"Medical Record" Hu, female, 31 years old, medical record number 090019.

First diagnosis on July 17, 1963: Suffering from throbbing pain, sometimes in the liver area, sometimes in the heels, sometimes in the shoulders and back, shortness of breath, palpitations, abdominal fullness, and eating and drinking well.

Bupleurum 4 qian, Scutellaria baicalensis 3 qian, Trichosanthin 5 qian, Raw oyster 3 qian, Guizhi 3 qian, Dried ginger 2 qian, White peony root 4 qian, Citrus aurantium 4 qian, Atractylodes 3 qian, Evodia Fructus. Two qian, angelica three qian, madder five qian, licorice two qian, Alisma three qian. Three pay.

Revisited on July 22: Liver function has returned to normal, all pains have subsided, abdominal fullness and palpitations have resolved, but the urine is red and there is a sense of heat, and the Zhuling decoction method can be used to treat the water.

Poria cocos three qian, talc four qian, Poria cocos three qian, Alisma three qian, raw donkey hide gelatin three qian, raw coix seed one liang, rhubarb five qian. Three pay.

Third consultation on July 31: The burning sensation in urination has been relieved, the medicine has been taken, menstruation has come, the abdomen is bloated, the flanks are painful, and sometimes there is shortness of breath. Then on July 17, orange peel was added for five days. money. Three pay.

『Analysis』

During the first and third consultations, Mr. Hu chose Chaihu Guizhi Ganjiang Decoction combined with Sini Powder and Danggui Shaoyao Powder for treatment. If it was just pain and fullness, It can only be determined to be Shaoyang disease, and it is the primary disease of Shaoyang, so just choose Sini Powder. The reason for using other prescriptions is unknown.

During the second diagnosis, choose Zhuling Decoction plus coix seed and rhubarb. This is for patients with yellow and red urine and heat, which is caused by Yangming deficiency heat plus water poisoning.