizhongwan because the formula can regain yang qi in middle jiao by means of warming the interior (Shang Han Lun Hou Tiao Bian) serious deficiency cold synd of the spl & stmh /deficiency cold synd of the spl & kidy. 附子理中丸脾胃虚寒所致严重吐痢和腹痛或脾肾虚寒证

12 Case Lassitude for 1 week after 10 Day s fever Accompanied with mental fatigue, spontaneous sweating, shortness of breath, tired to speak, dry throat and thirsty, dry and red tongue body, less coating, weak and rapid pulse Reinforcing qi and nourishing body fluid, astringing yin and lessening sweating Sheng Mai San 生脉散 Renshen, Maidong (Radix Ophiopogonis Dwarf Lilyturf Tuber), Wuweizi(Fructus Schisandrae Chinese Magnoliavine Fruit )

13 生脉散 Sheng Mai San Renshen to reinforce original qi, promote the generation of body fluids, relieve collapse Maidong to nourish yin and moisten dryness Wuweizi to replenish qi and promote the generation of body fluids, astringe yin and arrest perspiration Renshen, Maidong, Wuweizi in combination for Invigoration Nourishment Constringency 大补元气益气生津为君养阴生津清虚热为臣敛肺止汗为佐

14 Sheng Mai San 生脉散 Sheng Mai San (Powder for Activating Pulse) with its action for restoring pulsation with qi filling the vessels Replenishing qi and nourishing yi, arresting perspiration and restoring pulsation The recipe, with its extremely big efficacy, could restore pulsation for the patients without pulse Yi Fang Ji Jie by Wang Ang

15 Case Protracted diarrhea for 3 months Accompanied with dizziness and blurred vision, shortness of breath, low and weak voice, lassitude, lusterless and pale complexion, poor appetite and watery stool, pale tongue, week pulse Invigorating middle jiao and replenishing qi, raising yang to lift prolapsed qi(zangfu) Bu Zhong Yi Qi Tang 补中益气汤 Hangqi(Radix Astragali), Zhigancao, Renshen, Chaihu, Chenpi(Pericarpium Citril Reticulatae), Baizhu(Rhizoma Atractylodis Macrocephalae), Danggui

16 Bu Zhong Yi Qi Tang 君 huangqi黄芪补中益气升阳举陷补肺实卫固表止汗臣 renshen人参 bazhu白术 zhigancao炙甘草补气健脾助君益气升阳佐 danggui当归养血补虚 chenpi陈皮理气和中使全方补而不滞佐使 shengma升麻 chaihu柴胡升阳举陷引药上行 zhigancao炙甘草调和诸药

17 Case Blurred vision for 4 months Accompanied by dry eyes, epiphora induced by wind, vertigo, soreness and weakness of the waist and knees, tinnitus, night sweating, feverish sensation over five centers, dry tongue and sore throat, pain in heels, red tongue with little coating, thready and rapid pulse Nourishing yin and invigorating the kidney and liver Qi Ju Di Huang Wan Gouqizi(Fructus Lycii) Juhua(Flos Chrysanthemi) 热解毒杞菊地黄丸补肾益精养肝明目疏散风热清肝明目清

18 Case Night sweating for 5 months Accompanied by hectic fever with steaming sensation in the bones, irritability, feverish sensation over the palms and sores, soreness and weakness of the waist, spermatorrhea, dry, red tongue with little yellow coating, thready and rapid pulse Nourishing yin and clearing away fire Zhi Bai Di Huang Wan Zhimu(Rhizoma Anemarrhenae) Huangbai(Cortex Phellodendri), 知柏地黄丸热除蒸清热泻火滋阴润燥清热燥湿清热解毒退

19 Case Cough for 5 months Accompanied by dry and sore throat, sticky phlegm, soreness and weakness of the waist and knees, night sweating, feverish sensation in the five centers, red tongue with little coating, thready pulse Nourishing yin of lung and kidney relieving cough Mai Wei Di Huang Wan Maimendong(Radix Ophiopogonis) 麦味地黄丸养阴益肺益胃生津清心除烦 Wuweizi(Fructus Schisandrae) 敛肺止咳滋肾生津敛汗涩精止泻宁心安神

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Microsoft Word - 14-4.V.z.....W.._...^.._.doc 308 台灣中醫臨床醫學雜誌 2008:14(4) 與中醫經脈循行相關的心肌梗塞臨床病案一則蔡德豐臺北市立聯合醫院忠孝院區中醫科摘要一位 41 歲男性 96 年 8 月因突發性胸痛至某醫學中心急診, 檢查發現為心肌梗塞, 經緊急施行冠狀動