The disease for the complicated medical record is two

ChenXiaoSha LiHuiWen Wang jie DongWenJuan WangZi xi Navy general hospital

China's traditional Chinese medicine to

        WangYuSheng chief physician is the Chinese people's liberation army navy general hospital of combining traditional Chinese and western medicine oncology experts. He is in a few years of clinical experience, pay attention to traditional Chinese medicine basic theory and practice of closely combining, use appropriate, good convergence. The following two case is he in patients with, use neijing "disease next take its" theory and recover. This introduction is as follows.

        "The disease on to" the urinary incontinence

        FengMou one, female, 51 years old, hui. Beijing a diet company retired worker. On June 8, 2012 to see a doctor.

        Urinary incontinence 13 years, nearly three years intensifies, patients have a history of urinary incontinence, 13 years in Beijing several large hospital inspection, all did not find out several organic lesions, Chinese and western treatment, also after acupuncture, massage, cupping jar methods of traditional Chinese medicine treatment, with more is the kidney method, strong sun method, acupuncture and massage to the bladder, du meridian is given priority to, but will not act.

        Diagnostics is urinary incontinence, afternoon and night, every night as urine out many times, so night can't drinking water. Such as walking fast or running urine will sort itself out, such as speak loudly or cough will urine to outflow, so daily will use sanitary napkin, in five to eight times. More than ten years of pain in the neck. At ordinary times is not easy to sweat out, even in the hot summer is no exception. But general afraid of cold, heart palpitations, shortness of breath is uneasy weakness, loss of appetite is normal, normal menstrual cycle, through 9 ~ 12 days, quantity multicolor normal, defecate normal. Coating on the tongue thin white, pulse sink slow weakness.

        This is the lung qi deficiency, bladder, stand to to make up for gathered lung gas, solid perturbation bladder.

        Prescription: prince and 15 g 15 g, astragalus membranaceus, poria cocos 15 grams, fruit of Chinese magnoliavine 15 grams, angelica 12 grams, yam and grams, Fried rhizoma atractylodis macrocephalae 15 g, myrobalan meat 12 grams. Water over two times, day 2 times clothing, 7 agent.

        On June 15, 2012: take medicine seven agent, enuresis minus the most, then the front take 12 agent.

        On July 2, 2012: take a total of more than 19 agent, enuresis basically eliminated, run and speak loudly also won't urine out, already stop using sanitary napkin three days. On June 23, menstrual cramps, 6 days already net, recently the sweat out before a increasing, palpitation and shortness of breath not happen again, to consolidate curative effect, then take ahead 10 agent, alternate days 1 agent.

        On November 5, 2012 telephone follow-up, the patient urinate has completely normal.

        According to the female urinary incontinence, bladder, kidney deficiency caused by kidney, stand for the gas and solid perturbation, western medicine more than that is caused by bladder sphincter relaxation. The stubborn nocturia has for many years the kidney and application method, solid perturbation method is not more, considering the prime ask · the so-called p-five needs theory article, "said:" disease in, take below "method, by for a month and recover. Lung in the highest position, known as the "canopy". Lung main gas, Lord fur, company breathing, as the source of water. Lung qi deficiency, in addition to can cause muscle table loose susceptibility, cough, asthma outside, still can cause the source of water, not solid perturbation to urinate not solid and urinary incontinence. The patient is fully reflected in this. Dollar period zhu Dan creek treatment urine impassability, its think lung such as dripping of apparatus, closed on its opening, the opening on the impassability, open the opening under the opening will be. This is we often mention mention pot peel treatment method of urination. Patients usually shortness of breath weakness, is not easy to sweat out, tongue mass pale, so the diagnosis of lung qi deficiency, party with prince ginseng, yam, astragalus root for jun tonifying lung gas, fruit of Chinese magnoliavine, myrobalan meat convergence lung gas for princes, rhizoma atractylodis macrocephalae, poria cocos fry the spleen to make to native gold, angelica to understanding for up and down I. The medicine together, pulmonary air time gathered, bladder of gasification to solid, urinary incontinence will naturally disappear. In this case the treatment of patients also shows the "lung for water source" the theory of traditional Chinese medicine syndrome differentiation and treatment and the importance of correct.

