Professor Wang Zhentao’s sharing of typical cases in the diagnosis and treatment of diarrhea (431)

General condition:Tall XX, male, 28 years old, unemployed , Pingdingshan City. No history of drug allergy was found. First consultation on July 23, 2019.

Complaint: loose stools for more than 3 years.

History of present illness: The patient has had loose stools, occasional abdominal pain, and eating spicy and cold foods in the past 3 years Especially after, 4-5 times a day, without any examination, after intermittent oral administration of spleen and stomach drugs, the symptoms are slightly relieved, usually poor appetite, sleep well, easy fatigue, fatigue, sore and sleepy limbs in the morning, and normal urination. Health in the past. Red tongue, thin white fur, thin pulse.

Traditional Chinese Medicine Diagnosis: diarrhea

Syndromes:Spleen and Kidney Yang Deficiency Syndrome

Treatment:Invigorating the spleen and nourishing the kidney

Prescriptions for initial diagnosis< strong>:

strong20991 Return on 16th diagnosis: dizziness, The headache was significantly relieved. This afternoon, the pain in the precordial area was acupuncture, and it was relieved after a few seconds. After the lunch break, the whole body felt tense, and the irritability was relieved. The mind was not clear, and the blurred vision was relieved. Obvious discomfort, good appetite, loose stools, loose stools, 3-4 times/day, urination, red tongue, even sharp red, thin white coating, deep and thin pulse.

Processing:No. 7.23 Fang Qianshi is changed to 60g, add Coptis chinensis 12g, stir-fried Atractylodes to 30g. 15 Chinese medicines, one dose per day, decocted in water.

Notes:The patient suffered from unclean diet Diarrhea, with a long course of disease, accompanied by fatigue and fatigue, was diagnosed as “diarrhea” disease in traditional Chinese medicine. To warm the kidney and warm the spleen, and astringe the intestines to stop diarrhea, use Sishen Wan and Sijunzi Decoction. In the prescription, psoralen tonifies fire and disperses cold pathogens; Evodia cinnamonis warms the middle and disperses cold; nutmeg warms the spleen and stomach, astringes the intestines and stops diarrhea; The power of invigorating Qi and assisting transport; Poria, invigorating the spleen, invigorating the spleen, invigorating the spleen and eliminating dampness, and the combination of ling, then invigorating the spleen and eliminating dampness; Chinese yam invigorating the spleen and nourishing the kidney; White lentils invigorate the spleen and dispel dampness; jujube nourishes the spleen and stomach; Zhigancao nourishes qi and neutralizes the middle, and reconciles various medicines.

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