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Li Hanqing of the famous doctor Vertigo (hypertension) Classic medical case appreciation Vertigo I. Wind and fire phlegm depression, starting from liver wind Examination case appreciation I: Case inspection appreciation II: II. Phlegm causes dizziness. Spleen deficiency and wetness Case Appreciation III: Case Inspection Appreciation IV: Case Inspection Appreciation V: Case Inspection Appreciation VI: Case Inspection Appreciation VII:

Li Hanqing (1892~1972) medical scientist. The word Huaxuan, also known as Xi Jin. A native of Shapo Village, Lingqiu County, Datong City. In 1955, he conducted research on the integration of traditional Chinese and Western medicine and non-surgical treatment of ectopic pregnancy, which was successful and was rated as one of the top ten medical scientific research achievements in China, and in 1960, he compiled "113 Clinical Use Experiences of Typhoid Fever".

Li Hanqing of the famous doctor Vertigo (hypertension) Classic medical case appreciation Vertigo I. Wind and fire phlegm depression, starting from liver wind Examination case appreciation I: Case inspection appreciation II: II. Phlegm causes dizziness. Spleen deficiency and wetness Case Appreciation III: Case Inspection Appreciation IV: Case Inspection Appreciation V: Case Inspection Appreciation VI: Case Inspection Appreciation VII:

Vertigo four evidence wind and fire phlegm deficiency

Wind is the source of the disease treated from the liver and spleen

Vertigo is black eyes, dizziness is the head spin, vertigo is what the ancients said the head whirl eye black, the so-called hair "black eye wind" is also. Those who are light in this testimony close their eyes and concentrate on God, and those who are heavy are like taking a car or a boat, and even those who dare not open their eyes, consciously turn the sky around, and cannot stand. Although there are many opinions on the etiology and pathogenesis of the disease, since the Ming and Qing dynasties, the theory of "no phlegm and no dizziness" of liu hejian and Zhu Danxi among the four great masters of the Han Dynasty and the four major physicians of the Han Dynasty, zhang zhongjing, and Jin Yuan, advocates that phlegm is the source of the disease and is treated from phlegm. For example, "Golden Kuai Essentials". The Sputum Drink cough disease pulse evidence and treatment chapter says: "There is a drink under the heart, and its people are bitter and dizzy. Sawa soup lord of... Vomiting, heart prickly, water between the diaphragm, dizziness, small half summer plus poria soup master. Later generations, Liu Hejian and Zhu Danxi further put forward the theories of "no sputum and no dizziness" and "dizziness due to phlegm" on this basis. For example, "Danxi Heart Method? Dizziness" said: "Dizziness, phlegm and deficiency and fire, phlegm treatment is the mainstay, clamping gas medicine and gunpowder." Without phlegm, there is no dizziness..." Elder Li has a different view on this, believing that vertigo is divided into four types of symptoms, namely wind, fire, phlegm, and voidness, of which wind is the source of the disease, that is, phlegm and fire are all caused by the wind, and on the organ disease machine, and the liver, spleen, and . The kidneys are the most relevant, and the empirical evidence is mostly from the liver, and the false evidence is mostly due to the spleen and kidneys.

Vertigo is originally a symptom of the wind, but the wind here is mostly internal wind, as the "Medical Congregation" said: "Those who think that the wind, the non-foreign wind, refers to the yin wind wood, living with the fire of the shaoyang, the yin qi is reversed, so the wind rises and moves, the wind will be clamped on the wood and the soil will be overcome, and the soil disease will accumulate liquid to form phlegm." The Inner Classics cloud "All the winds fall dizzy, and they all belong to the liver." "The liver is open to the eye". The liver is connected to the eye system and should be in the wind, the liver qi is easy to be depressed, the liver yang is easy to be hypertrophic, the liver yin is easy to be weak, these are easy to cause the liver wind to move internally, the wind is fire with the wind, the fire rises with the phlegm because of the fire, the wind clips phlegm, the fire rushes to the leader, then it is dizzy. Therefore, Elder Li believes that the main reason for vertigo is the internal movement of liver wind, so in the treatment of dizziness, we should not forget the liver wind at all times, and can add tianma, hook vine, chrysanthemum, stone cassia and other products of flat liver extinguishing wind with the evidence.

