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温胆汤出自唐代医家孙思邈《备急千金要方》。是治疗胆虚痰热上扰而致虚烦不眠证。笔者运用此方加减治疗疑难病证,取得满意疗效,现举验案如下。 1 精神病 李某,女,23岁,教师。1984年9月10日初诊。主诉:精神失常、语无伦次1年。经本地精神病院确诊为精神病。症见精神抑郁,表情淡漠,神志痴呆,语无伦次,行走迟缓,心烦不寐,悲哭嘻笑,口苦咽干,二便如常。舌质微红,苔黄稍厚,脉象弦缓。证届湿热痰浊,上蒙清窍,扰乱心神所致。治以清热除湿,重镇安神。用药:竹茹、代赭石各15g,朱茯苓、枳实各12g,石菖蒲、苍术、白术、黄柏、陈皮各10g。琥珀、朱砂(水飞)各4g,进药9剂,睡眠略安,减朱砂合白金丸,又进20剂,诸证消失,随访2年,均未复发。
Wen Tang Tang was born in the Tang Dynasty physician Sun Sikai, “Preparing for the Thousand Talents”. It is the treatment of timid delusions and fever on the disturbance caused by irritability and insomnia. The author used this side to add and subtract to treat difficult cases and obtain satisfactory results. 1 Mental illness Lee, female, 23 years old, teacher. Newly diagnosed on September 10, 1984. Chief Complaint: Insanity, incoherent one year. The mental illness was diagnosed in a local mental hospital. Zheng Jian depression, indifferent expression, dementia, incoherent, slow walking, upset, cry and laughter, bitter, dry, and two will be as usual. Reddish tongue, thick yellow fur, slow pulse. The heat, turbidity, and clearness of the Mongolian confessions disturbed the mind. Treatment with heat and dehumidification, the main town of sedative. Medication: Zhuru, on behalf of vermiculite 15g, Zhuxun, Gorgon each 12g, Shichangpu, herb, Atractylodes, Phellodendron, Citrus each 10g. Amber, cinnabar (water fly) of the 4g, into the drug 9 agents, sleep slightly safety, reduce cinnabar and platinum pills, and then into 20, all evidence disappeared, followed up for 2 years, no recurrence.