Clinical application of Guigui Shugan Decoction

Clinical application of Guigui Shugan Decoction

First, coronary heart disease Shengmou, male, admitted to hospital on March 22, 2003.

Since 2000, patients have had palpitations, convulsions, shortness of breath, chest tightness, and dizziness.

He was hospitalized for half a year and took Chinese and Western medicine, but the symptoms have not been controlled.

When you are admitted to the hospital, you will see: palpitations, shortness of breath, exacerbation after exertion, dizziness, fatigue, and lack of temperature in the hands and feet.

The tongue is light, the fur is white, and the pulse is weak.

ECG report: 1.

Sinus tachycardia; 2.

ST segment down, in line with the diagnosis of coronary heart disease.

  TCM diagnosis: 怔忡 (heart yang).

Use 苓桂术甘汤 to add warmth to the heart and yang, soothe the nerves.

茯苓10g, cassia twig 10g, Atractylodes 10g, 栝楼10g, calcined keel, calcined oyster each 15g.

After taking 5 doses, heart palpitations and chest tightness were significantly relieved.

A total of more than 20 doses were added to this side. The above symptoms disappeared and the ECG was reported to be within the normal range.

  Second, Meniere’s disease Zhao, female, 40 years old, worker.

Since the beginning of 2000, the private prosecution has been recurrent, and the interval time varies from time to time. Sometimes it occurs once in a few months, sometimes several times in a month.

Suddenly, he was dizzy, turning his eyes, tinnitus, nausea, and sometimes breathing out of the respiratory tract.

In a hospital diagnosed as “Ménière disease”, taking Wendan Tang, Er Chen Tang, Qi Ju Di Huang Tang, etc., the effect is not good.

In November 2002, he came to the clinic for treatment.

Its shape is obese, the tongue is white and slightly greasy, and the pulse is slippery, showing the image of phlegm and intrinsic.

It is yin and evil, non-yang is not cured, and it is treated with Tongyang gas, supplemented by Pinggan Xifeng.

Adding to Guigui Shugan Decoction: 茯苓10g, Atractylodes 10g, Guizhi 6g, Zhigancao 5g, Codonopsis 10g, Uncaria 15g, Stone Cassia 10g.

After taking five doses, the symptoms such as dizziness, chest tightness, nausea and vomiting were alleviated, but still many.

Add and subtract five doses from the original side.

At the time of the follow-up visit, the consequences were eliminated. In order to consolidate the curative effect, five doses were taken, and the interview was conducted.

  Third, chronic bronchitis Wu, male, 44 years old, cadre.

Cough has been repeated for more than ten years, and every winter is even worse.

He came to the hospital in December 2002.

The performance is: cough, asthma, phlegm and white, chest tightness, food is not fragrant.

The tongue is light, the moss is white, and the pulse string is slippery.

The card is a sip of the lungs, should be spleen dampness, cough and phlegm for treatment.

Medicinal: 茯苓10g, Guizhi 10g, Atractylodes 10g, Faxia 10g, Codonopsis 10g, Almond 10g, Zhigancao 6g, taking more than 20 doses, the symptoms are basically controlled, and the spirit is better.

  Fourth, coronary heart disease, heart failure, male, 60 years old, farmers.

The patient began chest tightness in 1996, shortness of breath, heart palpitations, and paroxysmal convulsions at night.

Can not be supine, followed by double lower extremity edema, abdominal distension, oliguria, had been hospitalized in the local hospital for more than two months, taking Chinese and Western medicine, symptomatic control.

On October 14, 2001, he came to the outpatient clinic for treatment, and was admitted to the hospital with “coronary heart disease” and “heart failure level 3”.

Seeing at admission: chest tightness, palpitations, shortness of breath, anorexia, abdominal distension.

Abdominal percussion of mobile dullness, depression of both lower extremities.

The tongue is light, the tongue is fat, the fur is white, and the pulse is weak.Perspective: The heart expands to the left and the lungs are slightly thicker.

ECG: 1.

Sinus rhythm; 2.

ST-T segment changes, suggesting chronic coronary insufficiency;

The left atrial pressure is too heavy.

  The patient has a flower, spleen and kidney deficiency, spleen loses health, kidney qi deficiency can not water, causing water and gas to seduce the lungs, so the difference, abdominal distension, palpitations, shortness of breath, kidney yang deficiency, can not be gas,Then see the lower extremity edema, the rule of law should be warm and temperate water, nourish the heart.

苓桂术甘汤和真武汤 addition and subtraction: suede 15g, Atractylodes 10g, attached 10g, Alisma 20g, Guizhi 10g, white peony 12g, almond 10g, 远志6g.

After one dose, the amount of urination increased, the lower extremity edema disappeared the next day, and the symptoms were relieved. After taking five doses, the lower extremity edema subsided and the body’s mobile dullness disappeared.

Then take the party plus 15g, and the tower 10g.

After taking the medicine for 20 doses, the symptoms disappeared, the edema completely subsided, the food intake improved, the spirit improved, and the hospital was discharged for more than 30 days.

  Although more than a few cases are considered to be different diseases, the treatment with this side has received better results, because the pathogenesis is basically the same.

The first example is the heart palpitations caused by the lack of heart and heart. Therefore, the use of 苓桂术甘汤 plus qi jaundice, codonopsis, sedative keel, oysters, all have warming heart and yang, soothe the function of the gods, the disease in the medicine, which is effective.

The second case is the vertigo syndrome of Qingyang. The third case is the cough of the lungs. Although the disease position is different, the clinical manifestations are different, but the pathogenesis is due to spleen deficiency and sputum internal resistance.

Use this side to warm the yang drink, the yang is vibrating, and the sip is scented, then the symptoms are removed.

The fourth case is edema caused by spleen and kidney yang deficiency. It is a critical syndrome. After using this prescription, the edema is obviously subsided. After taking five doses, the edema is removed and heart failure is controlled.

The above cases are based on yang deficiency, so this side of Wenyang Lishui treatment, clinical appropriate addition and subtraction, both the symptoms and the treatment, received satisfactory results.