Hou Daughter, 69 years old. Complaints: Dizziness, palpitations, swelling and pain in the head. Flushing of the face. He has a history of hypertension, thin white tongue, and veined strings. It is a manifestation of liver and kidney deficiency, hepatic yang hyperactivity type. It is advisable to supplement the liver and kidneys, latent liver yang, and extinguish liver wind.

prescription:

Raw stone cassia 9 grams Hangzhou chrysanthemum 9 grams Tianma 6 grams orange red 6 grams Raw dragon oyster 9 grams each Porphyra 4. 5 g Half Summer 4. 5 g Mint 3 g Raw Eucommia 9 g Cow's knee 9 g

Taking the above 3 doses, dizziness and dizziness are significantly reduced, but there is still a feeling of bloating and headache. The original formula plus hook vine 9 grams, followed by 1 dose, most of the symptoms disappeared.

Press: This patient is more than old, liver and kidney deficiency, water does not contain wood, liver yang hyperactivity, and dizziness. Therefore, it is advisable to supplement the liver and kidneys, latent liver yang, and extinguish liver wind. Fangzhong Eucommia, Beef Knee Tonic Liver and Kidney, Strong Muscles and Bones, Beneficial Waist and Knee; Tianma, Hook Vine, Stone Cassia, Shenglong Mu and other latent liver yang, extinguishing liver wind; orange red, half-summer healthy spleen phlegm, and middle and reverse vomiting; chrysanthemum evacuated wind and heat, clear liver and eyes, mint scattered wind and heat and clear li leader; Poria God calmed the mind to enhance the ability to calm the liver and latent Yang. The combination of various drugs can supplement the liver and kidneys and dive the liver and yang, dissolve phlegm and dissipate wind and heat, and achieve the purpose of extinguishing the liver wind and stopping dizziness.

Wang Nan, 26 years old. Initial diagnosis: dizziness, headache, unclear vision, direct vision, inactivity of the eyeballs for more than half a month, diagnosed as "internal rectus paralysis" by the ophthalmology department of a hospital in the provincial city. The tongue is thin and white, and the veins are slippery. It is a manifestation of liver and spleen deficiency, wind and sputum disturbance type. Cure Yiping liver extinguishing wind, dry and humidified phlegm.

Prescription: Flavor with two chen soups

Orange red 7. 5 g Half Summer 6 g South Star 4. 5 g Poria 6 g Chrysanthemum 6 g Citrus aurantium shell 4. 5 g Zombie Silkworm 6 g Whole Scorpion 3 g Licorice 3 g

After taking the above 2 doses, dizziness and headache disappear. After taking 2 doses of chrysanthemums above, the eyeballs can move slightly, and the eye activity returns to normal after taking 10 doses, and the vision gradually clears.

Press: This case is caused by liver and spleen deficiency, wind and phlegm disturbance, and blinding and clearing, so it is treated with erchen tang plus flat liver extinguishing wind. Fang Zhong'er Chen Tang Jian Spleen Qi, dry and humid phlegm. Nanxing helps Banxia to dissolve phlegm and remove wind phlegm from the meridians, mainly for the dizziness of the head caused by the disturbance of wind phlegm. The whole scorpion is hard and good at walking, for the wind extinguishing, the wind is the key medicine, can extinguish the wind to relieve spasm, dispel the wind and relieve pain, and can lead the wind extinguishing medicine directly to the hospital, in order to enhance the effect of the medicine to extinguish the wind and stop the spasm. Zombie silkworms are good at evacuating the liver through wind and heat, and chrysanthemums are flat and blind to the liver. The combination of various drugs, healthy spleen dry and humidified phlegm, flat liver extinguishing wind and antispasmodic, to achieve the effect of wind phlegm removal and dizziness stop, eye rotation and clear vision.

