“Medical Case” Liu, male, 54 years old, medical record number 118318.
Initial diagnosis on February 10, 1964: chronic hepatitis, liver cirrhosis, three treatments of water-conducting method imitated by Poria< /span>
(not documented).
February 18th follow-up visit: facial swelling subsided, no progress or retreat, less red urine, and sometimes nausea, Pain in the liver area.
Buihu four money, Pinellia three money, Scutellaria three money, Baishao three money, Citrus aurantium three money Qian, Guizhi 3
Qian, Peach Kernel 3 Coins, Poria 3 Coins, Jiaomu 3 Coins, Tingli Two coins for Zi, three coins for Mufangji, three coins for rhubarb, three coins for ginger, and four coins for jujube. Three payments.
Third consultation on February 21st: all symptoms were relieved after taking the medicine, but occasionally still felt pain in the liver area, or slight pain. Vomiting, dry mouth, not wanting to drink, normal appetite, slightly soft stool, yellow urine, good sleep, yellow tongue coating, thin pulse.
Five coins of raw Astragalus, three coins of Guizhi, four coins of Poria, three coins of Mufangji, and three coins of ginger , four jujubes, three dollars of herbal medicine, and two dollars of roasted licorice. Three payments.
Fourth consultation on February 26: After taking the medicine, there is no pain in the liver area, no vomiting, just stool Count, the amount of yellow and red urine is small, and the abdomen is slightly distended. Add 2 Coins of Amomum, 2 Coins of Kou Ren, 3 Coins of Orange Peel, and 3 Coins of Alisma. Three payments.
Five consultations on March 3: the swelling after the medicine was relieved, the abdomen was still slightly distended, and the urination was slightly increased , but the color is still yellow, and it is still treated by addition and subtraction.
Five coins of raw astragalus, three coins of Guizhi, three coins of Codonopsis, two coins of Amomum, two coins of Kou Ren Money, five money for orange peel, three money for Cangzhu, three money for Alisma, three money for Mufangji, three money for Poria, three money for ginger, three money for Polyporus, and four money for jujube. Six pay.
Six consultations on March 13: swollen face, heavy lower extremities, still nothing, imitation Yue maid soup Law to control its water.
Three coins of ephedra, three coins of ginger, four coins of jujube, one or two halves of raw gypsum, four coins of atractylodes, Poria skin is worth three dollars, and roasted licorice is two dollars. Three payments.
Seven consultations on March 17: The edema has been significantly reduced, but it has not yet, so it is still appropriate to inform the original party. Three payments.
Analysis< /span>
This medical case is incomprehensible as a whole, and the specific prescription and medication cannot follow the “Six Classics-Eight Principles” Analysis of the thinking of “prescription and syndrome”, we can only follow the flow:
During the second consultation, liver Pain and nausea are identified as Shaoyang problems, facial swelling and less redness are identified as water poisoning. For the treatment, Dachaihu Decoction combined with Guizhi Fuling Pill and Jijiaoliang Pill are selected.
Three, four, and five diagnoses, choose Fangji Huangqi Decoction, Fangji Fuling Decoction, and Wuling Sanjia Reduce treatment.
During the sixth and seventh consultations, the face was swollen and water poisoning was also present. Atractylodes treatment.