“Medical Case” Dou Mou, male, 44 years old, medical record number 061817.
First diagnosis on July 16, 1964: Suffering from chronic hepatitis, pain in liver area and low back. Recently, I have been coughing with a lot of phlegm, and I have been wheezing when I lie down. Since May 14, I have had headaches, dizziness, cough and asthma, and even fainted. I have taken Linggan Wuwei Jiangxin Xiaren Decoction, Banxia Houpu Decoction, Chaihu Guijiang Decoction, and Xiaoqinglong Jiagypiao Decoction. Present symptoms: cough and spit white thick phlegm, accompanied by chest pain, phlegm in the throat, and shortness of breath during activity. Recently, he fainted again due to heavier cough, lost consciousness, woke up for a while, and at the same time had urinary incontinence (four times of urinary incontinence in total), sometimes tingling in the head, acceptable food intake, self-adjusted stools, yellow and greasy tongue coating, tongue texture Jiang, the pulse string slippery.
Four Coins of Bupleurum, 4 Coins of Baishao, 3 Coins of Pinellia, 3 Coins of Scutellaria, 3 Coins of Guizhi, 3 Coins of Peach Kernel broken), 3 coins of peony skin, 3 coins of citrus aurantium, 2 coins of rhubarb, 3 coins of ginger, 3 coins of jujube, and 2 coins of roasted licorice. Three payments.
Follow-up consultation on July 23: After taking the first decoction of the head, there was a red sticky substance, which was quite sticky, and the cough was significantly relieved. The dizziness has improved, there has been no fainting, urinary incontinence has occurred, and the pulse rate has been resolved.
Third consultation on August 13: No medication for more than half a month, dizziness, incontinence after urination the night before yesterday, cough and shortness of breath, Then add and subtract the previous method to cure it.
Buihu four money, Pinellia three money, dried ginger two money, Xixin two money, Schisandra three money, almond two money, white Three coins of peony, three coins of cinnamon, three coins of peach kernels, three coins of Poria, three coins of skullcap, two coins of rhubarb, three coins of jujube, two coins of roasted licorice, and three coins of citrus aurantium. Three payments.
Analysis
Three treatments before and after, Mr. Hu used Dachaihu Decoction combined with Guizhi Fuling Pills, Dachaihu Decoction combined with Guizhi Fuling Pills and Linggan Wuwei Jiangxinxiaxing Decoction. The idea of ”prescription syndrome” cannot be explained, and Dachaihu Decoction is for Shaoyang-Yangming Combination Disease, Linggan Wuwei Jiangxinxiaxing Decoction is for cold drink, which belongs to Taiyin problem, both will not occur, Hu Lao may be in the prescription Based on the corresponding evidence, there is a deeper understanding.
During the first consultation, the patient had cough, thick phlegm, chest pain, phlegm sound, shortness of breath, red tongue, yellow and greasy coating, and slippery pulse. , This is suffering from phlegm heat, which belongs to Yangming Taiyin combined disease. It may be more appropriate to use Xiaoxianxiong Decoction.