消渴治验

来源 :湖南中医杂志 | 被引量 : 0次 | 上传用户:taylorgil7
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(一) 上消旷某某,女,37岁。农妇。烦渴、多饮、尿多1月余。患者常因小事忧愤,1月前与丈夫争吵精神刺激甚大,当晚烦躁失眠,渴饮。尔后每晨醒来,即抱壶痈饮冷水约1,000毫升,每餐饭后烦渴须饮水两大杯,夜间亦须起床饮水。尿多、尿频,口干舌燥,厌食纳少,体重减轻10余斤,四肢乏力,动则汗出,舌边尖红,苔薄黄,脉洪无力。查尿糖(+++),空腹血糖240毫克%。证属肺热津伤,气阴两伤,诊为上消。治用《医学心悟》二冬汤:天冬15克麦冬15克花粉知母各12克黄苓10克参须10克荷叶半张同煎。服药6剂,诸症均减,唯觉头晕。于原方加黄芪20克、构杞10克,又服8剂,病情日趋好转,饮水量减少三分之二,小便减少,食量增加, (a) on the consumer Xiaomou, female, 37 years old. Farmer woman. Poor thirst, more drink, more than one month of urine. The patient often feels annoyed by small things. He had a quarrel with his husband before January and he was very irritated. He was irritated and insomnia and thirsty on the night. Then every morning wake up, that is, hold pots and sip cold water about 1,000 milliliters. After each meal, you need to drink two cups of water, and drink water at night. More urine, frequent urination, dry mouth, less appetite, less weight, more than 10 kilos of weight loss, limb weakness, moving sweating, red tongue, thin yellow tongue, weak pulse. Check urine sugar (+++), fasting blood glucose 240 mg%. The card is a case of lung heat injury, two injuries of qi and yin, diagnosed as Shangxiao. Governance “Medical enlightenment” two winter soup: Asparagus 15 grams Ophiopogon japonicus 15 grams of pollen Anemarrhena each 12 grams of Astragalus 10 grams of ginseng must be 10 grams of lotus leaf half of the same fried. Taking 6 drugs, the symptoms were reduced, only dizziness. In the original prescription, 20 grams of Astragalus membranaceus and 10 grams of Astragalus membranaceus were used, and another 8 doses were taken. The condition improved and the amount of drinking water decreased by two-thirds, and the urine decreased and the food intake increased.
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