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2011年11月18日
First use of aconite rhubarb soup
MaoJinJun ZhuMaDianShi henan province people's hospital of 4 into
China's traditional Chinese medicine reported
Synopsis of · abdomen full cold hernia lodge food disease pulse card to, "said:" sash partial pain, fever, their chakras tight string, the cold and the temperature, medicine, appropriate rhubarb aconiti soup." Rheum is only sanwei formulas of lateral soup: rhubarb three two, three pieces of lateral cannon, two asarum, but compatibility is rigorous, than the precise medicine, which can be a cold drink WenTong in sluggish, and can remove Yang Ming real hot, is differentiation cold evil aggregates hot, the threat of pain in the strategy. Clinical for acute appendicitis, acute intestinal obstruction, cholecystitis, bravery cramps, diarrhea, chronic diseases such as uremia, belong to cold du, cold drink of stagnant in a good effect.
Case 1 stalking, pain, abdominal pain (cholecystitis, gastritis)
As so-and-so, male, 42, and right abdomen bilge painful 1 week of a threat, on October 22, 2011 my first time. Patients have the gastritis history five years, chronic cholecystitis history 3 years, usually not eating or poor sentiment when often come on. A week ago, with especially rich with cold drink, attack the hold bulge pain, and LianJi right of a threat, transfer to around after umbilical abdominal pain, show paroxysmal, when light weight, and the transfusion and oral drug is invalid. Clinical see: abdominal and right of full bilge threat aching discomfort, exhaust less, pain in what annoyed, agonizing, mouth and, no cold body pain, stool stem node, have four days not row, urinate clear, NaCha, tongue dark, tongue body fat is tender, very white greasy coating on the water slide, pulse left inch close string, feet sink, right three part sink tight. FuZhen: murphy's levy (+), McIntosh point no tenderness and bounce pain, abdominal muscle not nervous, abdominal tapped voice heavy turbid, below hilum mild tenderness, according to the left lower quadrant abdominal have hard pieces. Yin and Yang Ming for less differentiation and disease, the party to the lateral rhubarb decoction and gardenia magnolia officinalis soup: aconite gun 15 g, born rhubarb 15 g, asarum 10 grams, gardenia 15 grams, one of the 20 grams, ZhiKe 20 grams, of frutus 20 grams. 3 agent, day 1 agent, soft fire Fried one hour photo juice 600 ml, three times of clothing.
Two clinical: take 1 agent (a little shit on but not free, abdominal pain and a threat to ease upset, 3 agent after defecate is smooth, the disease almost disappear. Stop taking liquid form, with the upper lateral Richard shot regulate them.
Case 2 abdominal pain, constipation (acute intestinal obstruction)
WeiMou one, female, 82 years old, abdomen bilge painful more than half moon, on October 28, 2011 my first time. And a half months ago, coronary heart disease, angina patients in our hospital for medical treatment, during treatment, patients with paroxysmal bulge pain in the lower abdomen, vomiting, not discharge shit, not exhaust, the surgical consultation and color dopplar ultrasound, X-ray inspection instruments such as diagnosed as incomplete obstruction. Because the patient years high body virtual chronic long, unfavorable surgery, the fast, stomach, reduced pressure and resistance to infection and conservative treatment, the effect not beautiful. Clinical see: stuck weakness, lower abdominal pain, the bulge on pain, mouth bitter, mouth thirst, no evil cold fever, no sweat, no defecate, exhaust, fast, can urinate, dark red tongue, coating on the white greasy, pulse inch float off string fine, feet and heavy. FuZhen: abdominal tenderness to press, abdominal muscle not nervous, tapped voice heavy turbid, bowel sounds sound disappear. For the lunar Yin and Yang Ming less syndrome differentiation and disease, the party to the lateral rhubarb decoction and one of the three things soup: aconite gun 15 g, born rhubarb 12 grams (after), asarum eight grams, 30 grams of magnolia bark, ZhiKe 15 grams, of frutus 15 g. Agent 2, day 1 agent, soft fire Fried one hour photo juice 300 ml, in three times into the tube.
Two clinical: through the tube into 1 agent has defecate exhaust, defecate many times, as muck piece and water mingled with stools, large quantities, abdominal distension significantly reduce pain, for consideration in patients with high weak, injection agent 1 and a half told stop Chinese traditional medicine. Continue to western medicine therapy, followed after have normal ventilation aperient, abdominal pain disappear.
Press: aconite rhubarb soup is cold and the prescription, stalking, pain for abdominal distension abdominal pain and so on patients with acute abdominal pain, with this party to the pathogenesis of key is true Yang is not working, cold du, "delay into reality.
Case 1 patients for taste, empty, and improper food drink, the stomach JiYun hot, hot and humid in trouble, the product of the cold, angry machine lost chang, but cold du syndrome, with cold drink stagnant primarily, therefore in the cold drink ShangWen aconiti rhubarb stagnant, close to one of the mainly lies in the soup with fructus gardenia cortex magnoliae officinalis, utilitarian frutus gas away full, in addition to "cold" "(cold-induced febride), and to clear away heat except vexed. ZhiKe hepatoprotective effect with real basic similar, with because "ZhiKe Lord heart", two bilge gas threat, and shut diaphragmatic congestion in a virtual "(compendium of materia medica lead the medicinal properties of material medica), leaned in gas in breast; The force of frutus settlement, the gas role is stronger, the gas in the breast may, sputum except do drink from the product retained, with them, bring out the best in each other.
Case 2 patients for years long illness really high Yang deficiency, lost in WenYun, cold drink stagnant long and hot accumulate, each other "caused by the intestine. Thus it proved the cold ShangWen rhubarb sluggish. Because "pain and close" the longer synopsis of golden chamber in the treatment of expansion of the provisions on product said: "the pain and the three things, one of the closed Lord of soup." So close to one of the three things in the gas soup helps delay shut. For patients with high weak in consideration, not only to do except the sluggish with gas purpose, and cannot too force strong, so ZhiKe and synephrine with reality, and the disease namely the formulas.
The author experience, attention should be paid to the soup of lateral rhubarb quantity ratio; Gun can be proved according to the card and calm, but rhubarb, the ratio of the analgesic action must be 3:2.