Hu Xishu’s medical case – 142

“Medical Records” Ke, male, medical record number 081044.

Initial diagnosis on May 22, 1963: chronic swelling of both parotid glands, no pain or redness, hypochondral pain , Nocturnal emission, yellow urine, stringy pulse, thin white fur. He was treated in the internal medicine department of this hospital.

Buihu four money, Scutellaria three money, Pinellia three money, Codonopsis three money, Ginger three money, There are four jujubes, one or two halves of raw gypsum, two coins of licorice, five coins of dandelion, five coins of honeysuckle, eight coins of raw coix seed, and three coins of peony. Six pay.

Follow-up consultation on May 29: The swelling of the parotid gland disappeared after the medicine, but the headache was severe and the throat was slightly dry Pain, unwillingness to drink, poor diet.

Buihu four money, Scutellaria three money, Pinellia three money, Codonopsis three money, Ginger three money, Four jujubes, one tael of raw gypsum, two bucks of roasted licorice, three bucks of peony bark, one tael of raw Coix seed, and two bucks of Evodia. Second payment.

Third consultation on June 3: swelling of parotid gland disappeared after medicine, dizziness, hot mouth, food sleep well. Add one tael of raw gypsum to Xiao Chaihu, three coins of peony bark, and one tael of raw coix seed. Three payments.

Analysis< /span>

The patient suffers from parotid gland enlargement, because there are symptoms such as hypochondral pain, stringy pulse, dry throat pain, anorexia, etc. , Hu Lao was determined to have Shaoyang disease, so Xiaochaihu decoction was mainly used for addition and subtraction treatment, and at the same time, raw gypsum, raw yiren and paeonol were added, which should be to smooth the local meridians and reduce swelling, and also have dandelion and honeysuckle. , Evodia and other changes with the disease.

On the whole, it is still “observing the pulse and syndrome, knowing what is wrong, and treating it according to the syndrome”. It is to determine the treatment plan according to the symptoms of the patient’s pulse and syndrome, not to be limited by the specific Western medicine disease name.