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补阳还伍汤出自清代名医王清任所著《医林改错》.功用为补气、活血、化瘀通络,主治中风后遗症,症见半身不遂,口眼吊斜,便干遗尿等.我们临床用以治疗其他病症也得心应手,疗效显著.1 脑缺血性眩晕杨某,女,53岁.1995—11—06初诊.就诊前1天开始,头晕目眩,走路不稳,伴视物模糊不清,左上肢麻木无力,神清语利,精神萎靡,面色黄白,四肢活动自如,血压17.3/11.3kPa,舌质紫黯,两脉沉涩.经颅多普勒扫描提示;大脑中动脉、后动脉血流缓慢,双侧椎动脉、基底动脉痉挛,供血不足.中医辨证为气血虚弱,不能上达于脑,瘀血阻滞,脑失所养.处方:黄芪50g,鸡血藤、川芎、赤芍药、当归尾各15g,桃仁、红花、地龙各10g,生水蛭粉5g(冲服).水煎服,日1剂.服药5剂,头晕目眩大减,左上肢麻木消失,视物仍模糊不清.上方川芎、赤芍药改为20g,继服5剂,眩晕消失,视物清晰.嘱其每周服2剂巩固疗效,随访半年未发眩晕.
Bu Yang Huan Wu Tang is from the Qing Dynasty famous doctor Wang Qingren’s “Medical forest reform mistakes.” Function is qi, blood, phlegm meridians, attending stroke sequelae, Zheng Jian see hemiplegia, mouth hanging slant, then dry enuresis and so on. Clinical treatment of other diseases is also handy, significant effect. 1 cerebral ischemic vertigo, Yang, female, 53 years old. 1995-11-06 new diagnosis. 1 day before treatment, dizziness, unsteady walking, with blurred vision Unclear, numbness in the left upper extremity, God’s clear language, apathetic, pale yellow, white, free movement of limbs, blood pressure 17.3/11.3kPa, purple tongue, two pulse sink astringent. Transcranial Doppler scan prompted; middle cerebral artery , Posterior arterial blood flow is slow, bilateral vertebral artery, basilar artery spasm, insufficiency of blood supply. TCM syndrome is qi and blood is weak, can not reach the brain, blood stasis, brain loss. Prescription: Astragalus 50g, Millettia, Chuanxiong, red peony root medicine, angelica root each 15g, peach kernel, safflower, earthworm each 10g, raw water lotus root powder 5g (blunt). Shuijianbi, day 1. 5 medication, dizziness greatly reduced, left upper limb numbness, Observing the material is still vague. The top Chuanxiong, red peony medicine to 20g, followed by five doses, dizziness disappeared, depending on the material is clear. 嘱 2 doses per week to consolidate the efficacy, Visit six months without hair vertigo.