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章文庚老中医,业医兼从事临床教学40余年,经验颇丰,承古求新,善用经方,屡起顽疾,兹录医案三则。 1 辛开苦降寒热并调黄某,女,32岁,1990年8月10日初诊。胃脘痞塞隐痛2月余,曾服中药20余剂及西药胃友、乐得胃等,效果欠佳。刻诊:胃脘隐痛,嘈杂似辣,口苦不渴,大便溏薄,形寒肢冷,纳少,舌淡苔腻微黄,脉缓。查体:上腹部剑突下压痛。证属寒热互结,脾胃升降失司,治以寒热并调。方选半夏泻心汤加减。处方:
Zhang Wengeng’s old Chinese medicine practitioners and professional medical doctors also engaged in clinical teaching for more than 40 years. They have rich experience, and they inherit ancient ideas, make good use of the classics, and have persistent problems. They have recorded three medical records. 1 Xin Kai Bitter cold and hot and adjust Huang, female, 32 years old, first diagnosed on August 10, 1990. Suffering from stomach congestion for more than two months, he had served more than 20 Chinese medicines and Western medicine for stomach acuity, happy stomach, and so on. The effect was poor. Carved diagnosis: stomach cramps, pain, noisy like hot, bitter mouth is not thirsty, loose stools, cold limbs, less satisfied, pale tongue, greasy yellow, slow pulse. Physical examination: The abdominal pain under the xiphoid process. The certificate is cold and heat each other, the spleen and stomach lost its division, ruled by cold and heat and adjusted. Select Banxia Xiexintang addition and subtraction. prescription: