On April 22, 2018, a little girl came to the outpatient clinic. The main complaint was that her menstruation was delayed for three weeks, her lower back was broken, her body weight, her double veins were engraved, her left vein was sinking, her tongue was light, her moss was white and greasy, and her tongue was slightly red and raised.
After consultation, the amount of menstruation at the beginning of 2018 was small, the cycle was still accurate, there were few blood clots, the leukorrhagia had increased recently, yellow and white mixed, there was no odor, when the stool was dry, it was thin, Naco, and I slept poorly.
My first reaction is that the water is wet and stagnant with veins, resulting in the disorder of lower scorch water conservancy, poor qi motivation, and the road to heaven is not open, causing various symptoms.
Formula: Glycyrrhrizae radix, Dried rhizoma Zingiberis recens, Poria, Baizhu decoction + Siwu decoction (cooked radix Paeoniae alba) + Chuan Duan Dan
Who knows that the tongue became sores after one set of drugs, and the face became acne after three sets of drugs. Although the symptoms of the clouds were alleviated, Tiangui still had not arrived, and the tongue turned red, so today I told you to stop taking the drug and change the prescription.
He hesitated for a long time, thinking that this case should still be warm supplement, but this party is unfavorable to channeling heat, especially in the body, which is very likely to be liver fire. If you consider adding products to soothe the liver at the time of prescription, you may be able to avoid this matter, and the lesson is profound.
—
2018年4月22日，门诊来了一个小姑娘，主诉月经推迟三周，腰痛如折，身重，刻下双脉细，左关沉，舌质淡，苔白腻，舌边略红凸起。
经问诊，2018年初开始月经量少，周期尚准，少有血块，近期白带增多，黄白夹杂，无异味，大便时干时稀，纳可，寐差。
我的第一反应是水湿郁结带脉，导致下焦水利失调，气机不畅，天癸之路不通，造成诸症
方用小剂甘草干姜茯苓白术汤+四物汤（熟地白芍）+川断丹皮益母草
谁知一副药后口舌生疮，三副药后满脸起痘，虽云诸症缓解，但天癸仍未至，舌质变红，故今日告知停药换方
思躇良久，认为此案仍应偏为温补，但此方疏导不利，体内尤有郁热，极有可能是肝火，若处方之时酌加疏肝之品，或可避免此事，教训深刻。
发表回复