Case of Jinguzi from www.mingyi99.com
Female, 70, aversion to cold, spontaneous sweating for 2 years. Caught cold two years ago, after IV, fever reduced. Then, temperature is always low (35-36ºC). Aversion wind and cold, spontaneous sweating, running nose, wears thick cloth in summer, joints pain, dizziness, stiff nape, dry in the mouth. She has diabetes and hypertension as while. Taking western medicine. Bp: 180/100 mmHg. Pale tongue, less coating, wiry thin pulse.
TaiYangShaoYang combination disease. MaFuXi *and GuiZhiTang 3 packages.
2nd visit:
running nose and sweating resolved, aversion to cold reduced. Bp: 150/95 mmHg. TaiYang relieved, cold in ShaoYin. Three more packages. Aversion to cold disappeared, wears normal cloth, Blood pressure is normal, reducing the modern medicine.
Comments:
Using the TCM herbs according to the symptoms and syndromes, not the pharmacological researches. We cannot treat a physical measurement equal to an herbal ingredient. We should put into the illness, put the illness on the person, and put the person into the whole change of Yin-Yang. Also, we’d put the herb into the formula.
[Dr. Song's comment]:
What we learned from the text book about the herbs, and what we researched in labs are different from how the herbs work in a patient's body. If we only follow the words or the modern research, it may limit the use of the TCM herbs and formulas. Basically, the herbs and formulas are found in former practitioners experiences which built up in the past thousands of years. On this point, TCM is an experienced medicine only!
*MaHuangFuZiXiXinTang
MaHuang 2liang XiXin 2 Liang PaoFuZi 1 pc
original Chinese:
救误一例 <金谷子案,mingyi99.com>
女，70，畏风寒、汗出二年。二年前外感发热后，村医静滴治疗，热退，以后体温低，35-36度，畏风寒、自汗出，流清涕，暑天重衣，关节痛、头昏项强，口干。查有糖尿病、高血压，常服对症西药。诊时血压180／100，舌淡红，苔少，脉弦细。此例起病明确，退热后而起。症状典型，太阳少阴。方用麻附细合桂枝汤三剂。二诊：流涕汗出均解，畏寒减。血压150／95mmHg太阳已解，少阴仍寒,原方三剂。
二诊后病人没来，其女来说，血压正常，已减降压药量，已穿单衣，诸畏风寨症消失。问是否继服，嘱停药观察。半月后，病人没来，代述，复见微流清涕，嘱原方三剂。
体会：有是证用是药，不可因血压高而避麻、附，是见证有药，而不必顾及药理，中药成分的化学药理和传统药征有冲突时，以古来验证的药征为准，而不可执不成熟的一偏之见而避开传统经验，进而误了病情。麻附果升血压乎？本例不但不升，反而降至正常。不可把一个生理上的物理测定值孤立地对应上一个药的单一成分看。要把个一个值，放到病里看，把病放到人身上看，把人放到整体的阴阳盛衰的过程中看。还要把药放到方里去看。
