Treat cough when the pulseDepartment of traditional Chinese medicine, Lianhua Road, Zhuhai People's Second Hospital, Li ChongyuA patient in
Treat cough when the pulse
Department of traditional Chinese medicine, Lianhua Road, Zhuhai People's Second Hospital, Li Chongyu
A patient in July 12, 2013 to diagnosis, female, 41 years old, Dongguan City, Changping Town, yellow complexion dark, a history of breast hyperplasia, acrophobia history. Coughing for ten days, more than and 10 days ago, hoarseness, sore throat, hoarseness and sore throat healed after treatment, but began to cough. Carved diagnosis: nocturnal cough, throat itching, cough, dry cough without sputum, pharynx chills, no sweat, pale red, recently after a cold pain, no dry mouth, slightly loose stool, normal urine, pale tongue, moss white greasy lip slightly.
From the onset of the situation, this is a cold drink in the card, after more than and 10 days cold patients table is not clear understanding, therefore chills, no sweat, itchy throat cough is lumbago; the evils exist; although the nighttime cough, dry cough without phlegm, dry mouth, but no tianjininjury candidate, so get rid of yin deficiency cough cough. Although the onset of more than and 10 days, but still belong to exogenous cough, so consider the use of small Qinglong Decoction treatment.
But the patients with pulse, pulse fine soft, slightly left inch aquaplaning, no floating image. We excluded the XiaoQingLongTang Zheng, diagnosed as lung qi obstruction, cold in unexplained, use banxiahoupu Decoction Qufeng solution table, Xuanfei cough medicine treatment. Recipe: ginger Pinellia 15 grams, 10 grams of Magnolia officinalis, perilla leaf 15 grams, Poria 10 grams, 6 grams of licorice root, Platycodon grandiflorum 3 grams, almond 10 grams, 10 grams of 6 grams of Peucedanum, Schizonepeta, windproof 6 grams, 6 grams of dried tangerine peel, ginger 2. 2 agent water frying temperature, one dose daily, four times service.
Two examination (July 13, 2013): Patients with children to paste the day moxibustion, cough has been more, no pain.
According to this patient, the first impression of Xiaoqinglong decoction, but after comprehensive analysis, still feel not small Qinglong insurance, because this patient complexion is dark yellow, a history of breast hyperplasia, but no pulse string like, that patients with breast hyperplasia is also due to blood deficiency caused by liver qi stagnation, rather than. At the same time, because the patients themselves lack of blood, so consider attack force of the small Qinglong Decoction for more MBHD treatment and the final result.
From the "Treatise on" provisions, XiaoQingLongTang is not heavy pulse, such as: "typhoid fever table puzzled, heart gas, retching, fever and cough, or thirsty, or profit, or choking, or urination, less abdominal fullness, or asthma, small Qinglong Decoction of." "Cough on breath, shortness of breath and sleeplessness, shaped like a swollen, small Qinglong Decoction of." "Typhoid, the heart has water vapor, cough and micro asthma, fever is not thirsty. The soup has been thirsty, this cold to solution also. Small Qinglong decoction." "Disease overflow drink, when the sweat, big blue dragon soup main, small blue dragon soup is the Lord".
But the author thinks, XiaoQingLongTang pulse should be strictly speaking, floating pulse, or floating, floating or slow. If it is not such a pulse, with small Qinglong Decoction, or will have changed or not, all need to change the disease, treatment can cure.
If the patient's pulse is weak, should be more careful to consider whether the use of small Qinglong Decoction. I have encountered in clinical use of Xiaoqinglong Decoction in the treatment of cough, cough has healed, but the patients with hematemesis, licorice and dried ginger conditioning later and more, is the case. Published in the Chinese Journal of traditional Chinese medicine academic and clinical sector in May 6, 2015.