胃下垂,升提中气法,百试百灵丨中医入门 episode artwork

EPISODE · Aug 15, 2023 · 13 MIN

胃下垂,升提中气法,百试百灵丨中医入门

from 中医入门|小白神必备

病例:女,49岁,胃病20年,胃部经常胀闷,饭后症状加重,胃口差,形体消瘦,近一半个月劳累过度,病情加重,胃胀胃痛,胃有下坠感,频频呕吐,服用莫沙必利片有缓解,停药后症状依旧,消瘦严重,面色萎黄,舌苔薄白,脉细弱。X光钡餐造影:胃底部在髂嵴连线以下4cm,提示胃下垂。辨病为胃胀。辨证为脾胃虚弱,中气下陷。治疗为补益脾胃,升提中气。方药:黄芪60g,炒枳壳30g,升麻、炒白术、防风各12g,焦神曲15g,砂仁10g,半夏、竹茹各12g,5剂。水煎,日1剂,3次分服,服5剂后症减呕止,本方共服30剂,经X光钡餐造影胃在正常生理位置,胃下垂治愈。多仙膏,服用1年,每日3袋,每次1袋,善后。1年后随访,饮食正常,无胃胀胃痛,胃没有下坠感,情绪乐观,睡眠安稳,无其他不适症状。

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胃下垂,升提中气法,百试百灵丨中医入门

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