Road chi is: change the phlegm fire tinnitus case

Source: China's traditional Chinese medicine

Author: liu

The typical medical record.

Zhang, female, 45 years old, on February 17, 2013.

Chief complaint: tinnitus 4 months before. Patients in October 2012 by work stress and disease on see, with the left ear is given priority to, in a large general hospital for the hearing test, shown on the left side of the hearing loss, poor therapeutic effect. For treatment of traditional Chinese medicine.

Carved diagnosis: tinnitus, difficult to fall asleep, much dream, sleep deprivation when tinnitus. Stool, jasmine, pantothenic acid, 1, 1 ~ 2 times, forming, urine can be. Menstruation breast tenderness, the lower abdomen with straining feeling, medium is, have a blood clot, the interphase bleeding. Hope its tongue body fat big, reddish, the tip of the tongue is red, moss thin owe, Bai Hou greasy moss root. Examine the two pulse string feet heavy.

Syndrome differentiation: change, spit fire.

Treatment: clear bravery and stomach, spleen and liver nerves with flat.

Agent: orange leaves 15 grams, 15 grams of tangerine pith, toasted almond 9 g, Fried semen coicis 20 grams, batryticated silkworm 10 grams, bile south star 8 g, 18 grams of poria cocos, magnolia officinalis flowers 12 grams, amomum villosum 8 g (after), rhizoma coptidis 8 grams, 30 grams of Fried jujube kernel, cortex albiziae 15 grams, 15 grams of tuber fleeceflower stem, fry the 12 grams of frutus aurantii immaturus, 18 grams of radix cyathulae, mother-of-pearl 20 g (Fried) first.

7 agent, water decoction, day 1 agent.

Diagnosis: after 7 above clothing agent, tinnitus, when sleep Ann, dreams have been reduced, upset has light; But pantothenic acid frequency, the stomach bilges, hollow when weiwantong, mainland. At the tongue body fat big, tongue reddish, tongue in the dark, moss root Bai Hou greasy, examine its slide heavy small number.

Strategy to add and subtract, with spleen and stomach, liver t2dm for the law.

Syndromes: radix pseudostellariae 12 grams, 15 grams of radix bupleuri, Fried rhizoma atractylodis 12 grams, Fried atractylodes 12 grams, toasted almond 9 grams, 30 grams of Fried semen coicis, magnolia officinalis flowers 12 grams, 30 grams of poria cocos, corrugated 30 grams of powder (Fried), cuttlefish bone 12 g (Fried) first, left gold pill (Fried), 6 grams orange leaf 15 grams, 15 grams of tangerine pith, Fried three fairy (various) 12 grams, shiva Luo Zi 10 grams, mother-of-pearl 20 g (Fried) first, radix achyranthis bidentatae 15 grams, 1 slice ginger to lead.

14 agent, water decoction, day 1 agent.

After three diagnosis: above 14 doses, tinnitus, sleep, dreams, less upset has light; Pantothenic acid, food not stomach bilges, after diagnosis based on an empty stomach pain. Timeout period, menstruation breast has not pain, alvine object disappears, feeling medium is, without a blood clot, the interphase is not bleeding, mainland; Hope its tongue reddish moss thin, examine its tiny strings.

14 agent told the defending team, with good disease.

【 in 】 : the proof of tinnitus, etiology and pathogenesis is complex, or due to insufficient kidney, spleen and stomach weak; Or modern imbalance, taste hot and humid, hot wind outside yet. Because clinical should careful card, treats greatly, can be achieved.

This case is the modern disorders, liver pathogenesis, taste loss, make phlegmy heat, and fire, phlegm fire up, choking qing qiao, tinnitus. "Ancient and modern medical system, ear card door" cloud: "phlegm fire within, congestion and become deaf." Road is evidence-based medicine, early in the spleen of black bile and stomach, liver after hearing rule, ping to spleen and stomach health, ji qing lowered turbidity, ning stomach and bravery, phlegm fire clearly is obsessed with the ear from hearing. In the spleen and stomach, liver t2dm is given priority to, aimed at diseases with hydrophobic, something clearly, spleen and stomach to reconcile, collaterals, amidst a are all CARDS from the removal.