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一、瘟疫病误治变证转阳极似阴证[案例]《吴佩衡医案》张××之妻,年四旬余,四川省会理县人,体质素弱,患痰饮哮喘咳嗽多年,屡服滋阴清肺之药罔效,余拟小青龙汤加附子及四逆二陈加麻辛沥等治之,服10多剂后病愈而复健康。数年后,于1920车3月感染时疫,起初发热而渴,头体痛。某医以九味羌活汤加麻黄、桂枝1荆,服后,则汗出而昏厥。延余诊视,脉沉伏欲绝,肢厥肤冷,唇焦齿祜、口不能张,问其所苦,不能符。此系瘟疫误表过汗伤阳,疫邪传入阳明之腑,复感少阴君火,火化太过,亢阳灼阴,真阴欲绝,邪热内逼致使真阴外越,遂成阳极似阴之证。急与清热养阴生津之剂,方用生脉散煎汁,频频喂服。处方:米洋参10克,麦门冬26克,北五味6克,生甘草6克。药汤下咽后数刻,脉来沉数,肢厥渐回,口气仍蒸
First, the plague disease mistreatment turns to change the anode like Yin card [Case] “Wu Peiheng medical case” Zhang × × wife, more than four years, Huili County, Sichuan Province, people, weak health, suffering from bronchitis asthma cough for many years, repeated Nourishing yin and clearing away the lungs of the drug effect, Yu Xiaoqing Dragon Tonga Fuzi and Sini Erchen and Ma Xin Li and other treatment, after serving more than 10 doses recovered and recovered. A few years later, when the 1920 vehicle was infected in March, it began to feel feverish and thirsty, and his head was in pain. A medical doctor used nine flavors to live Tonga Ephedra and Guizhi 1 Jing. After serving, they sweated and fainted. After deferment of treatment, the pulse is immersive, the limbs are cold and the skin is cold, and the lips are prone and the mouth cannot be opened. This is where the plague was misunderstood and sweat was hurt. The epidemic evil spreads into the Yangming crest, and the complex senses Shaoyin Junhuo, the cremation is too much, the yang yin burns, and the true yin dies, the evil heat causes the real yin to get out, A positive anode seems to be the evidence of Yin. Anxiousness and heat Yangyin Sheng Jin agent, side with Shengmai casual Jianzhi, frequently fed. Prescription: 10 grams of American ginseng, 26 grams of Maimendong, 6 grams of North Wuwei and 6 grams of raw licorice. After the soup has swallowed for a few moments, the pulse sinks, the limbs gradually return, and the tone is still steamed.