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张××,女,22岁,未婚,教员。1986年10月22日初诊。患者面部生黑斑五月余,开始局限于颧部,以后向四周扩散,并伴有月经不调,面部发诊,痒痛难忍,唇干不欲饮。观其面部,各有约3.5×4.5平方厘米大小黑斑,与周围皮色迥然有别,黑而发暗。舌淡有齿痕,苔薄,根微腻,脉沉细,平素微恶寒。诊为肾阳虚弱,血虚风燥。济生肾气丸加减投之。熟地12克,山萸10克,山药15克,茯苓12克,当归12克,附子6克,肉桂6克,车前子5克,川牛膝15克,枸杞子15克,杜仲15克,淫羊藿15克,桂枝10克,乌梢蛇10克,川芎10克,白芷10克,三付,水煎饭后温服。
Zhang X, female, 22 years old, unmarried, teacher. October 22, 1986 new diagnosis. The dark spots on the face of the patient were more than five months old and were initially confined to the ankle. Later, they spread to the surrounding area, accompanied by irregular menstruation, facial complaints, itchiness, and dry lips. The face, each with a dark spot of about 3.5 x 4.5 square centimeters in size, is distinct from the surrounding skin, dark and dark. The tongue is lightly toothed, the fur is thin, the roots are delicate, the veins are fine, and the skin is slightly chilly. Diagnosed as weak kidney-yang, blood deficiency and dryness. Jisheng Shenqi Pills are added or subtracted. Rehmannia 12 grams, Hawthorn 10 grams, 15 grams of yam, Poria 12 grams, Angelica 12 grams, 6 grams aconite, cinnamon 6 grams, Plantago 5 grams, 15 grams of Sichuan Achyranthes, 15 grams of medlar, 15 grams of Eucommia, 15 grams of epimedium, 10 grams of cassia twig, 10 grams of black snake, Chuanxiong 10 grams, 10 grams of white peony root, three pay, warm clothes after boiling water.