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越鞠丸出自《丹溪心法》,又名苍术丸,由苍术、香附、神曲、川芎、栀子等组成。主治胸膈痞闷,吞酸呕吐,饮食不消诸症。笔者用此方化裁,治疗多种内科杂证,疗效满意。 1 顽固性失眠 患者,男,干部,年龄43岁,失眠已1年余,初始用安定类西药尚能收效,久之药效渐减。后又多处求治于中医,屡服养血安神之剂,收效甚微。诊时诉胸膈痞满,心烦易躁,口干便秘,嗳气频频,舌红苔黄,脉滑数。证属六郁化火,火盛则上扰神明,致心烦失眠。笔者用越鞠丸改汤行气解郁,外加大黄、黄连导滞通腑而清心降火。诸药合用,火消而神自安。
Yueju Pill comes from “Danxi Heart Method”, also known as Cangzhu Pill. It consists of Cangzhu, Xiangfu, Divine Comedy, Chuanxiong, and Gardenia. Indications of chest tightness, vomiting and vomiting, diet does not eliminate consumptive disease. The author used this prescription to treat a variety of medical certificates and the results were satisfactory. 1 Intractable insomnia Patients, men, cadres, age 43 years old, insomnia has been more than 1 year, the initial use of tranquilizing Western medicine can still be effective, long-lasting efficacy decreased. Afterwards, he often sought treatment in traditional Chinese medicine and repeatedly served as a nourishing and tranquilizing agent, with little success. At the time of consultation, she complained of chest fullness, upset, constipation and dry mouth, frequent hernia, yellow tongue with red coating, and slippery pulse. The card is a six-point depression, and Huosheng is disturbing the gods, causing upset and insomnia. The author used Yueju Pills to change the spirit of Qi Jieyu, and to increase the yellow and huanglian lead stagnation and clearing the heart. Various drugs are used together, and the fire disappears.