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一、眩晕张某,女,43岁。84年5月6日就诊。头晕目眩十余日。血压:170/100毫米汞柱。服某医平肝潜阳之剂乏效,而求余诊治。患者头晕且胀,胸闷、恶心、心烦、口苦,睡眠欠安,两手麻木。舌红苔黄腻,脉弦滑。脉证相参,乃肝胆气郁,痰热上扰所致。治宜疏利肝胆,清化痰热。方拟温胆汤加减:枳实12克、竹茹10克、陈皮10克、半夏10克,茯苓12克、生姜6克、、黄芩10克、连翘12克、青蒿10克、地龙12克。五剂后,眩晕减。但觉身困乏力、饮食不佳。宗前法,佐健脾和胃之品。处方:枳实12克,竹茹10克、陈皮10克、茯苓12克、黄芩10克、连翘12克、白术15克、
One, dizzy Zhang, female, 43 years old. May 6th, 84th. Dizzy for more than ten days. Blood pressure: 170/100 mmHg. Serve a doctor of Pingyang Qianyang agent ineffective, and seek more than diagnosis and treatment. The patient was dizzy and swollen, with chest tightness, nausea, upsetness, mouth pain, poor sleep, and both hands numb. Red tongue, yellow and greasy, slippery pulse. The pulse card is related to liver and gallbladder qi stagnation, and it is caused by heat and disturbance. Expelling hepatic and gallbladder benefits, clear away heat. Fang Wei Wendan decoction: 12 grams of Gorgon fruit, Zhuru 10 grams, 10 grams of dried tangerine peel, Pinellia 10 grams, Poria 12 grams, ginger 6 grams, 10 grams of Astragalus, Forsythia 12 grams, 10 grams of Artemisia annua, Dragon 12 grams. After five doses, dizziness reduced. But I feel sleepy and poorly eating. Pre-Zong method, Jian Jian spleen and stomach products. Prescription: Astragalus 12g, Zhuru 10g, dried tangerine peel 10g, Poria 12g, Astragalus 10g, Forsythia 12g, Atractylodes 15g,