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一、癔病性瘫痪 潘某,女,32岁。1990年7月2日诊。1天前因恼怒而昏厥,针刺人中、涌泉穴后苏醒,但双下肢痿软沉重不能行走,伴胸脘满闷而胀,周身沉重烦乱,手足麻木发凉,时欲哭,善叹息。查体见双下肢肌张力正常,双侧膝腱反射正常,病理反射未引出。舌苔薄白,脉沉弦。诊断为癔病性瘫痪。试用针刺和暗示疗法,未效。辨证属肝气郁结,经络阻滞所致之痿证,应疏肝解郁,佐以通络,予以四逆散加味。处方:柴胡、白芍、川牛膝各15克,枳实10克,甘草9克。水煎服,每日一剂,连服3剂。3日后来诊,述当天服一剂后,周身沉重烦乱消失,现已行走如常,余症皆除。随访2年,未复发。
One, 癔 瘫痪 潘 潘 Panmou, female, 32 years old. July 2, 1990. 1 day ago, I was fainted by irritation, acupuncture in the middle of the Yongquan point, but I couldn’t walk with my lower limbs. I couldn’t walk with my lower limbs. I was full of stuffy chest and swelling, my whole body was heavy and distraught, my hands and feet were numb, and I was crying. sigh. Physical examination showed that the muscle tension of the lower limbs was normal, bilateral knee tendon reflexes were normal, and pathological reflexes were not induced. Thin white tongue coating, pulse sinking string. The diagnosis was hysteria. Tried acupuncture and suggestive therapy, not effective. Syndrome is a liver qi stagnation, stasis syndrome caused by the meridian block should be Shugan Jieyu, with Tongluo, to Sini scattered flavor. Prescription: 15 grams each of Bupleurum, Radix Paeoniae Alba, and Achyranthes bidentata, 10 grams of Gorgonia and 9 grams of Radix Glycyrrhizae. Shuijianbi, a daily dose, and even served 3 doses. On the 3rd, he was diagnosed later and stated that after serving one dose on the same day, the whole body became very distraught and dissipated, and he was now walking as usual. Followed up for 2 years without recurrence.