Zhang Shishun: the case of cough

Time: 2015-09-14

Source: China's traditional Chinese medicine

Author: Yuan Su

"Appreciation proven case"

H a, female, 40 years old, born in 1974, was on November 14, 2014. To see a doctor in season: the beginning of winter.

Patients complained of a cough, yellow sputum, accompanied by sore throat, stuffy nose 2 months. Patients in the two months ago because of gynecological surgery and low resistance, feel invaded, began to cough, cough spit yellow thick phlegm, sore throat, complexion, can, mainland, pale tongue whitish, sliding of arteries and veins thin, lose all sorts of anti-inflammatory drugs after the effect is not obvious. A history of "old chronic bronchitis".

Differentiation: hot wind make lung, lung heat, lung XuanSu loss.

Treatment: breeze clear heat, xuan lung phlegm. Cure to heartleaf houttuynia herb decoction and second life tonga subtraction.

Syndromes: h. cordata 50 grams, 30 grams of white mulberry, radix scutellariae 10 grams, 10 grams of dried tangerine peel, fritillary bulb (play) 30 grams, almond 10 grams, raw pinellia (in 90) 30 grams, raw nanxing (in 90) 30 grams, indigo naturalis (bag) 10 grams, clam powder (bag) 10 grams, 10 grams, hu before asters 10 grams, broiled Ba leaf 30 grams, 15 grams of coastal glehnia root, inch winter 15 grams, 30 grams of licorice, buffalo horn wire (Fried first 30) 20 grams, heavy floor 20 grams, 20 grams lyratum thunb. 3 agent, water decoction, day 1 agent.

Diagnosis: after 3 agent, yellow sputum, sore throat, XianZheng see vomit white sticky sputum, flow of black stuff, afraid of cold, no sweat, stuffy nose, tongue moss white light, belongs to outside cold heat syndrome differentiation, table there is sweat, party to ephedra forsythia rice bean soup two Chen Shang, shoot dry ephedra tonga subtraction.

The party is: the main 10 grams of ephedra, forsythia 30 grams, 30 grams of white mulberry, fritillary bulb (play) 30 grams, almond 10 grams, angelica dahurica 20 grams, 10 grams of dried tangerine peel, qing pinellia 30 grams, 30 grams of poria, licorice 10 grams, herba schizonepetae 10 grams, rhizoma ligustici wallichii 5 grams, 5 grams of cassia twig, shoot dry 10 grams, 10 grams of lily magnolia, indigo naturalis (bag) 10 grams, clam powder 10 g (bag). 5 agent, water decoction, daily 1 agent.

Three diagnosis: after 5 agent, improve complexion, cold symptoms improve, but consciously cough, cough up white phlegm cough spit white thin PaoMoTan instead, accompanied by suffering, pulse number, pale tongue moss white greasy. Certificate for the outside cold, lung phlegm retention, with small qinglong tonga subtraction.

Prescription: main 10 grams of ephedra, radix paeoniae alba 10 grams, 10 grams of asarum, fructus schisandrae 5 grams, 30 grams, ginger 3 slices of raw pinellia nanxing 30 grams, 20 grams of semen lepidii, platycodon grandiflorum 5 grams, 30 grams of h. cordata, asters 20 grams, 10 grams herba schizonepetae, hu before 10 grams, 10 grams of dried tangerine peel, licorice 10 grams, 5 grams of scutellaria baicalensis georgi, heavy floor 20 grams, 20 grams lyratum thunb. 3 agent, water decoction, day 1 agent.

Four diagnosis: the symptoms were improved, sputum less, for a small amount of dilute phlegm, cough, experience the tracheitis soup to the end, the party is as follows: 10 grams angelica sinensis, rhizoma ligustici wallichii 10 grams, 30 grams of fritillary bulb, almond 10 grams, 10 grams of dried tangerine peel, qing pinellia 20 grams, 10 grams, poria licorice 10 grams, 30 grams of white mulberry, green husk 10 g, schisandra 10 grams, 10 grams of ephedra. 4 agent, water decoction, day 1 agent.

Five diagnosis: the disease is away, the 4 doses of consolidation treatment.

【 in 】 : Zhang Shishun chief physician always said "there is a card, use medicine", have what symptom, with what medicine.

This patient diagnosed as yellow phlegm, consider lung heat, reuse of h. cordata clearing lung heat, raw south star, raw pinellia phlegm cough, anti-inflammatory, floor, lyratum thunb buffalo horn clear heat, party used in check syndromes are scattered, Diane clams with clear lung cough. When two diagnosis into white sputum, party involved in ephedra forsythia rice bean soup, two Chen Shang, shoot dry ephedra soup, black clams many prescriptions, the key is to take the essence part of the formula, excellent curative effect. Three patients with clinical pulse condition for sliding, TCM is speak ZhuYin, pulse main heat. Tongue should be red, but the patients as light white tongue, no thermal image. And patients with mouth pain symptoms, consider lung heat. Belong to pulse condition, but vomit white dilute phlegm, shot lung for drinking water, with a small qinglong tonga clearing lung heat. Four diagnostic for a small amount of dilute phlegm, belongs to the exogenous cough, add grilled ephedra, chronic cough will lung deficiency, and fructus schisandrae in the folding of the lung. Finally tracheitis soup (Zhang Shishun his own party) to the end, all symptoms disappear.