Patient male, 52 years old, what is his problem? Since four years ago, there began to be stomach discomfort, stomach distension at every turn, especially after eating, stomach acid and belching are all recruited, before the patient went to the hospital for examination, diagnosis of gastric prolapse and duodenal ulcer, the doctor prescribed some medicine, but the effect is always unsatisfactory, last week, the patient because of the meal a little cold, stomach disease again and aggravated, stomach pain has been painful, can not eat, has been like this can not work, the patient then decided to turn to Chinese medicine treatment.
When I saw the patient, his face was yellow and he had no energy. Then I examined his tongue, which was thin and yellow; Later, the patient said that he usually always had diarrhea, and it was very uncomfortable to eat a little cold stomach distention, but after eating some hot food, the gums were swollen and painful, which is not good for cold, nor can it be hot. At this point, I already have a general understanding of his situation, and then combined with the medicine he took before, I understand why the patient takes so many medicines but is always unsatisfactory?
In my opinion, the patient's stomach pain is a typical "mixture of cold and heat", and the medicine taken by the patient before was basically warm and cold. Why is it said that the patient has both cold and heat?
"Cold": You see that the patient is prone to diarrhea, and the stomach distension is aggravated by eating a little cold, which indicates that the patient has spleen and stomach deficiency and cold.
"Heat": If you see that the patient's tongue coating is yellow, and if he eats hot things, he is prone to swollen and painful gums, which indicates that there is heat in the patient's body.
When cold and heat are intertwined in the spleen and stomach, it will lead to abnormal rise and fall of the spleen and stomach, and then the qi will be stagnant in the spleen and stomach, and stomach distention, stomach acid, belching and other conditions will occur.
Therefore, in order to regulate the patient's condition at this time, the key is to restore the normal rise and fall of the spleen and stomach by harmonizing yin and yang. Then I prescribed him medicine according to his symptoms: 10 herbs such as Codonopsis, Boiled Licorice, Ginger, Coptis chinensis, Banxia, etc.
Fangzhong Coptis chinensis and other heat-clearing methods are used to solve the problem of heat in the body; Codonopsis, boiled licorice, ginger and other warm yang and spleen. It is used to solve the patient's spleen and stomach cold; Banxia lowers adverse qi, which is used to solve the situation of stomach distention; With the combination of various medicines, the patient's cold, heat and stomach distension are solved, and the symptoms will slowly disappear?
The result? After taking a course of treatment, the patient's stomach distension and fullness are greatly reduced; Therefore, this prescription was added or subtracted according to the symptoms, and the conditioning and consolidation continued, and the stomach distension and stomach fullness disappeared completely, and other symptoms have returned to normal.
Note: The use of this prescription needs to be added or subtracted from clinical symptoms, traditional Chinese medicine pays attention to syndrome differentiation and treatment, each person's situation is different, the dosage of medicine is also different, if the drug is used, it is recommended to use it under the guidance of a professional doctor.