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Difficult cases to share: stubborn sigh, recurrent diarrhea, frequent urination, classical Chinese medicine assistance.
Female surnamed Zhou, 67 years old.

After my neighbor introduced me to recuperate, I felt sick all over and asked him the main symptoms. Chronic diarrhea, abdominal distension, frequent urination, involuntary sigh (more obvious to outsiders).

He himself said that he had seen many Chinese medicine and western medicine. Chinese medicine practitioners in major hospitals in Guangzhou have seen a lot. In fact, he himself said that the disease has been going on for almost ten years.

Chinese medicine has also eaten a lot of doors and is about to give up. It's just not good anyway. When diarrhea symptoms get worse, take Huoxiang Zhengqi Pill for a few days. Frequent urination and take some anti-inflammatory drugs.

Take some amoxicillin when you have frequent urination and urgency, which can relieve it a little.

But she said that after taking anti-inflammatory drugs, the whole person collapsed, weak and powerless.

For these questions, she looked at them over and over again for more than ten years, almost 20 years, and almost gave up her illness.

I used to eat hot Chinese medicine, Fuzi Ganjiang Lizhong Decoction, and Fuzi also ate more than 60 grams. Soothing the liver and regulating qi ... I ate a lot.

In addition, I have had a lot of urination problems of clearing away heat and fire.

Look at her tongue. It's red with a little fur.

There is also dry mouth and thirst all the year round, and drinking water does not quench your thirst.

Fear of cold, cold hands and feet is more obvious,

It's easy to catch a cold …

The above is the patient's condition and general treatment.

When I first came into contact with this patient, my head was a mess at first.

Dialectically speaking, it is not complicated, that is, yin and yang deficiency, qi and blood deficiency, spleen and kidney deficiency and so on.

According to the differentiation of six meridians, Taiyin, Shaoyin and Jueyin are used together with Sun and Shaoyang.

Such a patient. The spleen and stomach are also poor, and the qi is very weak.

The difficulty is that after the completion of syndrome differentiation, you need to take medicine before one of its effects can be exerted.

For example, several patients with very weak spleen and stomach are common in clinic. There are qi deficiency, spleen deficiency, kidney deficiency and so on, but you use these tonics. Do not absorb.

If it is serious, even if you drink Chinese medicine, it is still Chinese medicine. Really like that sentence, wine and meat pass through the intestines. In fact, in this case, it is what you eat, rice, vegetables, vegetables and Chinese medicine.

This kind of patients, which we call the decline of stomach qi and spleen soil, are difficult to adjust with drug treatment.

If there are patients with deficiency of both qi and blood, it is also suggested in Huangdi Neijing that such patients are weak in pulse condition.

When it comes to treatment, the effect of acupuncture is not good, and it is often supplemented by sweet medicine.

You must balance yin and yang very carefully, and you can't use hot medicine or cold medicine. Enjoy this peaceful little prescription slowly.

It is considered that the stomach qi is weak, and the treatment must not use the medicine of tonifying Daqing.

While I was confused, I thought of a sentence in the Lingshu Sutra of the Yellow Emperor.

Here, the medical record of this disease "Rutan" is put forward, and then its treatment method is given.

Although the scheme of acupuncture treatment is given, the rationality of medication is the same.

Because the patient was afraid of injections, he gave one or two small prescriptions of traditional Chinese medicine.

I used Guizhi decoction, Sinisan and two small prescriptions. Guizhi decoction tonifies the middle energizer, warms the heart-yang, and Sinisan clears the pericardial meridian. At the same time, Yujin and Rhizoma Cyperi are added to soothe the liver and regulate the qi, so that the qi of shaoyang can be promoted throughout the body.

Four doses were prescribed.

After taking the medicine, the patient returned to the clinic and she had obvious feelings. After taking the medicine, the whole person was more relaxed. I said that I didn't feel anything after taking so many drugs before. I don't feel anything after eating your prescription, but I feel very comfortable.

While she was talking, I noticed that she sighed a lot less. The first two sentences, three sighs, are long. Otherwise, I can't answer the phone.

He himself added that he had a lot of defecation and frequent urination, and the improvement was not obvious.

With the basis of taking medicine once, I have a bottom in my heart. On this basis, I added dried ginger. Add Fructus Psoraleae, Rhizoma Dioscoreae, and Semen Euryales to tonify spleen and stomach, and strengthen spleen and absorb qi.

After the second adjustment, her frequent urination and defecation finally improved a lot.

I was on vacation last week, and she said she didn't have to come back for a follow-up visit. She came back this week because she caught a cold and often went to pee.

Then she was given four doses of medicine. On the basis of the original prescription, some tonics were removed and Poria cocos and cassia twig were added to relieve exterior symptoms and regulate qi.

The treatment of this patient gave me a little feeling.

Her course of disease is very long, and all the conventional methods have been used. Nourishing yin and clearing away heat, warming spleen and kidney, everything that can be used has been used several times.

In the past few months, I have been studying Shu Jing, the mausoleum of the Yellow Emperor. It is true that the patient's illness follows wherever he sees it in the book.

You could say she shot.

Of course, two prescriptions are used, which are still used under the framework of dialectical prescriptions and classic prescriptions in Treatise on Febrile Diseases.

The patient was at a loss when he started dialectical medication. However, I suddenly remembered that the sentence of Lingshu Sutra inspired me. If I treat it in this way, the effect will be better.

This once again made me feel the charm of Chinese medicine classics again.

A classic clause, sometimes seemingly casual, may attract attention at first sight, but it may be hit by the patient himself.

If I don't read Huangdi Neijing carefully from the beginning, I think if I face such a patient, I will still use the same treatment ideas as the previous doctors, and the effect is not much better.

A little bit of emotion and experience. It is also suggested that friends who have spare capacity or a little foundation around them want to study Chinese medicine in depth, or mind returning to the classics of Chinese medicine and studying Huangdi Neijing and Treatise on Febrile Diseases in depth and in detail.

Huangdi Neijing, as a classic work based on traditional Chinese medicine, gives many treatment methods and principles, which is very easy to use. Belongs to the category of internal work and mental method.

As for Treatise on Febrile Diseases, he combined theory, law, prescription and medicine, which not only taught us dialectics, but also provided us with concrete, practical and effective prescriptions.

Clinically, the effect is still very good. This belongs to the category of sword spectrum coup.

I think this is the charm of classic Chinese medicine books. Watching unconsciously improves the skills of treating diseases.

The above is a difficult case recently treated in Yang Er. I don't know if you have ever met such a patient who likes to sigh, or if you have any good methods, please leave me a message.

I'm Yang Er, a hardcore Chinese medicine brain powder.

I don't know the red gardenia, and I am willing to be a gentleman for bear bile, following the skills of the four saints and Huang Qi.

Chinese medicine is a hobby, an attitude and a life.