Hu Xishu's medical record-156

"Medical record 156" Fei Mou, male, 29 years old, medical record number 109795.

First visit on June 2nd 1964: dizziness, swelling and pain in the liver, chest tightness and shortness of breath, moderate diet, low back pain, joint pain in the right leg, chills, warmth, lethargy, loose stool, sparse but shapeless, palpitation, slippery pulse and thin and white fur.

Ramulus Cinnamomi San Qian, Radix Paeoniae Alba, Radix Glycyrrhizae Preparata, San Qian, Fructus Jujubae, Rhizoma Atractylodis San Qian, Poria San Qian, Radix Aconiti Lateralis Preparata San Qian and Radix et Rhizoma Rhei. Three payments.

Follow-up visit on June 9th: No more dizziness, swelling pain in the liver, nausea, shortness of breath, chronic lumbago and joint pain, normal stool, yellowish stool, a little palpitation, slippery pulse, red tongue and thin white fur. The effect is not more square, and the top three pay the bill.

The third diagnosis on July 28th: I have a cold recently, dry mouth, dizziness, sometimes nausea, and rapid pulse.

Radix Bupleuri, Ramulus Cinnamomi San Qian, Radix Codonopsis San Qian, Radix Paeoniae Alba San Qian, Rhizoma Pinelliae San Qian, Scutellariae Radix San Qian, Radix Glycyrrhizae Preparata, Rhizoma Zingiberis Recens San Qian, Fructus Jujubae, Gypsum Fibrosum and Radix Platycodi San Qian. Three payments.

"analysis"

At the initial diagnosis, the pulse symptoms of the patients' family members were dizziness, right hypochondriac pain, chest tightness and shortness of breath, moderate diet, low back pain, joint pain in the right leg, chills, warm appetite, moderate sleep, loose stool, palpitation, slippery pulse and thin white fur.

According to the prescription, the patient's chief complaints should be joint pain and chills.

1, joint pain in the right leg, chills, loose stool for two or three days, slippery pulse, white and slippery fur-water poisoning, and the position of the disease is biased;

2, mainly joint pain, no obvious aversion to cold, cold limbs, no obvious abdominal distension-so it is defined as sun disease, shaoyin disease and drinking water, commonly used Hu Lao Fang Zi Gui Zhi Tang, plus aconite, Poria, Atractylodes macrocephala and rhubarb;

3, right abdominal pain, chest tightness, dizziness-at first glance, it is Shaoyang disease, but there is no cold and heat, bitter mouth and dry throat. Wet water can also cause.

Generally speaking, Guizhi Decoction plus Radix Aconiti Lateralis Preparata, Poria, Atractylodis Rhizoma and Radix et Rhizoma Rhei is still selected.

At this time, Hu Lao increased the dosage of Paeonia lactiflora, as if Paeonia lactiflora and Glycyrrhiza decoction were combined together, aiming at the pain in the right flank.

The second diagnosis is similar, but the effect is not better.

At the third diagnosis, the patient caught a cold, with the symptoms of sun deficiency and yang deficiency, and chose Chaihu Guizhi Decoction for treatment.

Hu Lao used Chaihu Guizhi decoction with gypsum and platycodon grandiflorum. The patient should still have a fever and a bad voice.