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镜水行医录之一:乳头及外阴触痛治验一例
杏林老朽
秀才


Joined: 10 Apr 2008
Posts: 163
Location: 安徽芜湖
杏林老朽Collection
PostPosted: 2008-04-11 15:59:27    Post subject: 镜水行医录之一:乳头及外阴触痛治验一例 Reply with quote

梅某某 女 46岁 芜湖市市民
2008年2月29日就诊,自述乳头及外阴触痛一周。面色不泽,口微渴,纳尚可,两便适,夜寐正常,脉细濡,舌淡红、苔薄白。拟方如下:
炒柴胡10克 赤芍10克 当归10克 生山栀10克 丹皮10克 生地30克 白蒺藜10克 制乳香10克 没药10克 元胡10克 川楝子10克 香附6克 甘草6克 三七10克 土鳖虫10克 七贴 每日一贴 水煎 日三服。
五日后,路遇患者,她高兴地告诉我,她已经好了。
简析:乳头及外阴均为足厥阴肝经循行的部位,中医认为1.不通则痛,通则不痛;2.热微则痒,热甚则痛。所以,我认为本案为肝经郁热所致,方用丹栀逍遥散加减,活血化瘀、解郁清热治之,果然如鼓应桴,不尽剂而愈。

_________________
人之所病,病疾多;而医之所病,病道少。
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