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1 胸痛 王某,男,52岁,1980年7月2日初诊。患胸闷隐痛,心悸不宁10年。曾在当地与外地医院检查确诊为“冠心病”。经服用中西药治疗时好时坏,此次发病因过度疲劳加之受凉而致。证见胸痛彻背,感寒痛甚,胸闷气短、心悸,重时喘息不得平卧,面色萎黄无华、身寒肢冷、唇色稍暗、舌质紫暗、苔薄白稍腻、脉象沉细无力。中医辨证心肾阳虚,阴寒凝滞,痹阻经络所致。治宜宣痹通阳、温补心肾、散寒通滞。方药阳和汤加味:熟地,瓜蒌各15g,鹿角胶、桂枝、
1 Chest pain Wang M, male, 52 years old, was newly diagnosed on July 2, 1980. Suffering chest tightness, pain, restlessness for 10 years. He had been diagnosed with coronary heart disease at local and foreign hospitals. The treatment of Chinese and Western medicines is good or bad, and the incidence is caused by excessive fatigue and cold. See the chest pain and back pain, feel cold pain, chest tightness, shortness of breath, heart palpitations, when the weight is not wheezing supine, pale chlorosis, body cold, dark lips, dark purple tongue, thin white fur, tired, pulse Shen Thin and weak. TCM syndrome differentiation of heart and kidney yang, Yin Han stagnation, stasis due to meridians. Expelling phlegm and phlegm yang, warming up kidney, cold and stagnation. Fang Yao Yang and soup flavor: Rehmannia, Gualou each 15g, antler, cassia twig,