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1 阴阳易 王某,男,31岁,农民。1986年 4月10日初诊。主诉:四肢厥冷,腹痛月余。追其病史是于1月前因同房后自觉身体沉重,少气无力,时有寒热。自用药(不详)症状有所改善,但不显著。刻诊:面色萎黄无华,头重眼花,腹痛以下腹部为重,痛时牵引阴部,二便正常,手足厥冷,四肢关节疼痛,舌淡苔白,脉细欲绝。辨证:追问病史是因同房后出现上述症状。加之素体血虚,复犯房劳,寒邪乘虚而入,凝滞经脉,气血运行受阻,经脉不利所致之阴易证。治宜温经散寒,养血通脉。方用当归四逆汤:当归10g,桂枝、白芍各9g,通草、炙甘草各6g,细辛3g,大枣5枚。水煎服,日1剂。服药3剂后症状大减,继服上方5剂后症状消失,随访1年后未复发。
1 Yin and Yang Yi Wang, male, 31 years old, farmer. April 10, 1986 was newly diagnosed. Main complaint: cold limbs, abdominal pain more than a month. The history of recovering from the illness was due to the fact that after the same room, he was conscientiously physically heavy, suffocating, and cold. Self-medication (unknown) symptoms improved but not significant. Carved diagnosis: looking wan-yellow, head weight vertigo, abdominal pain below the abdomen as the weight, pulling the genitals when the pain, the two will be normal, tetany, cold, limbs and joint pain, pale tongue, white coating, thready craving. Syndrome Differentiation: Inquiring about medical history is due to the above symptoms after the same room. In addition to the deficiency of the body’s blood, recidivism of the house labor, cold evil taking advantage of the complications, stagnation of the meridians, obstruction of qi and blood operation, and the yin and conviction caused by the adverse effects of meridians. Expelling temperature and dispersing cold, nourishing Tongmai. Angelica Sini decoction used: Angelica 10g, Guizhi, Angelica 9g, Tongcao, Zhigancao each 6g, Asarum 3g, jujube 5 pieces. Shuijianbi, day one. After 3 doses of medication, the symptoms decreased greatly, and the symptoms disappeared after taking the top 5 doses. No recurrence occurred after 1 year of follow-up.