Treatise on febrile disease can acetanilide one hundred square

- from the disease, and disease about fever of six-channel syndrome cure (three)

OuYangWeiQuan Guangdong hospital of

China's traditional Chinese medicine to

        The body of children is pure Yang, seems to have been three difficult to Yin syndrome. But when many children with fever, or factors, body weakness, or because of improper treatment, injuries and vital qi, lead to evil heat in three Yin syndrome, also see a lot. At this time, remember do not see the fever heat, aggravating illness, and should with the attached sheen, true Wu Shang, four agent help crashing YangZhen lateral root of aconite decoction.

        Sun, shaoyin, lunar disease, early see fever cough, when the wind group red and hot as such as itching, but patients with tired, sank pulse is weak, and failure of Yin and Yang like appears less, so the urgent when this nourish, rather than see hot heat.

        Three Yang and three Yin diseases, fever and illness

        "For the disease of shaoyin, pulse fine, but you would like to believe." Fever three Yin disease, especially the shaoyin disease, tired to sleep soundly state is very prominent, but clinically for, tired to sleep soundly status is not so easy, sometimes wrong, I just have this lesson, the following example.

        The some female, 33, was on March 4, 2010. Has been outpatient treatment for psoriasis. Yesterday all of a sudden high fever, body temperature of 39.2 ℃, the evil cold, body aches, no sweat, NaCha, dry mouth, tongue, pulse string. The sun Yang Yang less MingSanYang disease, give small bupleurum decoction and puerarin soup.

        Formula: 25 grams of radix bupleuri, radix scutellariae, 9 g, 9 g, codonopsis pilosula method of pinellia 12 g, 12 grams of ephedra, 9 grams of cassia twig, 20 g kudzuvine root, jujube 20 grams, 15 grams, ginger main licorice root 6 grams. The author confident fever 1 agent.

        On March 5, 2, after the drug is still hot, temperature is 39.3 ℃, the evil cold, no sweat, body aches, dry mouth, stay, cold and tired, sticky mouth, hot drink after the head sweat, light and dark tongue, the tongue body fat big, moss Bai Wei greasy, pulse heavy fine. Head both micro khan, table has solution, not again with ephedra agent; Tongue body fat big, moss Bai Wei greasy, green is drinking water, therefore, to the five three small bupleurum decoction and powder.

        Formula: 18 grams of radix bupleuri, radix scutellariae 9 g, 9 g, codonopsis pilosula method of pinellia 12 g, 12 g, rhizoma atractylodis 9 grams of cassia twig, poria cocos 15 grams, grifola 10 grams, 15 grams of rhizoma alismatis, jujube 20 grams, 15 grams, ginger main licorice root 6 grams, 1 agent, tell her don't over-think things, when after the drug solution.

        It backfired, on March 6, the patient call fever is still not back, temperature is 39 ℃ above, after careful thinking, concluded that not only three Yang diseases, which is less Yin table card, and water to drink, ephedra asarum decoction and lateral root of aconite zhenwu Shang Jiagui.

        Formula: ephedra 9 grams, 15 grams of lateral root, asarum 6 grams, rhizoma atractylodis 15 grams, 15 grams of poria cocos, radix paeoniae alba 10 grams, 10 grams of cassia twig, and ginger 15 g. 1 agent.

        On March 7, to visit in the morning, fever, body temperature of 37.6 ℃, tired, dry mouth don't want to drink, don't bitter, red tongue, dark, moss white ferry less and less, no discomfort urinating. Period. 3 day now, the quantity is little, the left lower abdomen tenderness. Check routine blood: WBC14.81 x 109 / L, N, L: 0.76, 0.107; Routine urine not check; Ultrasound report: liver did not see unusual, right renal pelvis is 2.25 cm x 1.79 cm liquid dark space, bilateral ureteral did not see obvious expansion, consider the right renal pelvis of a small amount of water (suggest further checks).

        Considering at this point, the diagnosis may be kidney stones, kidney seeper and infection with high fever. Four diagnostic parameters, when Chai Ling decoction syndrome, then to Chai Ling tonga subtraction.

        Formula: 25 grams of radix bupleuri, radix scutellariae 10 grams, method of pinellia 15 grams, 10 grams of codonopsis pilosula, rhizoma atractylodis 10 grams, 10 grams of poria cocos, grifola 10 grams, 15 grams of rhizoma alismatis, cassia twig 9 grams, 45 g plaster stone, rhizoma ligustici wallichii 6 g, 5 g dahurian angelica, ginger 15 grams, 30 grams of jujube, main licorice root 6 g, and 4.

        On March 10, have fever again, review of blood picture: WBC7.81 x 109 / L, routine urine: WBC +, microscopy WBC23 / uL. Dry mouth, loose stool, mental condition improved obviously, poor, has the feeling of urine is endless. Tongue side slightly red, pale tongue and body fat, moss Bai Wei greasy, pulse string. To five three scattered grifola soup.

        Formula: grifola 10 grams, poria cocos 12 grams, 15 grams of rhizoma alismatis, cassia twig 6 grams, atractylodes 10 grams, 30 grams of talc, donkey-hide gelatin 10 grams, 30 grams of raw yi, 7.

        On March 18th, the disease will disappear, review of the ultrasound, double kidney, bladder, ureteral abnormality was not found, kidney seeper. Turn to cure psoriasis.

        Condition: this case is not complicated, but the differentiation strategy was a hit, then still not solve. All in the healer had made the following problem:

        One is the "first impressions are most lasting, thinks himself". Small bupleurum decoction treatment of exogenous fever with pueraria decoction and its curative effect, the healer through inspection, are between 1 ~ 2 doses of heat illness back Ann, so the first impressions are most lasting, but to see evil cold, no sweat, dry mouth, less, tired, and then call SAN Yang disease, the results of a hit.

        Second, the diagnosis is not detailed. Two diagnosis when the opportunity of this is correct, but not actually careless careless, patients at the time of fatigue state, is not tired of small bupleurum decoction, although small bupleurum decoction for "weak blood, breath, cou justified..." Pathogenesis of can appear hot, tired, tired but not very more, tired very obvious, and the patients after the wise men, consciously eyelid is very heavy, to mei, this one is the effect; Tongue body fat, although belonging to five three card, but at the time of the light and dark tongue, when shaoyin, failed to fine of this second meaning.

        Three heavy fine of arteries and veins is neglected. The synopsis yue: "water for the disease, its pulse sink is small, less Yin", did not cause attention, still considered in three Yang, the third main idea, so the second diagnosis to pitch Chai Ling soup still not solve. Until three diagnosis, careful analysis, consider less Yin table card, should be explored nourish, to 1 dose of hemp with sheen and true Wu Shang and heat syndrome.

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