“Medical Case” Song Mou, male, 30 years old, medical record number 102117.
Initial diagnosis on April 24, 1963: jaundice was found on March 8, and was diagnosed by Longfu Hospital. For acute infectious hepatitis. Check: turbidity 14 units, flocculent +++. Present symptoms: severe pain in the liver area, nausea, no appetite, abdominal distension, refusal to press, dry stool, dizziness, redness, yellow coating on the tongue, fast pulse. Since there is blood stasis and heat, the evil has passed on to the liver, so flank pain and vomiting, the method should be soothing the liver and regulating the stomach to remove blood stasis and heat.
Buihu four coins, Pinellia three coins, Scutellaria three coins, Baishao four coins, Citrus aurantium three coins Money, ginger 2 money, jujube 4 money, gardenia 3 money, Yinchen 1 tael, peach kernel 3 money, peony peel 3 money, winter melon seed 3 money, rhubarb 2 money, raw licorice 2 money. Three payments.
Follow-up consultation on April 27th: the pain in the flank has been relieved, the abdominal distension is mild, and the nausea is still unwilling to eat. Annoyed, add three coins of guizhi to the top, and four coins of gardenia. Three payments.
Three consultations on April 30: symptoms slightly reduced, hunger but no desire to eat, nausea, redness , sleep is not real. After taking the medicine for six times, I only relieved the bowel movement twice. Add Glauber’s salt one and a half cents on the top (divided), and Guizhi is increased to four cents. Three payments.
Fourth consultation on May 4: After taking the medicine, there were several stools, hard stools and mucus discharge, various Symptoms were greatly reduced, food intake increased, nausea and redness were reduced.
Buihu four coins, Scutellaria three coins, Pinellia three coins, Citrus aurantium three coins, Baishao four coins Money, 8 coins of Yinchen, 3 coins of gardenia, 3 coins of ginger, 4 coins of jujube, and 2 coins of rhubarb. Three payments.
Analysis< /span>
The patient’s pulse and symptoms at the first consultation: jaundice, severe pain in the liver area, nausea, no appetite , Abdominal distension, refusal to press, dry stool, dizziness, redness, yellow coating on tongue, fast pulse.
1. Liver pain (flank pain), nausea, anorexia, abdominal distension, refusal to press, dry stool, Chi red, yellow moss, stringy pulse — Shaoyang-Yangming combined disease, consider using Dachaihu decoction;
< span>2, jaundice, abdominal distension, refusal to press, and dry stools – evidence of Yangming Fu in jaundice, consider using Yinchenhao Decoction.
In general, Da Chai Hu Tang and Yin Chen Hao Tang were used.
Hu Lao chose Da Chai Hu Tang, Yin Chen Hao Tang, Rhubarb Peony Tang, Glauber’s salt and raw licorice . According to the mucus discharged during the fourth diagnosis, it is inferred that the patient should have pus at this time, which should be the reason why Mr. Hu used Dahuang Mudan Decoction, but the specific symptoms were not reflected – the patient should have positive pus, blood stasis, etc.
In the second consultation, the dosage of gardenia is increased to clear heat, and Guizhi is added, that is, Guizhi Fuling Pills. Meaning; in the third diagnosis, increase the dose of cinnamon sticks, add Glauber’s salt, that is, complete Dahuang Mudan Decoction. The pulse syndrome is too small to be analyzed in detail.
During the fourth diagnosis, hard lumps, mucus and pus were discharged from the stool, so the Dahuang Mudan Decoction was removed from the treatment. Only use Da Chai Hu Tang and Yin Chen Hao Tang.
The patient was not revisited, and the specific outcome is unknown.