王某某,男,61岁,干部,住院号040167。因四肢痿软不用5天,于1985年3月29日住我院门诊简易病床观察治疗。查心率85次/分,第一心音减弱,双膝腱反射消失。血清钾11毫克%。心电图:ST段下移,T波低平,u波增高,Tu波融合,提示呈低钾表现。追问病史,自1985年元月以来,曾有类似发作3次,诊断为周期性麻痹,因病者要求中药治疗,于同年3月30日转入中医科。证见四肢痿软不用,双手不能提物,双足不能站立行走。神疲倦怠,食纳不香,少气懒言,腰膝酸软无力,大便溏,面色萎黄无华。舌质淡、苔薄白,脉细无力。证属脾胃气虚致痿,治以健脾益气,方投补中益气汤化裁:黄芪25克柴胡10克党参18克白术12克当归10克升麻6克寄生20克砂仁6克莲肉20克陈皮8克炙甘草8克,服3剂后,能下地行走,精神、食欲明显好转,纳增,双上肢亦能提取轻物,但尚 Wang Moumou, male, 61 years old, cadre, hospital number 040167. Due to the weakness of limbs and limbs for 5 days, they were observed and treated in a simple bed in our outpatient clinic on March 29, 1985. Check the heart rate 85 beats per minute, the first heart sounds weakened, the knee reflexes disappeared. Serum potassium 11 mg%. Electrocardiogram: Downward ST segment, low T wave, increased U wave, Tu wave fusion, suggesting low potassium performance. Inquired about medical history, since January 1985, there have been similar attacks 3 times, diagnosed as periodic paralysis, due to patients requiring Chinese medicine treatment, in March 30th the same year transferred to Chinese medicine. The card shows that the limbs are not soft, the hands cannot lift the object, and the feet cannot walk. God is exhausted, food is not fragrant, less lazy, waist and knees are weak, loose stools, and pale complexion. Thin pale tongue, thin white fur, weak pulse. The syndrome is caused by spleen and stomach qi deficiency, rule by spleen Qi, Fang Dubu Zhong Yi Qi Decoction: Astragalus 25 grams Bupleurum 10 grams Dangshen 18 grams Atractylodes 12 grams Angelica 10 grams Cimicifuga 6 grams Parasite 20 grams Amomum 6 Ke Lian Rou 20 grams orange peel 8 grams Zhigancao 8 grams, after taking 3 doses, can walk down, the spirit, appetite improved significantly, increase, both upper limbs can also extract light, but still