Tutor Guo Wei, doctor of traditional Chinese medicine of Shandong University of Traditional Chinese Medicine, deputy chief physician of Shandong Xinzhong Road Chinese Medicine Hospital.
The patient, a 39-year-old male, came to see a doctor for several days because of abdominal distension. The patient reported that the stool was not formed, twice a day 1, and the stool became thinner the second time, and it became thinner after drinking; After eating sweets, the feeling of fullness under the heart is aggravated, and the relief after exercise is not obvious; Poor belching, abdominal distension, gastroscopy: superficial gastritis, afraid of eating cold things; Good appetite, acid regurgitation around 3 am, thick tongue coating, thick and greasy tongue base and slippery pulse.
According to the diagnosis and treatment of abdominal distension, the gastrointestinal tract is hot. Therefore, the method of clearing away heat, drying dampness, promoting qi circulation and relieving bloating was established, and Banxia Xiexin Decoction was selected, 7 doses, 1 dose for 0 days, 1 time for 0 days, 1 hour after meals.
Efficacy feedback Second diagnosis: Feedback from patients after taking medicine: The pain stops swelling and the stool is more shaped than before.
It is said that the abdomen belongs to the spleen and is adjacent to the epigastric cavity, so various diseases in the abdomen are treated from the spleen and stomach every time, either benefiting the spleen from blood stasis or purging the stomach from dryness. In this case, the patient has abdominal distension and pain, and the pulse is like a string, with strong liver and weak spleen. It can be seen that there is a great negative correlation with the stagnation of liver qi, which can not be alleviated, so the soil gas is stagnant, so abdominal distension is seen. Therefore, Magnolia Officinalis and Jiang Banxia are used to reduce swelling, eliminate dampness and resolve phlegm, and Coptidis Rhizoma and Zingiberis Rhizoma are combined to make pantothenic acid. In addition, the green tangerine peel is added to the left to promote qi, and the tangerine peel is added to the right to regulate qi, giving consideration to the left and right, harmonizing the ups and downs, soothing the liver and regulating the stomach, and regulating qi and harmonizing the middle; For patients with hyperacidity, concha arcae and cuttlebone should be added to make acid and relieve pain.
It is advisable to prohibit acid and avoid foods that promote gastric secretion, such as candy, spices, alcohol and coffee.