The spleen is mainly transported and purified, but in the pathological situation it is also the "source of phlegm". If the function of the spleen is normal, the water valley can be transported, and the subtle substances in it are transported to the lungs by the rise of the temper and run through the whole body, and the turbidity decreases, so that the dross can be excreted. If you are drunk and fat, hungry and full, or tired of thought, and hurt the spleen, then the spleen loses good luck, the water valley cannot be turned into subtlety, the accumulation of moisture produces phlegm, the phlegm is obstructed, the sun does not rise, the cloudy yin does not fall, the blinding is clear, and the hair is dizzy. If the phlegm is turbid for a long time, it is very easy to turn into a fire, and the phlegm fire can also cause dizziness to worsen. For example, the "Continued Flame of the Medical Lamp" says: "The phlegm in the chest rises with the qi, the leader is high and empty, and the qingyang is injected, and the turbid qi disturbs it, and it is no longer dizzy and dizzy, and it is no longer obtained." Or both spitting and vomiting, chest and bowel sounds, etc., the pulse is slippery to the left. "Danxi Heart Law. Dizziness) also said: "Dizziness, phlegm is weak and fire, phlegm treatment is the mainstay... If there is no phlegm, there is no dizziness, the phlegm moves because of the fire, and there are wet phlegm, and there is fire phlegm. At the same time, the spleen's luck and purification depend on the liver qi drainage and smooth qi machine, if the liver wood is rampant, multiplied by the spleen soil, it can cause the spleen to be weak, thus forming the vertigo of the spleen and phlegm obstruction of the liver qi, and even forming the evidence of the falsehood and the mixture of cold and heat. Therefore, in the treatment, it should be based on the spleen dry and humidified phlegm, and the party should use liujun and erchen, according to the specific symptoms, or add rational qi, flat liver, dispel wind, extinguishing wind products, etc.

Li Hanqing of the famous doctor Vertigo (hypertension) Classic medical case appreciation Vertigo I. Wind and fire phlegm depression, starting from liver wind Examination case appreciation I: Case inspection appreciation II: II. Phlegm causes dizziness. Spleen deficiency and wetness Case Appreciation III: Case Inspection Appreciation IV: Case Inspection Appreciation V: Case Inspection Appreciation VI: Case Inspection Appreciation VII:

Li Nu, 47 years old. Initial diagnosis: dizziness for nearly 2 weeks, nearly worse, accompanied by nausea, sweating, sluggishness, fatigue, white tongue, and weak pulses. The spleen and stomach are weak and the sputum is obstructed. It is mainly to treat healthy spleen and qi, dry and humidify phlegm, and also to calm the liver and extinguish the wind, converge and stop sweating.

Prescription: Flavored with Six Gentlemen's Soup

Dang Ginseng 9 g Raw White Technique 9 g Poria 7. 5 g Half Summer 6 g Tangerine Peel 4. 5 g Chicken Inner Gold 4. 5 g Raw Keel 9 g Raw Oysters 9 g Yuanzhi 4. 5 g Blanched licorice 3 g

Second diagnosis: after taking the above 2 doses, dizziness, nausea, nausea, nausea, sweating, fatigue are reduced, but there is a feeling of falling when defecating, and there is more vaginal discharge. This is also a lack of qi. Add 15 grams of raw astragalus on the top to replenish the qi and raise the sun, cure the weakness of qi and sink, and the feeling of falling stool. Add 9 grams of raw yam to dry and wet the spleen. 2 doses, decoction in water.

Three diagnoses: after taking the drug, all the symptoms are further alleviated, but the flank pain is obvious, which is caused by the reversal of liver qi. The second diagnosis formula is added to stir-fried white peony 9 grams to nourish the blood and yin, calm the liver and relieve pain. 2 doses, decoction in water.

Four diagnoses: After taking the drug, the symptoms basically disappear, but when menstruation comes, there are repetitions, feeling dizzy, cold back, sweating a lot. This is still caused by the deficiency of the spleen, the yang qi is not reached, and the guard qi is not solid. Follow up with 2 doses of the above to improve qi and sweat. And instructed to take 2 doses of this drug every menstrual cramp. Follow-up follow-up to this medication for 2 months, after which it was discontinued, and the menstrual period was not repeated.

Press: This case is spleen deficiency and dampness, phlegm obstruction, blinding and clearing and causing dizziness, so the six gentlemen Tang Jian spleen and qi, remove phlegm dampness, add chicken inner gold to help digestion, add raw dragon oyster, Yuanzhi to calm the liver and extinguish the wind. Astringent antiperspiration. The second diagnosis is due to spleen deficiency and wetness, the middle qi sinks and the lower abdomen falls, and the vaginal discharge increases, so the yam is added to strengthen the spleen and wetness, and the astragalus is added to supplement the qi, and the sun is solidified. The three diagnoses plus fried white peony are intended to nourish the blood and yin, soften the liver and relieve the pain.

Queen daughter, 52 years old. Initial diagnosis: in the past 1 month, I have felt dizzy, tired and weak, stomach full, bitter mouth, nausea, no desire for cold drinks, stool diarrhea, 2 to 3 times a day, yellow urine, sometimes swollen feet, aggravated in the afternoon, thin white moss, weak and thin pulse. This is the evidence of spleen and yang failure, phlegm wet obstruction, and hyperactivity of the liver and yang. It is advisable to treat healthy spleen and qi, dry and humidify phlegm, and calm the liver and extinguish the wind.

