Today's patient is very special, because it is rare, so I specially wrote it out to share it with you. She began to have dry mouth, dry eyes, dry nose, dry hands and feet 5 years ago, feeling particularly hot behind the ears, always feeling sore in the back, in short, the whole body is dry, Western medicine diagnosed Sjogren's syndrome, found a lot of doctors in the local area, the conditioning ideas are mainly to nourish yin and clear heat, nourish yin and nourish the body, but the effect is not ideal; because of this kind of problem, the mentality has changed, especially easy to be impatient, as long as a little thing will be angry, the slightest unpleasant thing wants to get angry, the two quarreled a lot, and then found me through the introduction of a patient.
After a detailed consultation, I learned that in addition to dryness, I learned that I am particularly easy to get angry, urinate more often, get up 3-4 times at night, sleep quality is not good, often wake up between 3-4 o'clock in the morning, the most important thing is that although the whole body is dry, but I am more afraid of cold, my hands and feet are cold, my tongue is showing that the tongue is light red, the tongue coating is white and greasy, and there are cracks in the middle and the root of the tongue.
According to traditional Chinese medicine, the spleen and stomach are the main transport, and they are the source of the body's qi and blood biochemistry, and "the blood is of the same origin" , Qi and blood can be converted into liquid, but there is a premise that the yang energy in the body is sufficient, just like if you make a fire to cook, only when the fire is strong enough, the water in the pot can be transpired into water vapor, put on the person is only when the spleen yang and kidney yang are sufficient, the qi and blood will be converted into jin liquid, and then to nourish the whole body, and the patient is afraid of cold, cold hands and feet, itself belongs to yang deficiency, plus the method of nourishing yin has been used before, it will only hurt yang qi more, and yang qi is insufficient, it will be even more unable to gasify, forming a vicious circle
Therefore, the conditioning idea should be based on warming yang and replenishing yang, because the yang deficiency has been for a long time, so it is necessary to use the medicine of Daxin and heat to replenish the fire and help the yang, give the four reverse decoction plus or minus, use aconite, dried ginger, and cinnamon to supplement the fire and help the yang, warm the yang and turn the jin; and then use codonopsis, poria cocos, atractylodes, and boiled licorice to invigorate the qi and strengthen the spleen, and enhance the movement of the spleen and stomach; and then keel, oysters, and black plum to calm the nerves, converge and solidify, and the purpose is to firmly collect the yang energy that is replenished
After taking 5 doses, the patient reported that the symptoms of dryness were reduced, and the frequency of urination and sleep were improved, so during the second diagnosis, Xianhe grass was added to the original prescription to make up for the deficiency, and the two courses of conditioning were continued, and the feedback was completely eliminated, and there was no recurrence for more than half a year of follow-up.