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知柏地黄丸临床应用较为广泛,主要针对欲念忘动,或久病耗伤肾阴,阴虚生内热,水亏则火浮。笔者举临床之验案,供同道参考。眩晕邱××,男,57岁,工人。1976年4月3日初诊。患者素有高血压史,经常头昏目眩,近几天眩晕加重,形体消瘦,耳鸣腰酸,健忘心烦,少寐口干,食少无力,手足心热,小便黄,舌质红,苔黄稍腻,脉细数,血压186/112毫米汞柱。证属肾精不足,阴虚内热,治以补肾滋阴清热。知柏地黄丸加味:生地24克山萸12克山药15克丹皮12克炙鳖甲12克广茯苓15克泽泻91克黄柏6克知母9克淮牛膝6克玄参18克水煎服。三剂后,血压154/98毫米汞柱,眩晕大减,苔黄腻已去,去黄柏,加生龙牡各30克。半月后,眩晕基本消失,血
Zhibai Dihuang Wan clinical application is more extensive, mainly for the desire to forget to move, or long-term disease, kidney yin, yin deficiency of internal heat, water loss is fire. I cite the clinical trial for reference. Dizzy Qiu × ×, male, 57 years old, worker. The first visit was made on April 3, 1976. Patients with a history of hypertension, dizziness often, dizziness worse in recent days, body weight loss, tinnitus and backache, forgetfulness upset, less dry mouth, eat less weak, hand, foot and heart heat, yellow urine, red tongue, yellow coating slightly Tired, pulse breakdown, blood pressure 186/112 mm Hg. The syndrome is insufficient in kidney essence, yin deficiency heat, rule kidney nourishing heat. Zhibai Dihuangwan Modified: Rehmannia 24g Hawthorn 12g Yam 15g Danshu 12g Laojiao 12g Canola 15g Alisma 91g Cork 6g Anemarrhena 9g Huai Achyranthes 6g Scrophularia 18g Water Decoction. After three doses, the blood pressure was 154/98 mmHg, dizziness was greatly reduced, the greasy yellow coating had gone, and the Phellodendron, plus 30 grams each of Longmu. After half a month, vertigo almost disappeared.