Prescription: Add or subtract with Six Gentlemen's Soup

Dang Ginseng 6 g Raw White Technique 9 g Poria 6 g Tangerine Peel 7. 5 g Half Summer 7. 5 g Ze diarrhea 6 g Cang Shu 6 g Hang chrysanthemum flower 9 g Tianma 6 g White cocoa kernel 3 g

Second diagnosis: after taking the above 2 doses, the dizziness disappears, there is still fatigue, the abdomen has a throbbing feeling, and the mouth pain is aggravated. Due to the disappearance of main symptoms such as dizziness and nausea, the upper part goes to tianma and half summer. The bitterness of the mouth is aggravated by the image of the liver meridian heat, so it is advisable to go to the dry half summer, and add the sour and cold white peony to nourish the blood and the yin and calm the liver, and suppress the wood and help the soil and relieve the pain. After taking 2 doses of the drug, the mouth was painfully lost.

Press: This case of vertigo is caused by spleen deficiency phlegm wet obstruction, and liver yang hyperactivity, so the use of six gentlemen Tonga Cang technique to strengthen the spleen and benefit qi, dry and humid phlegm, tianma, chrysanthemum flat liver diving yang, Ze diarrhea water, li urine and real stool, white cocoa renhua wet line, warm stop vomiting, a total of phlegm wet removal and vomiting stop, liver Yang flat and dizzy stop. The second diagnosis goes to the spicy half summer and tianma, adds the acid cold of white peony to nourish the blood and soft liver, and suppresses the wood and supports the soil to benefit the aftermath.

Li Hanqing of the famous doctor Vertigo (hypertension) Classic medical case appreciation Vertigo I. Wind and fire phlegm depression, starting from liver wind Examination case appreciation I: Case inspection appreciation II: II. Phlegm causes dizziness. Spleen deficiency and wetness Case Appreciation III: Case Inspection Appreciation IV: Case Inspection Appreciation V: Case Inspection Appreciation VI: Case Inspection Appreciation VII:

Li Nu, 36 years old. Initial diagnosis: dizziness and swelling in the past 1 week, strong neck, joint pain, heavy feet, sluggishness, nausea, like hot diet, loose stool, yellow urine, white and greasy moss, smooth pulse. This is a proof of rheumatism. It is advisable to treat spleen and dissolve phlegm, dispel wind and dampness.

Prescription: Flavor with two chen soup:

Tangerine Peel 7. 5 g Half Summer 9 g Poria 7. 5 g Qiang Huo 4. 5 g Live Alone 4. 5 g Cang Shu 6 g Bai Shu 6 g Ginger 3 tablets

After taking 2 doses of the drug, the main symptoms improved significantly, and another 2 doses were taken. Dizziness stops and all symptoms are removed.

Press: This case belongs to the spleen deficiency phlegm wet obstruction, and the external feeling of rheumatism of vertigo. Fang Zhong uses Erchen Tangjia CangShu and Bai Shu dry and wet spleen to dissolve phlegm dampness, Qiang Huo and Du Huo remove rheumatism from the body and body and activate the network, accompanied by ginger to warm the stomach and intestines and help the spleen to dissolve phlegm and wetness. Extraterritorial sensation wind fever vertigo with the solution table must also activate the blood Therapy and blood stasis drugs are widely used in the treatment of internal injuries and miscellaneous evidence in various clinical departments, which is a major feature of Li Lao's academic experience and medication methods, and has achieved major results, such as the treatment of ectopic pregnancy with non-surgical therapy for blood stasis, of which the ectopic pregnancy worker number square and the ectopic pregnancy II formula have long been included in the medical dictionary and textbooks, and are well known in the medical community. However, the use of blood activation and stasis for external diseases, especially wind and heat external sensations, such as external headaches, dizziness, etc., and the same experience of achieving miraculous curative effects, is little known. In terms of evidence of blood stasis, Li Laoduo advocated that "all diseases are stasis", and believes that not only cold evil can cause stasis, but also hot evil can cause stasis. He said: The "Neijing" pays more attention to cold coagulation and blood stasis, while the "Treatise on Typhoid Fever" pays more attention to the stagnation of heat and evil and cause stasis, such as "Yang Ming proves that those who forget will have blood storage", "Fever for seven or eight days... By the sixth or seventh day, there is not much defecation, there is blood stasis", "the sun is not solved, the hot bladder is knotted, and the person is crazy, and the blood is from the bottom". The blood storage certificate mentioned here, the stasis in the evidence, the hot human blood room certificate, etc., all belong to the blood stasis caused by heat. Ye Tianshi said: "Summer heat has been in the blood for a long time, and at most there is one evidence of blood storage, and the rumors are crazy..." Wang Qingren's "Correction of Mistakes in the Medical Forest" more clearly pointed out that cold and heat can cause bruising, saying: "If the blood is cold, it will coagulate into clumps, and if the blood is heated, it will be tormented into lumps." On the basis of excavating and inheriting the experience of the predecessors, Elder Li used the method of activating blood for the external wind and heat certificate, and every time he could get a miraculous effect, it could be described as ingenious and unique.

