1. Infant frequent micturition Mai Mou, male, 8 years old, was first diagnosed on 200 1, 2 1. Suffering from "pneumonia" for 2 weeks, sudden frequent urination and urgency 1 week, aggravated for 2 days. Frequent urination 10 times a day, accompanied by urgency, but no abdominal pain or dysuria. Urine test: a little urine protein (-), white blood cells (++), red blood cells. Sallow and emaciated, sore throat, dry mouth and drinking, unpleasant stool, abdominal distension; Breathing sounds in both lungs are thick, and rales cannot be heard; The tongue coating is thin, yellow and greasy, the tongue is red and the pulse is slippery. Lower energizer syndrome is damp-heat, and the initial addition and subtraction of Bazhengsan has no effect, that is, Maxingshi dry soup is added: roasted ephedra 6g, almond 9g, licorice 3g, gypsum 15g, Yunnan Qu 10g, medulla tetrapanacis 9g, ootheca mantidis 9g, plantain 12g, and forsythia suspensa. After taking 3 doses, the symptoms were relieved, and after taking 5 doses, the frequent urination disappeared. 1 week later, the urine routine was normal and there was no discomfort. He recovered and no recurrence was found after half a year's follow-up.
Wind evil invades the lungs first, leading to the loss of lung qi in xuanjiang, and the spring source on the water is out of control; In addition, the water is wet and does not retreat, and it turns into heat for a long time, and the waterway is unfavorable, the bladder stands up and urinates frequently. Maxing Shigan Decoction specializes in treating lung depression, releasing qi, "lifting the pot and uncovering the lid", boiling water to relieve depression, helping bladder gasification and stopping frequent urination.
2. Insomnia Jiang, male, 3 1 year old, was first diagnosed in April 2002 1 1. Self-reported insomnia for more than 2 months, only sleeping for 2 ~ 3 hours every night, dizziness, heavy head, bitter mouth and dry mouth, always eating spicy and greasy food, easy to catch a cold. Heavy head, dizziness, body pain, dysphoria, belching, nausea, no appetite, yellowish greasy tongue and slippery pulse. Syndrome belongs to phlegm heat, which can be treated by clearing phlegm heat and calming the nerves. The prescription uses Maxing Shigan decoction to remove licorice and add flavor: Herba Ephedrae 8g, almond 15g, gypsum 30g, Scutellariae Radix 15g, dried tangerine peel 9g, bamboo shavings 10g, Smilacis Glabrae 30g, Pinellia ternata 15g, Poria cocos 12g, and Cortex Albizziae 30g. After taking 6 doses, my sleep has improved. I can sleep for 3 ~ 4 hours every night, but sometimes I get upset. I still took it from above for 1 month, and the symptoms disappeared. My insomnia was cured. I followed up for 1.5 years and found no recurrence.
Usually fat and sweet, accumulate dampness and produce phlegm, consolidate phlegm and produce heat, and phlegm and heat are intertwined, so I feel uneasy and can't sleep. The lung governs the qi of the whole body, and if the qi is unfavorable, it is difficult to be wet and turbid. Taking Maxing Shigan decoction to remove licorice and warm gallbladder decoction to open up the upper and lower meridians can eliminate dampness, eliminate phlegm and smooth, clear away heat, calm the heart and soothe the nerves, and treat insomnia.
3. Rheumatoid Arthralgia Wang, female, 44 years old, was first diagnosed in May, 200 1, 17. Cough without exogenous factors for 65,438+0 weeks. In the past 3 days, the right ankle joint has been swollen and painful, with difficulty in flexion and extension, walking, burning sensation in local skin, bitter mouth and dry mouth, yellow urine, unpleasant stool, abdominal distension, yellow and greasy tongue coating and slippery pulse. Diagnosed as arthralgia syndrome, it belongs to rheumatic arthralgia. It is suitable for dispersing lung qi, expelling wind, clearing away heat and removing dampness, promoting blood circulation and dredging collaterals. The addition and subtraction of Maxing Shigan Decoction are as follows: ephedra 9g, almond 15g, gypsum 30g, talc 30g, phellodendron 9g, papaya 15g, pueraria 20g, Eupolyphaga Seu Steleophaga 9g, erythrina bark 15g and Achyranthes bidentata 15g. Every day 1 dose, after taking 5 doses, the swelling and pain basically disappear, and after taking 5 doses, you can flex and walk freely. Remove talc, Cortex Phellodendri and Cortex Erythrinae above, and take 7 doses to consolidate the curative effect. Follow-up 1 year showed no recurrence.
