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老朽扎记:《经方实验录》(三十六)
杏林老朽
秀才


Joined: 10 Apr 2008
Posts: 163
Location: 安徽芜湖
杏林老朽Collection
PostPosted: 2008-07-23 14:41:31    Post subject: 老朽扎记:《经方实验录》(三十六) Reply with quote

奔豚其一
刘右,初诊,九月十六日始病中脘痛而吐水,自今年六月每日晨泄,有时气从少腹上冲,似有瘕块。气还则绝然不觉。此但肝郁不调,则中气凝滞耳。治宜吴茱萸汤合理中。
淡吴萸四钱、生潞党五钱、干姜三钱、炙草三钱、生白术五钱、生姜三片、红枣十二枚。
二诊九月十八日两服吴茱萸合理中汤,酸味减而冲气亦低,且晨泄已全痊。惟每值黄昏,吐清水一二口,气从少腹挟痞上冲者,或见或否。治宜从欲作奔豚例,用桂枝加桂汤,更纳半夏以去水。
川桂技三钱、白芍三钱、生草钱半、桂心钱半、制半夏五钱、生姜五片、红枣七枚。
拙巢注:服后全愈。
【按】本案初诊所谓吐水,二诊所谓吐清水,颇可疑,或即是白津,其说详下案。
注:奔豚气系指有气从少腹上冲胸脘、咽喉的一种病证。奔豚一名,首见于《内经》
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人之所病,病疾多;而医之所病,病道少。
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