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2016年04月19日
Therapeutic adjustable pivot connecting dense well
Dragon sand medicine
Source: China's traditional Chinese medicine
Author: TaoGuo water
Hiccups, commonly known as the "ke", called "Hui", also called "Hui inverse", cause stomach on inverse gas, diaphragmatic blunt laryngeal, uh, uh, al Jefferson, audio frequency, short, not from already; Or, uh, thunders, intermittent attacks. Intractable hiccups, refers to the continuous spasm more than 48 hours without stop. Malignant tumor patients, suffering from the disease tumor, compound with hiccups cured, very nausea, vomiting, feeding, disease and diseases of modern double attack, pain, and conventional treatment based on syndrome differentiation and acupuncture treatment, acupuncture point press thereof is sometimes hard to forge.
Hiccups one certificate, the author thinks before total rating from gastric estrangement, rushed to reversed flow of qi, with spleen and stomach, inverse ping er as basic treatment; Put forward "five zang-organs are available to er" at the same time, on the basis of "inverse" and stomach drop, according to the principle of "five", often accompanied by tranquilize, liver qi, spleen to transport and releasing lungs through relieving or kidney solid perturbation method.
Years ago read Wang Qingren "cure a wood correction", the author has noticed that the "therapeutic cure disease by eye" in the article "hiccups", and was treated with therapeutic tonga taste hiccups and obtain good effect, but is promoting blood circulation to remove blood stasis to understand it.
With counselor Gu Zhi sand dragon medical school representative inheritance after Mr Hill, the author study the based on the theory of "open close hub" using the therapeutic treatment of hiccups, curative effect is improved, for example.
Medical record, for example,
Li mou, male, born in November 1941, October 26, 2014 for "kidney cancer with bone metastases, 3 years hiccups frequency for February" to diagnosis.
In March 2011 for emergency patients with painless hematuria. 1 day to the hospital inspection, found a placeholder left kidney and renal biopsy pathology revealed left renal clear cell carcinoma, further revealed several rib metastasis, belong to kidney cancer late, no surgical indications, hence toluene sulfonic acid oral sorafenib targeted drugs (ill) and phosphate treatment, and cooperate with the Chinese medicine treatment, stable condition.
Since August 2014, the patients experienced hiccups frequency, gradually feeling physical deterioration, mental fatigue, especially afraid of the cold, not warm, at the end of the four valley not xin, he heals successively to inula generation of ochre and soup, soup of clove stem, acupuncture, acupoint pressure and chlorpromazine point injection therapy has not achieved, a medical advice line phrenic nerve block, patient refusal.
October 26 patients to diagnosis, disease see uh thunders, frequent and sometimes even food will bring up, depressed, not afraid of cold, lumbar debility, hands and feet, to diagnosis has wear cotton-padded jacket, down jacket, defecate color brown (conventional stool occult blood weakly positive), mei wake up night, pale and ShaoHua tongue Dan zi, slightly greasy moss, pulse acerbity.
Luck at that time, the author has followed professor Gu Zhi mountain is confirmed, in view of the patients with disease in delay time, the conventional thinking of diagnosis and treatment of fresh, hence from luck thinking modulation.
When the sino-japanese years five qi, less polite Yang, fire distinguishing luck shaoyang disease; Combined with patient appear a series of "stasis" like, "because the appropriate knowledge, and random change", be therapeutic original square: peach kernel 15 grams, mud Du Gonghua 10 grams, whole angelica 10 grams, 15 grams of dried radix rehmanniae, rhizoma ligustici wallichii big 10 grams, 15 grams, red paeony root medicine jade characteristics of 10 grams, 15 grams of radix cyathulae, bupleurum chinense 10 grams, 15 grams, Fried hovenia dulcis main licorice 10 grams, 7 dose of the decoction clothing, daily 1 agent.
