First visit: 1994 04 19.

Chief complaint: Repeated cough for more than half a year.

Current medical history: I cough for more than half a year when my throat itches, and I start coughing every autumn. Itchy throat means no phlegm and nervousness, especially when you are busy at work. The mouth is slightly dry, the stomach is satisfied, and the stool is as usual.

Physical examination: conscious, soft neck, flat gas, dark red throat, no exudation, slightly thick breathing in both lungs, no specificity in heart auscultation, soft abdomen, no tenderness and no specificity.

Mossy pulse: thin tongue coating, little body fluid, dark red tongue and thin pulse.

Syndrome differentiation: deficiency of both qi and yin, liver-fire disturbing lung.

Diagnosis: Chinese medicine: cough (liver fire disturbing the lungs)

Western medicine: chronic pharyngitis and bronchitis

Treatment principle: calming the liver and calming the wind, nourishing yin and suppressing yang.

Prescription: self-made prescription

Stir-fried Bupleurum 10g raw keel, oyster (each) 30g mulberry leaf 15g chrysanthemum 30g cicada coat 6g burdock 15g honeysuckle 16g forsythia suspensa 15g radix rehmanniae 10g radix scrophulariae 15g Schisandra chinensis/kloc.

Medical advice: 1) Eat less spicy food; 2) Pay attention to rest and avoid catching a cold.

The second diagnosis: after taking the medicine, the throat itching and cough were obviously relieved, dry mouth, normal stool, thin fur, dark red tongue and thready pulse.

Prescription: the original prescription is to remove Schisandra chinensis and add Scutellaria baicalensis Georgi 15g7 ointment.

The third diagnosis: the throat is slightly dry, the cough is mild, the mouth is dry, the stool is normal, the tongue coating is thin, the tongue is dark red, and the pulse is subtle. Go on.

Prescription: fried Bupleurum 10g raw keel, oyster (each) 30g mulberry leaf 15g chrysanthemum 30g cicada slough 6g honeysuckle 15g forsythia suspensa 15g radix rehmanniae 10g Scrophularia 15g Ophiopogon japonicus 10g Beisha.

According to: Teacher Wang believes that this choking incident was caused by Mu Wang's insult to gold. Simply using the method of dispersing lung qi and relieving cough is often not easy to succeed. At the same time, we should take the product of calming the liver and lowering the adverse flow to calm the upper and lower liver qi, so that the temper can be stabilized, and good therapeutic effects can often be achieved for long-term incurable cough.