After fang shi fidgety

Zhao Xubin Eldest son county in Shanxi Province Chinese medicine hospital

China's traditional Chinese medicine to

        Patients with zhang, male, 49 years old, because of "hiccups, irritation, personality change 3 days" on March 7, 2013 at our hospital. In patients with flat ferrite, nearly half again and again a cold fever, in the home repeatedly taking compound ammonia Lin barbital, dexamethasone, drugs such as penicillin, symptomatic treatment. Three days earlier the sweat out when the wind became seriously ill, and a hiccups and change the check in our personality. Attack seen intermittent hiccups, at least for 1 time, no time, irregular fever, no sweat, no desire to eat fidgety, stewing, not mei, involuntary movements increased, basic relevant articles, but the words slightly. Basic normal limb muscle strength, muscle tone, physiological reflex, pathologic reflex did not elicit, meningeal stimulation (-). Blood cell analysis did not see obvious anomalies, head CT scan tip right frontal cerebral infarction, the right half egg circle center of lacunar cerebral infarction. Tongue dry, color pale, moss Bai Hou, yellow tongue, pulse string is fine. Although have cerebral infarction, but lesion is inconsistent with clinical manifestations and can not rule out the possibility of viral encephalitis. After admission do not cooperate with treatment, have repeatedly infusion paste, to pull out the broken needles, iv, only cooperate for oral administration treatment, aspirin antiplatelet aggregation and omeprazole protect gastric mucosa, mucosal injury prevention.

        Patients with syndrome differentiation of traditional Chinese medicine thinks: sweating repeatedly, qi and Yin, cou justified osteoporosis, after the sweat out when the wind, the illness is aggravating. Sun, Yang Ming and two by the evil, cou justified occlusion, so see fever without sweat, sun's disease puzzled, at the same time, Yang Ming cold did not preach yangming, muggy over via transfer conditions, heat and lower bladder camp, so the man crazy, irritability anxiety. Second cold evil stomach, the stomach gas does not send a rose, send for hiccups. Moss yellow greasy for the table be heralded real hot and suffocating the illusion. Because of course repeatedly, vital qi has failure, unable to fight evil, so the pulse string is fine. Four diagnostic and when the sun a disease, table card unanswered, hot junction bladder, upright, weak and cold evil guest stomach at the same time. Heat treatment: the sun, bladder, the person such as crazy, and nobody more with the blood from the wound. Outside its mystery, yet can attack, outside solution already, but lower abdomen urgent knot, is can attack, appropriate peach pit gas soup. Unanswered, and the current weak vital qi and table cold evil stomach, ephedra asarum lateral root of aconite party choose Shang Wenyang nourish, cold plus cohosh help ephedra xuan lung, increase the yellow with cohosh wu a liter of a falling tone and stomach qi, batryticated silkworm spasmolysis anti-nausea, main licorice to reconcile all the medicine, quasi square is as follows:

        6 grams of ephedra, light attached 6 g, 3 g, asarum, rhubarb 3 grams, main licorice 3 grams, batryticated silkworm 10 grams, cohosh 6 grams, prescription granules, daily 1 agent, ginger soup blunt.

        Irritation obvious after taking the drug, temperature rise, up to 39.4 ℃, no sweat, add in radix bupleuri injection 4 ml of intramuscular injection still doesn't work. Man like crazy, intramuscular injection, intravenous injection of diazepam every 10 mg, are not working, and family members uneasy, request higher level hospital. And leave ward for changzhi during the evening 22 peace hospital affiliated to medical school, in the way of the whole body sweat aggregates accumulate, khan from cool, also obviously relieve irritation, stop hiccups, fidgety. Peace of changzhi medical college affiliated hospital check after biochemical series, abdomen colour to exceed, etc are no exception. After consultation by the emergency department, nerve internal medicine and gastroenterology dept., etc came to the conclusion that although have cerebral infarction but not heavy, cannot be ruled out a large number of patients with irritation associated with dexamethasone, regardless of encephalitis, meningitis, treatment recommendations continue to return to our observation, and once again return to the hospital at 4 in the morning.

        Hospital early the next day at 8 rounds: body temperature is normal, hiccups no attack again, poorer sleep yesterday obviously better, but still don't want to eat, treatment is not cooperate, look dull. Move bowels 4 unanswered. Physical examination: the temperature is 36.6 ℃, heart rate 70 times/min, blood pressure 120/80 MMHG, cardiopulmonary not seen obvious abnormal body, nervous system examination is still no clear positioning signs.

        Condition analysis: after the treatment the current heating evil cold, the hiccups stopped, but the spirit is poor, irritability, depression were occasionally, and don't want to eat, fourth defecate unanswered, and the current invaded has solution, hiccups have check, tongue reddish, moss Bai Hou, veins smooth. Still consider for the bladder accumulator fact, no lower abdomen sharp junction, is virtual so, also can attack the party selected peach pit gas soup. And diazepam composed on the basis of the intravenous drip injection yiqi the centralizer, hydrochloric acid ligustrazine injection blood know luo, rehydration nutrition support. Traditional Chinese medicine (TCM) to party as follows: peach kernel 10 grams, 6 grams of cassia twig, rhubarb 3 grams, 20 grams, glauber's salt main licorice 3 grams. In granules, daily 1 agent, water a blunt.

        When admitted to hospital on the third day 8 rounds: from yesterday morning until now, no fever, no hiccups attack irritation significantly reduce, to cooperate with treatment, the need for sedation plane lip color gradually returned to normal, yesterday to peach pit carrier after gas soup to goes to stool twice now, then drying black, start asking for food this morning, but the appetite is still flatted. Temperature is 36.6 ℃, the blood pressure 120/80 MMHG, cardiopulmonary did not see obvious anomalies. Tongue red, moss Bai Hou greasy, pulse string.

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