Patients taking three agents, hiccups obviously ease; After 7 agent, has been hiccups, four gradually warm, at the end of the valley to enhance, very happy. To paste zi after party (golden to kidney shot to prepare soup to render party loss and gain the cutting) to continue to cooperate "ill" oral targeted therapy, follow-up to this day, all smooth.
Note: Mr Gu Zhi mountain based on the "open close pivot" theory in this paper, the therapeutic formula, it may be said to be unique. , he argues, therapeutic Shang Shi by four inverse scattering, peach of siwu soup and platycodon grandiflorum, twotooth achyranthes root. Among them, siwu decoction invigorate the circulation of blood and attending less Yin; Four inverse scattering liver qi, attending less Yang; Platycodon grandiflorum, twotooth achyranthes root, a liter of a drop, for lifting, adjustable factors.
Throughout the whole party, Yin and Yang, qi and blood homology, hong qi, nourishing blood blood circulation by removing blood stasis, the work of more than is really little Yang, shaoyin pivot connecting the regime. Clinical thinking combined with luck using the party, to further expand its scope of application.
Mr Gu Zhi mountain has pointed out, "sino-japanese 2014 five qi Yang phase in the fire to add less, within the actuating yu little Yin jun fire gradually, therapeutic in this period have more opportunities to use". With clinical experience, the writer discovers that in this period of time regardless of whether there was blood stasis syndrome differentiation license, as long as according to the three Yin and three Yang six-channel differentiation of shaoyang pathogenesis, regardless of the disease, long illness, are tried, again according to different disease pathogenesis, treat to disease.
"Element asked six micro purport, big on paper" said: "in and out of waste is heavily destroyed, cut, stand alone gas crisis." Turn to pivot, gasification disorder, all diseases be valid.
This test case, the author in the process of speculative five six factors, fully consider the clinic value of sino-japanese at the age of five, Yang fire kind of disease, less in the summer when the temperature is low, less Yin jun by curbing the fire, after the autumn, the temperature is the same, is definitely, there are "in the fear of fire, heat, and Yang is the" luck of the characteristics, combined with the disease like fire, dryness, thus transferring "pivot" therapeutic and obtain good effect.
Take soup loose stool or diarrhea
From clinical feedback, some patients take therapeutic after defecate rare pond, even diarrhea, may be related to the square of radix rehmanniae, achyranthes. If only for stool thin pond, and no increase defecation frequency, can be freely. Such as diarrhea, a reduce the dosage of radix rehmanniae, achyranthes, second slightly heating medicine system, or to make considered additions of spleen, such as weak dried ginger, Fried atractylodes, etc. If no special discomfort, should adhere to the original party as far as possible, to "letter have played today work".
Ill deep long er not better
Hiccups one certificate, illness weight difference greatly: present hiccups most is light shallow, simple processing, also can not medicine and healing; Persistent or recurrent, author also more treatable after taking the drug. If chronic critical care card late appear, hiccups, much as his condition deteriorated, the so-called "deep long er not good signs".
Cancer patients most vital qi deficiency, sun be the spirit is insufficient, appears hiccups, much as his condition deteriorated, stomach will absolutely gas, energy to take off the danger of waiting. As the element theory of q, three nine hou said: "if there are seven clinical disease, its symptom of arteries and veins also loser died, betfair Hui alas. There ' And as with yan and "kindred, raw party" : "inverse of disease, cough, detailed the book, without the load, the only real sun cloud: cough inverse search theory, there is no this name, but the ancients to cough inverse Hui ear, more due to vomit, after the stomach cold, hence into this card, also have stomach deficiency by heat, Hui to all connected, gettering not to return, but when looked closely with the arteries and veins, with treatment. Mostly the elderly, virtual people, long patient and postpartum woman have this license, all is the syndrome of disease deep, not good sign also."
Global understanding of disease prognosis of outcome are fully, it should cause enough attention, a "rainy day", provide ideas for next make a diagnosis and give treatment scheme, early intervention, in order to pick up the slack; Second, need to communicate with the condition with a patient and his family, or family member, lest cause unnecessary disputes.