According to the syndrome differentiation, Mr. Meng is slightly thin, his tongue is light and fat, his fur is yellowish and greasy, and his pulse is thin. Irregular diet on weekdays, like thick paste, hurting the spleen and stomach, and the evil of dampness and turbidity for a long time is blocked in the spleen and stomach of the middle energizer, "it hurts if it doesn't work"; If the turbid gas in the stomach does not drop and the stomach gas goes up, then the pantothenic acid burps; When the sun be the spirit comes back in the morning, the dispute between good and evil is obvious, so the stomachache is obvious after getting up in the morning; Spleen deficiency and dampness, drowsiness of limbs, light and fat tongue, yellowish greasy fur and thready pulse are all signs of spleen deficiency and dampness resistance.
Therefore, Mr. Meng's epigastric pain belongs to spleen deficiency with dampness and qi stagnation. In terms of conditioning, it is necessary to dry and strengthen the spleen, and regulate the stomach and qi.
Take: Rhizoma Atractylodis, Pericarpium Citri Tangerinae, Cortex Magnolia Officinalis, Radix Glycyrrhizae Preparata, Rhizoma Alismatis, Rhizoma Atractylodis Macrocephalae, Polyporus, Poria, Hewei Powder, Concha Arctii, Gan Song, Massa Medicata Fermentata, Fried Radish Seed, Ginger and Jujube. 15 dose, decoction, daily 1 dose, after breakfast and dinner 1 hour.
Rhizoma Atractylodis, Pericarpium Citri Reticulatae, Cortex Magnolia Officinalis, Alismatis Rhizoma, Atractylodis Rhizoma, Polyporus, Poria, etc. The prescription is used for eliminating dampness, promoting qi circulation, promoting diuresis and strengthening the spleen. Calcined concha arcae, Gan Song, Massa Medicata Fermentata, fried tobacco, stomach powder, ginger, etc. Used for making acid, regulating qi, promoting digestion, and regulating stomach; Radix Glycyrrhizae Preparata and Fructus Jujubae are beneficial to spleen.
The second diagnosis: the upper abdominal pain basically disappeared, the stool was smoother than before, and the pantothenic acid and hiccups were relieved, but there was still flatulence in the abdomen. When I am hungry, my stomach is uncomfortable, my diet and sleep are normal, my tongue is pale, my fur is yellowish, white and thick, and my pulse is thin. Remove the fried tobacco seeds from Alisma orientalis from the front, and add Pogostemon Pogostemonis and Zhang Xiaofen to eliminate dampness, regulate qi and reduce swelling. 15 dose, decoction, daily 1 dose, after breakfast and dinner 1 hour.
The third diagnosis: no pain in the upper abdominal cavity, occasional pantothenic acid, burping on an empty stomach, flatulence in the abdomen has also been alleviated, eating and sleeping are acceptable, the tongue is pale, the thick greasy tongue coating turns pale, and the pulse is rapid. If the drug syndrome is consistent, remove Polyporus and Massa Medicata Fermentata, add Fructus Aurantii and stir-fried malt. Take 15 dose again to consolidate the curative effect. It is recommended to do gastroscopy after taking the medicine, prohibit drinking, have a light diet, don't be full, and avoid spicy and irritating items.
Solution:
This recipe is made up of Ling Wei Decoction in Danxi Heart Method, formerly known as Ling Wei Powder, and later changed to decoction, named Ling Wei Decoction. Fang Ge: Ling Wei jun medicine Atractylodes lancea, Cao Chen thick ginger jujube boiled in water, put it in Alisma orientalis and Poria cocos, and then remove it after cold and dampness dysentery.
Indications: cold-dampness and spleen deficiency, deficiency of kidney-qi, fluid imbalance, abdominal distension, anorexia, loose stool, limb pain, watery diarrhea, edema, pale tongue, white fur and thready pulse.
This prescription can also be used for the following symptoms:
(1) watery diarrhea, watery defecation, a few lines a day.
② Dampness, edema all over the body and severe lower limbs.
③ Dampness blocking middle energizer, fullness in upper abdomen, eating less, and irregular stool.
(4) Moisture stays on the body surface, and the limbs are heavy and painful.