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麻杏石甘汤为汉代张仲景《伤寒论》名方。原为伤寒误汗(63条)、误下(167条)导致邪热内郁壅肺的变证而设。较多应用于风热壅肺咳喘之症,疗效卓著。笔者根据郁热的机理,用于其它内科杂病中,每获佳效。现举验案三则,以供同道参考。 1 水肿(原因不明性水肿) 高某某,女,38岁,已婚,农民,1990年3月2日初诊。患者水肿2年余,近3月加重。面目浮肿,手肿难以握持,足肿难以穿袜。常年服双氢克尿噻,初每日3片,后逐渐加量至每日12片,少服则尿闭肿甚。曾于几家医院就诊,屡查尿常规、
Maxing Shigan Tang is the name of Zhang Zhongjing’s Treatise on Febrile Diseases in the Han Dynasty. The original typhoid sweat (63), mistakes (167) led to the change of the evil heat in the lungs of Yu Yu. It is widely used in the treatment of wind-heat, silicosis, cough and asthma with outstanding curative effect. According to the mechanism of depression, the author used it in other medical maladies to achieve good results. Three trials are now given for reference. 1 Edema (unexplained edema) High, female, 38 years old, married, farmer, newly diagnosed on March 2, 1990. The patient had edema for more than two years, and he was aggravated in the last three months. Swollen face, swollen hand is difficult to hold, swollen feet difficult to wear socks. Perennial hydrochlorothiazide is given as a daily dose of 3 tablets per day. After that, it is gradually increased to 12 tablets per day, and even less is urinary edema. He had visited several hospitals and checked urine routinely.