八味丸加麻黄治疗慢性肺心病23例

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治疗方药:附片,泽泻、肉桂各20克,茯苓50克,熟地、山药各10克。山萸、丹皮各5克,麻黄15克,每剂水煎2次,滤取药汁200~300毫升,分2次空腹内服,连服3~5剂,病症减轻后改服丸药,每次1丸,日服2次,总疗程为15~25天。有烦躁、失眠,脉细数者,其剂量改为附片、肉桂、泽泻、山药、丹皮各10克,茯苓、熟地各20克,山萸15克,麻黄3克,服法同上。23例患者除个别病症表现急剧者合用西医治疗外,其余全用附桂八味丸(汤)加麻黄治疗。治疗结果:13例服汤药5剂,尿量明显增加,水肿减轻,自觉全身症状有明显好转,改服附桂八味丸10天,心悸气短平息,诸证平复。有10例重危患者,中西医同时治疗3天后,病症缓减,继服中药3剂,小便正常,水肿大减,改服丸药15天后,全部好转。23例中随访14例,1年以上未见复发,3~6个月复发9例,但用本方重复治疗同样收到满意效果。体会:慢性肺心病主要是肺、心,肾三脏功能衰 Treatment prescriptions: attached tablets, Alisma, cinnamon each 20 grams, Poria 50 grams, Rehmannia, yam 10 grams each. Hawthorn, Dan Pi 5 grams, 15 grams of ephedra, each dose of water to cook 2 times, filtered concoction 200 to 300 ml, 2 times fasting orally, and even served 3 to 5 doses, after the change of illness to take pills, each 1 pill, 2 times a day, the total duration of treatment is 15 to 25 days. With irritability, insomnia, pulse breakdown, the dose was changed to attached tablets, cinnamon, Alisma, yam, paeonol each 10 grams, 20 grams of wolfberry, rehmannia, 15 grams of hawthorn, 3 grams of ephedra, serving the same as above. In addition to Western medicine, the 23 patients were treated with Western medicine and the rest were treated with Fugui Bawei Pill (soup) plus ephedra. Treatment results: 13 cases taking decoction 5, urine output increased significantly, reduced edema, consciously systemic symptoms have improved significantly, change served with Gui Ba Wei Wan 10 days, palpitations, shortness of breath, all kinds of evidence calm down. There were 10 cases of critically ill patients. After 3 days of simultaneous treatment with Chinese and Western medicine, the symptoms eased, followed by 3 doses of Chinese medicine, normal urine, and severe edema. After 15 days of changing pills, all improved. 23 cases were followed up in 14 cases, no recurrence occurred in more than 1 year, and 9 cases recurred in 3 to 6 months. However, repeated treatment with this side also received satisfactory results. Experience: Chronic pulmonary heart disease is mainly lung, heart, kidney three organs function decline
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