outpatient clinic received a patient with addiction, which is called "rubella mass" in the folks, which is equivalent to urticaria in western medicine. The patient was a 61-year-old Aunt Liu. complained of repeated breeze all over the body and itching for more than a year and worsening for three days. Special diagnosis department expert diagnosis: pale tongue and white fur, heavy pulse; dialectical is wind-cold constellation, lung health failure; treatment should be to replenish qi and consolidate the surface, dispel the lungs and dispel cold (recovery after the second visit, followed by a prescription).
present medical history: after receiving cold wind more than a year ago, the patient developed light red wind masses, accompanied by itching, and repeated attacks, every time the cold wind or cold induced aggravation, took antihistamine drugs, and the symptoms repeated; Cool in air-conditioned rooms can cause skin itching, aggravation of wind masses, and sometimes itching of wind masses; with appetite, sometimes abdominal distension, acid reflux, and nausea; chills without sweating; uncomfortable stool.
According to traditional Chinese medicine,
patients have a history of addiction rash (chronic urticaria) for more than a year, and the long-term health dissipates, cannot be warm and solid, and the cause is not dense. Therefore, every time it encounters cold wind or catches a cold, it creates wind masses and repeatedly does not heal In recent days, during the intense summer heat, the pores open after the bath, greedy the cold and the wind, causing the wind and cold, and the lung guard is lost, so there is a chill and no sweat, and the wind group increases; patients are elderly with spleen deficiency, heat and humidity, and cause middle Jiao Yun is damp, so anorexia, sometimes has abdominal distension, acid reflux, nausea, uncomfortable stool; pale tongue, white greasy coating, heavy pulse, it is the wet accumulation of middle coke, external wind cold, unannounced signs of qi.
Physicians in the special clinic use Astragalus, Fangfeng, Atractylodes atractylodes, etc. to take Sijunzi Decoction to invigorate the spleen, nourish the qi, and strengthen the appearance to strengthen the body; use Ephedra and almonds to promote the lungs and dispel cold to dispel evil; use fresh white peel and Kochia scoparia Zi, Pittosporum vulgaris skin expelling wind, removing dampness and relieving itching, Citrus aurantium and Shenqu can disperse dampness of the spleen, help the spleen and stomach, and enrich the qi; supplemented with ebony, licorice and astringent, prevent ephedra and wind from spreading too much And wasting righteousness. Invigorate the spleen and nourish qi, spread the lungs and dispel cold, strengthen the body and eliminate evil. The follow-up visit was based on the relief of the skin rash, but the dampness in the middle Jiao Yun was not removed, and sometimes nausea, the use of Huoxiang and Peilan to aromatize the dampness, promote the health of the spleen and stomach, promote the dampness, strengthen the qi, and relieve the wind and cold to be cured.
Recipe: Astragalus 20g, Fangfeng 10g, Atractylodes macrocephala 10g, Black plum 10g, Ephedra 3g, Almond 10g, Pittosporum bark 20g, White fresh peel 20g, Kochia scoparia 15g, Poria cocos 15g, Citrus aurantium 10g, Shenqu 10g, Licorice 10g, water Decoction, one dose a day, for seven days, avoid fishy hair and avoid cold. (The prescription is for communication only) The second consultation of
: The patient's skin rashes are greatly reduced, the skin is slightly itchy occasionally from cold and cold, no swelling wind masses, increased appetite, no acid reflux, heartburn, and occasional nausea. Adding Huoxiang and Peilan 10g each to the front of the Chinese medicine enhance the effect of clearing away heat and removing dampness. After adding seven doses of , the disease will be cured immediately.
experience talks
Special Medical Department Chen Lao believes that addiction rash (chronic urticaria) is mostly caused by wind and evil to dissipate the qi, or the body is weak and the qi is insufficient. , Therefore, if you want to disperse the wind and evil, you must first defend the qi and strengthen the management. The spleen and stomach are the foundation of acquired nature, the spleen and stomach is abnormally mobilized and the source of qi and blood is deficient, so if you want to strengthen the qi, you must strengthen the spleen and stomach. In the treatment of such diseases, attention should be paid to regulating the spleen and stomach and replenishing Qi and strengthening the surface.
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