According to the advantages and disadvantages of pathogenic factors, ancient physicians divided arthralgia syndrome into wind arthralgia, wet arthralgia, cold arthralgia and heat arthralgia. However, arthralgia rarely exists alone, and it is often the coexistence of all evils. In this case, the first thing to feel is exogenous evil, followed by damp-heat accumulation, joint decline, and qi and blood stasis. The treatment should be dispersing lung qi and clearing away damp heat. If Maxing Shigan decoction is used to relieve depressed lung qi, the evil qi will dissipate, dry dampness and clear heat, and arthralgia syndrome will heal itself.
4. Viral myocarditis Chimou, male, 2 1 year old,1999165438+1was first diagnosed on October 23rd. More than half a month, dizziness, chest tightness, palpitation and fatigue came to see a doctor for 3 days. The patient has always been in good health. Half a month ago, he felt cold, aversion to cold, fever and sore throat, so he took medicine and infusion. After the symptoms improved, he felt flustered, weak and dizzy. Three days ago, the symptoms worsened, I didn't think about diet, I was upset and insomnia, and my stool was uncomfortable. The temperature was 38.2℃, arrhythmia was 6-8 times/minute, chest film showed disorder of lung texture enhancement, electrocardiogram showed S-T changes, and various indexes of myocardial enzymes increased. It is diagnosed as acute viral myocarditis, which belongs to heart depression and palpitation in traditional Chinese medicine, but the lung qi is depressed and the spleen and kidney are deficient. The treatment should be based on dispersing lung, relieving fever, strengthening spleen and tonifying kidney, and the prescription is modified by Maxing Shigan Decoction. Decoct with water every day 1 dose. After taking 7 doses, the symptoms are relieved, and then taking 7 doses, the symptoms disappear and the electrocardiogram is normal. After removing ephedra, take 10 dose to consolidate the curative effect, and then check the myocardial zymogram to be normal. Follow-up 10 years, no recurrence.
Viral myocarditis belongs to the categories of "fright", "palpitation", "heart obstruction" and "fatigue" in traditional Chinese medicine. Exogenous evil is the cause, and the healthy qi of human body is damaged at the same time. Maxing Shigan Decoction can spread lung qi, not only dispel exogenous pathogens, but also contribute to the smooth flow of qi and blood, create conditions for the recovery of healthy qi, and also have the effect of calming the internal and disturbing the external, so it can be effective.
5. Children with summer heat Tang, male, 4 years old, suffered from summer heat, fever, no sweat or less sweat, excessive drinking and urination, listlessness, dry teeth, loose stool or discomfort in late June 2002. I used western medicine to reduce fever, diminish inflammation and hormone therapy, and the fever increased. Pale complexion, dull eyes, thin and dry tongue coating, pale tongue and weak pulse. Syndrome belongs to pathogenic heat depressing lung and insufficient body fluid, so it is advisable to clear lung and dissipate heat, dry dampness and consolidate yin. Add and subtract Maxingshi Dried Soup: ephedra 3g, almond 9g, gypsum 15g, licorice 6g, pseudostellaria 9g, Schisandra 8g, Poria 9g, lentils 9g, Dendrobium nobile 10g, Radix Puerariae 9g and dried tangerine peel 6g. Decoct with 1 dose of water every day. After 3 doses, thirst and urination decrease, and you can sleep quietly for 2 ~ 3 hours at night. The defender will take another 5 doses to quench his thirst and urinate normally. Good night. The poop was still sent to the hospital. After half a month's conditioning, her appetite increased, her stool was normal, and her temperature did not fluctuate. She recovered. There was no recurrence at the end of that summer.
In summer, children's careless living, coupled with greed and coldness, lead to cold and dampness invading, lung qi stagnation, spleen dampness and sleepiness. Children's pure yang body is easily injured by body fluids, and if body fluids do not disperse, symptoms such as excessive drinking and polyuria will occur. Maxing Shigan Decoction helps spleen transport and eliminate dampness by dispersing lung and expelling heat.