        "The disease on to" the constipation

        DongMou a, male, 66 years old, a Beijing university staff. In September 2012, 26, see a doctor.

        Row defecate difficulty for two years, in recent months to aggravate the past two years, for unknown reasons, defecate eduction is more and more difficult, the application of traditional Chinese medicine and runchang enema for external use method is invalid. Do the endoscopic check, unknown organic lesions.

        Diagnostics is defecate eduction is difficult, every time 30 minutes. Even row to anal edge, and abnormal effort to get down, and quality, not every 2 ~ 4 days, a normal diet, the activity small of the back pain, but pain not heavy, usually just lumbar acid (shooting tip between the waist dish outstanding), double lower limbs numb when lumbago obvious, urinate normal, tongue side tooth color of light, moss thin white, pulse sink slow weakness.

        This is the lung qi deficiency, colon, alongwith. To to make up for pulmonary gas, help intestinal gas.

        Prescription: astragalus membranaceus 15 grams, prince and 15 g, born of rhizoma atractylodis macrocephalae 15 g, raw yam and grams, lotus seed meat and grams, roasted liquorice 10 grams, poria cocos 15 grams, costus 10 grams, sand kernel 5 grams, 12 g dried tangerine or orange peel. Water over two times, day 2 times clothing, 4 agent.

        On October 3, 2012: after medicine shit function is somewhat better, pulse with tongue before astragalus ahead to 25 grams, and agent.

        On October 11, 2012: medicine back shit is prior to the unobstructed, still with astragalus ahead to forty grams, and agent.

        On October 19, 2012: total clothing irrigation and agent, shit has basically normal, days defecate once. Tongue body is fat, the color light, moss thin white, pulse sink slow weakness.

        To consolidate curative effect, then take ahead seven agent, alternate days take 1 agent.

        According to the patient's symptoms look, tongue body fat, color light, pulse sink slow weakness, shit is not dry yet for thin, can be diagnosed deficiency of vital energy. Qi qi why dirty, we have figured out of. Although the patients have backache, double lower limb pain and numbness, is caused by the waist dish outstanding, no other symptoms of kidney empty, so kidney qi deficiency can eliminate again, and there is no heart, liver symptoms. Only lung gas, so as the lung qi deficiency. Because lung for internal organs of the body on, called "canopy", as the source of water, and the phase and large intestine. Shit discharge is through the large intestine and exhaust, and lung qi deficiency at the same time can lead to the large intestine qi deficiency. E. deficiency of vital energy and cause the bowel movement function weakness and appear this kind of qi deficiency constipation.

        Prescription of huangqi, prince and for gentleman medicine fill lung gas, and cooperate with rhizoma atractylodis macrocephalae, poria cocos, main licorice for minister, and the prince and for sijunzi decoction in the spleen, earth raw gold, to make up for pulmonary gas, lotus seed meat, sweet, sand kernel for adjuvant, and at the same time, the spleen and stomach to help lung gas. Such pulmonary spirit imitation, e. gas to help, and to promote the work do shit, so dose 25 agent and recover.

        To begin with astragalus membranaceus 15 g, take 4 agent, is to observe curative effect, medicine and after effective suit, so later astragalus membranaceus gradually add to and g, so that to achieve the "vanguard trial, the army to take positive all the work" the effect.

        We should emphasize, constipation diagnosis, must be figured out false or true, defecate dry person for Yin deficiency, not shit instead of the thin for Yang or deficiency of vital energy. Never can meet constipation is fire maren, bunge cherry seed together, more not with rhubarb, immature bitter orange diarrhea together. Qi constipation, spleen and stomach qi deficiency person see more, lung qi deficiency were rare, lung qi qi in two phase and also have. In short, tonifying qi to help them promote power is for treatment method. In addition, constipation and splenic luck change function is relationship, so when treating constipation with spleen qi to help transport change function, or the spleen and stomach method with application in treating constipation have certain help function.