【Case Study】Mr. Zhou, male, 30 years old.
Chief complaint: Suffering from heat and temperature disease, I have seen a doctor before, mainly with plaster, and I have used more than 20 doses in a row. As a result, although the fever subsided, the lower limbs began to become weak and weak, and finally it was difficult to move an inch.
Examination: The patient was emaciated, his complexion was dull, his lower limbs were weak and thin, and he could not walk an inch. The tongue is reddish, the lichen is not much, and the pulse is thin and slow.
Dialectic: At the beginning of this syndrome, the heat was high in the summer, and the reuse of gypsum was originally good, but after the heat subsided, it was not followed by the yin, and the gypsum was still used, and the gypsum was cold, and the continuous reuse would inevitably damage the vitality.
If the yang is damaged and cannot be born, the yin cannot grow, so the patient's tongue is red, less lichen, the pulse is thin and slow, the mouth is dry, the stool is knotted, and the feet are thin, which is manifested as the symptoms of yin deficiency.
Excessive use of plaster can damage the yin for a long time, damage the vitality, and also promote the disease.
Treatment: Nourish blood and activate the meridians, nourish the kidneys and liver.
Prescription: Angelica sinensis, Paeonia alba, Rehmannia radix, Rhizome, Mulberry Branch, Hyssop, Lycium barbarum, Chicken blood vine gum, Dog's spine, Licorice.
Analysis of this formula: chicken blood vine gum, angelica, and mulberry branches can be used to nourish blood and activate the nerves; White peony and licorice can soften the liver and relieve urgency; Rehmannia root, mountain firewood meat, and wolfberry nourish the kidneys and liver; Dog spine, cow knee strengthens muscles and bones, and strengthens feet.
Second diagnosis: After taking six or seven doses of the above medicine, my lower limbs felt a lot more relaxed and energetic.
Later, on the basis of this side, or Gasan parasitism, tiger bone glue, and broken bones are supplemented to strengthen muscles and bones; or add eucommia, cistanche, Sichuan interrupted, and dodder seeds to tonify the kidney and benefit essence; If the yin is lost for too long, it will damage the yang, or add astragalus, ginseng, and atractylodes to invigorate qi and strengthen the spleen.
Patient feedback: After continuous treatment for more than a month, the activities of both lower limbs were as usual and the walking was vigorous.
【Language】The pre-medical warm tonic is a normal phenomenon on the surface, but I don't know that it is actually caused by the heat injury yin blood, yin blood deficiency, and the inability to nourish the tendons, so the use of warm tonic will be counterproductive.
It should be noted that for the treatment of long-term diseases, it is first necessary to check the treatment process, combine the current syndrome, analyze and distinguish the treatment, and then it can be appropriate.