An old gastric ulcer with a history of gastric bleeding, who was positive for occult blood in the first 2 days of stool examination, recently suffered from fatigue, and suffered from cold in heavy rain when he was on business. After drinking a glass of wine, he suddenly vomited blood and was mentally exhausted. He was rushed to a hospital for examination as gastric bleeding. After two days of hospitalization, he still vomited blood, and panic led to gastric perforation. He decided to perform surgery immediately, but later he would lose the opportunity of surgery, and the patient's family disagreed. After midnight, he decided to perform surgery immediately. Pu Lao said: hematemesis has been going on for two days and nights. If there is no perforation, you can still take medicine to stop it. The reason is that the blood overflows due to cold drinking, and it is not possible to cool the medicine to stop the bleeding. It is advisable to use Platycladus orientalis decoction from Synopsis of the Golden Chamber to warm the stomach yang, remove blood stasis and stop the bleeding.
Prescription:
Platycladus orientalis leaves, San Qian processed ginger and Artemisia argyi leaves are decocted to obtain juice, which is mixed with 6 ml of children's stool and taken frequently. The next morning, I went to the doctor, vomiting blood gradually stopped, my pulse was heavy and astringent, my tongue was light, and there was no fur. I went in again, adding four dollars of American ginseng to replenish qi and absorb blood, and two dollars of Sanqi (swallowing at the end of research) to stop bleeding and remove blood stasis, and I took it frequently. The next day, when the blood stops, the mind feels sleepy, knows hunger and food, and turns to qi. The pulse is two inches small, the closing ruler is weak, and the tongue is pale without coating. This is the sign of weak qi and blood deficiency. However, after massive blood loss, the pulse syndrome is consistent, so it is good to treat spleen and yang, nourish blood, and eliminate blood stasis, with Lizhong decoction as the main treatment. Adding Radix Angelicae Sinensis, tonifying blood, and removing blood stasis with Radix Notoginseng. After taking it, I have slight dizziness, tinnitus and rapid pulse, which is caused by the upward rush of deficiency heat. In the front, I add two coins of Cortex Lycii and San Qian of lotus root node, and decoct them to get juice, and still mix them with 6 ml of children's stool to continue taking it.
re-diagnosis: all the symptoms are calm, the pulse is also relieved, and the appetite is increased, but it turns to suffocation without defecation. It is advisable to supplement qi and blood, nourish yin, moisten dryness and remove blood stasis.
Prescription:
White ginseng, San Qian Baiziren, two money, Cistanche deserticola, four money, hemp seed, four money (beating), sweet angelica, two money, lotus root knot, five money, new skin, one money, hawthorn meat, one money After taking it, the night stool gradually decreased, and the food and sleep were good. The stool was checked for occult blood resistance, and he was told to stop taking medicine and recuperate with diet, and gradually recovered to health.
press: in this case, the old stomach damage was caused by drinking without alcohol, and suddenly drinking with cold, cold and heat attack, resulting in blood overflow, which is comparable to vomiting blood without heat. Therefore, the main method is to reduce the temperature and adopt Platycladus orientalis decoction. The cypress leaves are light and clear, and the smell is sweet, which can clear away heat and stop bleeding. With ginger and Ai Xinwen, combined with children's stool, salty cold can reduce adverse flow and remove blood stasis, and warming and clearing blood can be carried out in parallel, so the blood will gradually stop after taking it. Adding Panax Notoginseng and Radix Panacis Quinquefolii to replenish qi, remove blood stasis and stop bleeding, thus avoiding surgery and giving us great inspiration. Following the principle of warming the spleen and yang, the spleen and stomach are the division of Zhongzhou, and the warmth has the function of consolidating blood. After taking it, dizziness and tinnitus are slightly seen, and it is known that the deficiency and heat are rushing up, so it is assisted by the cortex Lycii to cool the blood and not stagnate, and the lotus root joints to dredge the collaterals and remove blood stasis, so that the fire can be reduced by the child's stool. After taking it, all the symptoms are calm, and the pulse and sleep are safe. Finally, it is good to replenish qi and blood, nourish yin and moisten dryness. Pu Lao pointed out: this is not a heat pathogen that spreads menstruation and forces blood to rush, so there is no need to stop bleeding by cold. If we don't know the cause, misuse of cold and coldness will inevitably lead to blood coagulation and qi obstruction.