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1 顽固性口疮案 张某,女,32岁,农民,1991年8月20日就诊。患口疮多年,每逢秋季发作,轻则半月,重则月余。现口腔粘膜及舌面大量点片状溃烂,色白,口涎多,疼痛难忍,胸闷,腹胀,纳差,便溏,身困肢倦,舌淡,脉细缓。辨属阳虚不能气化行水。治以温阳健脾化湿。方用真武汤加味:附片6g,白术10g,云苓15g,干姜10g,白芍10g,桑螵蛸10g,甘草6g,陈皮10g,半夏10g。二诊:药进3剂,口涎已明显减少,疼痛亦轻,继上方加厚朴10g、台乌药片10g,再用3剂。三诊:口腔粘膜及舌面溃烂已呈小粟粒状,较前缩小许多,已
1 Obstinate aphthous disease case Zhang, female, 32 years old, farmer, treated on August 20, 1991. Suffering from acne for many years, every autumn attack, ranging from half a month to more than a month. The oral mucous membranes and the tongue are punctuated by a large number of flaky festering, white color, many phlegm, pain, chest tightness, abdominal distension, anorexia, loose stools, tired limbs, pale tongue, and slow pulse. Identifying yang deficiency can not gasify the water. The rule is to warm the spleen and dampness. The side was modified with Zhenwu Decoction: attached tablets 6g, Atractylodes macrocephala 10g, Yunqi 15g, dried ginger 10g, Angelica 10g, mulberry 10g, licorice 6g, dried tangerine peel 10g, Pinellia 10g. Second diagnosis: The medicine is taken into 3 doses, the mouth ache has been obviously reduced, the pain is also light, following the thickening of the top 10g, Taiwu tablets 10g, and then 3 doses. Three consultations: oral mucous membrane and lingual ulceration have been shown to be small miliary.