Duan Girl, 45 years old. Initial diagnosis: dizziness, headache for 2 days, neck pain, turning side is even worse, self-feeling fever and chills, thin tongue, pulse floating number. This is a manifestation of wind and heat. Cure Yixin cool solution table, clear heat and detoxification, and also to activate blood.

9 g of hanging chrysanthemums 9 g of forsythia 9 g of mint 4. 5 g Chai Hu 4. 5 g angelica tail 6 g red peony 6 g honeysuckle 9 g cranberry 6 g licorice 3 g

Take the upper 1 dose, the main symptom is significantly reduced, and 2 doses are healed.

Press: This party is mainly based on the solution of the table of coolness, wind and heat. Square honeysuckle, forsythia clear pyrolysis table, evacuation of warm and evil, peppermint, chrysanthemum wind and heat, clear liver and eyes and cure headache and dizziness. Chai Hu penetrates the table to relieve heat, and the evil of The Shaoyang goes out. In the dosage of chai hu, Li Lao is quite calculated, and the amount of fever is heavy and cold is light, mostly 4. 5 grams, severe cold and fever, heavy dosage, more than 9 grams. Cranberry is hard and cold, good at treating external wind and heat headaches, its hard can disperse the wind, bitter cold can clear the heat, its medicine is frivolous and easy to go up, and it can scatter the wind and evil of the head. Guiwei, red peony two flavor blood stasis, for wind and heat stasis and set, can make the qi and blood through and stasis stagnation, the head clear and dizzy stop, the magic use of two flavor blood, can make the efficacy significantly improved, the course of treatment is significantly shortened, is a unique feature of the drug.

Li Hanqing of the famous doctor Vertigo (hypertension) Classic medical case appreciation Vertigo I. Wind and fire phlegm depression, starting from liver wind Examination case appreciation I: Case inspection appreciation II: II. Phlegm causes dizziness. Spleen deficiency and wetness Case Appreciation III: Case Inspection Appreciation IV: Case Inspection Appreciation V: Case Inspection Appreciation VI: Case Inspection Appreciation VII:

Qu Nu, 30 years old. Initial diagnosis: dizziness and headache for 2 days, symptoms see cold and heat, dry mouth and throat, nausea, abdominal pain, dark tongue, thin white moss, pulse strings. This is a shaoyang certificate. It is advisable to cure and reconcile Shaoyang, relieve wind and heat, and activate blood and dissolve stasis.

Prescription: Add or subtract with small chai hu tang

Angelica 9 g Raw White Peony 9 g Chai Hu 3 g Poria 3 g Skullcap 3 g Hangzhou Chrysanthemum Flower 9 g Half Summer 6 g Wu Ling Fat 4. 5 g raw pu huang 4. 5 g

After taking 1 dose of the drug, the main symptoms became milder, and 2 doses were cured.

Press: This case uses small chai hu soup, the main medicine chai hu, skullcap, half summer and xie Shaoyang, fever reduction and reversal; angelica and white peony are intended to replenish blood and nourish the yin to soften the liver; five spirit fat, raw pu huang for the "bureau" to laugh and scatter, the function of blood activation and stasis, scatter knots and relieve pain. Tang Rongchuan's "Treatise on Blood Evidence" said: "In pusheng water, flowers and fragrances line water, water is qi, water is qi, and qi stops bleeding, so Pu Huang can stop the blood of knife wounds." The smell of the spirit fat is warm to the blood. The two drugs are combined, and the power is also bloody. "Elder Li often uses this two tastes in internal injuries and miscellaneous diseases, uses them to activate blood stasis, disperse knots and relieve pain, and every time a good effect is obtained, it is used for external dizziness and headaches, and the same is miraculous.

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