What to do if there is a lot of ascites accompanied by gouty arthritis, Chinese medicine can solve it
01.21
Gan Moumou, male, 40 years old, alcoholic liver, hepatitis B, cirrhosis, chest ascites; bloating with yellow urine for 1 week
Tatsumi: bloating, pronounced after eating, poor sodium, dry vomiting, poor sleep, dry mouth, bitter mouth, self-conscious phlegm in the pharynx, yellow urine, stool
Thin, frequent; abdominal circumference 98 cm; albumin 22 units, bilirubin 66 units, PTA 46%;
Tongue veins: dark red tongue, visible cracks, tooth marks on the edges, thin yellow moss, and a number of vein strings
Hospitalization with furosemide combined with spironolactone diuretic treatment, plus antiviral therapy with entecavir
TCM Analysis:
1. From the red tongue, thin yellow moss, pulse number, combined with long-term heavy drinking, consider the diarrhea of the intestine under the injection of damp heat;
2. There are tooth marks on the side of the tongue, abdominal distension is obvious, combined with the idea of the spleen owner's lack of abdomen, consider spleen deficiency;
3. Spleen deficiency, water wet and unlucky, aggravated blood is unfavorable for water, water gathers in the abdominal cavity, visible bloating;
4. Spleen deficiency, abnormal transportation, so it can be seen that the tolerance is poor;
5. Dry vomiting, dry mouth and bitter mouth, poor sleep, phlegm in the throat, considering the disadvantage of Cardinal Shaoyang, phlegm fever disturbs the heart;
In summary: on the basis of spleen deficiency, wet heat bets
Treatment: Replenish qi and strengthen the spleen, clear heat and dampness, dissolve phlegm and calm the nerves
Prescription: Kudzu skullcap huanglian soup combined with cangniu anti-self soup and wood anti-self soup plus or minus
The prescription is as follows: Self-Defense, Guizhi, Astragalus, Plaster, Poria, Baishu, Kudzu, Skullcap, Rotten Sauce Herb, Six Divine Comedies, Wood
Incense, White Peony, Bai Shu, Cang Shu, Ox Knee, Oyster, Ze Yi, Yin Chen, Zhu Ru
According to the language: its tongue is thin yellow, the pulse is slippery, combined with the thin stool, the number of times, combined with the history of heavy drinking, the choice of kudzu skullcap skullcap
Soup, because there is no yellow lian, add the use of defeat sauce herb; add the Six Divine Comedy to eliminate the accumulation, add the use of wood incense to guide the stagnation, add white peony into the blood vein cool blood and
Camp to avoid heat pressure intestinal tract; and liver cirrhosis basis, so add oyster Ze diarrhea soft and strong water, urine yellow, add Yin Chen Qing fever yellow,
Poor sleep, phlegm, add bamboo ru; while there are tooth marks on the side of the tongue, the basis of cirrhosis, liver disease and spleen, children stealing mother's qi, and unfavorable blood is
Water, choose cangniu anti-self soup; because the face is black, combined with chest water, dry mouth, add wooden anti-self soup;
1. Kudzu skullcap soup
The heavy use of kudzu in the square can not only express the dissolution of muscles to solve the evil in the table, but also can raise the Yang, stop diarrhea, and make the expression dissolve and reconcile. Inri fever
It has been blazing, so use skullcap, yellow lian to clear the heat, licorice to coordinate the medicine. Play the two solutions in the table, clear the heat and stop the profit.
01.25
Abdominal circumference 85cm
01.26
Tatsumi: pain in the ankle joint, attack of gout; the skin temperature is slightly higher, but there is no redness and swelling;
Tongue vein: tongue as shown in the figure, the number of pulse floating strings, the left pulse force is weak;
Previous attacks of gout, treatment with colchicine;
Treatment: warm sun dehumidification, tongluo pain relief
Prescription medicine: Guizhi peony medicine Zhimu soup plus or minus
The prescription is as follows: cinnamon stick, white peony, licorice, ephedra, ginger, white art, zhimu, windproof, attached tablets, stone calamus, ox knee
Defend yourself, 萆薢
According to the language: according to the tongue image, combined with ascites, consider the downward movement of moisture, block the gas machine, and if it is not clear, it is painful, so it continues to warm and yang and dissipate the cold
Analgesic, local detoxification and detoxification, while the basis of cirrhosis, liver disease and spleen, liver disease and kidney, gasification loss, subtle substances are difficult to transport
Become turbid evil, so the calamus is moistened and turbid, the aroma of calamus wakes up the spleen and dissolves the wet, and the self-defense is combined with the wind to relieve the wind and relieve the pain at the same time
Li shui; pulse floating number suggests that evil and positive are in contention, and the string indicates pain at the same time, combined with the tongue image, indicating that there is cold inside, and the left pulse is weak, mention
Show that the righteous qi is insufficient, so the attached film must be used;
1. Guizhi peony medicine Zhimu soup
Guizhi peony zhimu soup is a kind of decoction, which contains ephedra soup, peony licorice soup, licorice soup, and guizhi plus attachment
Seed soup (de-dated). The main function is to dispel wind and dehumidification, dissipate cold through the sun, and clear heat. Indications for the treatment of limb pain, body embarrassment, feet
Swollen as shedding, dizziness and shortness of breath, warm and warm to vomit ("Golden Outline").
01.28
Improvement of pain in the ankle joint, dry lips, no other discomfort, abdominal circumference 78 cm;
Tongue vein: The tongue is pictured, and the pulse is floating and slippery
The patient has dry lips, and lilies are added to the original formula, and lilies contain colchicine, and the parts are scorched, and papaya shujing is added
Network, go to the stone calamus and use coix kernels to strengthen the spleen to remove diarrhea;
01.29
Symptoms improve and I plan to be discharged from hospital
For ascites, some people who read half of TCM think that it is not good to have ten jujube soup, and they do not understand the holistic view and put TCM at all
The origin of the lost, this kind of heavy patient is the virtual standard, only the solid can be real, think that the exorcism of the wounded is a hooligan,
Of course, we should not abandon Western medicine in a pedantic way, there is no diuretic of Western medicine, and Chinese medicine is also ineffective
Fighting a war has soldiers, but also have grain and grass, indispensable, a reasonable combination of traditional Chinese medicine and Western medicine, can play a different effect, sometimes
Simple Chinese medicine is not necessarily bad, the patient has a gouty arthritis attack, support walking, did not use any painkillers and autumn daffodils
Alkali, like TCM, can solve problems;
