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男子得奇病:足心灼热难忍,晚上必须用扇子扇才能入眠-
男子得奇病:足心灼热难忍,晚上必须用扇子扇才能入眠

男子得奇病:足心灼热难忍,晚上必须用扇子扇才能入眠

本医案来自《难病奇治》

雷××,男,成。

半年多以来,两足心烦热难忍,某医诊为阴虚发热。予知柏地黄、六味地黄等加减进行治疗。数月之后,烦热更加严重。后又邀某医治之,认为气虚夹杂阴虚,予补中益气加知母、黄柏治之。服药20余剂后,足心烦热非但不减,反而发现足心烦热更加难于忍受,时时心烦,开始时将脚放到棉被之外还能入睡,其后每夜不用扇子扇冷就不能入睡。最近靠自己用扇扇虽能暂时入睡,但不入即因难受而不能再睡。特别是最近1个多月以来,每天都得别人用扇扇之才能入睡,入睡1小时后若不再扇即不能继续再睡,所以也引起别人的反感。细察其证,除以上所述者外,按其两足蹠部与正常者无异,惟见其心烦急躁不安,舌苔薄白,脉弦细。综合脉证,反复思考:肾虚者,尺脉必或大或沉微,然其脉仅为弦细,此必肝郁气结,阳气阻隔,阴阳失其交融之令所致。治宜拟舒肝解郁,和调阴阳。丹栀逍遥散加味。

处方:

柴胡10克 白芍10克 当归10克 干姜4克 茯苓10克薄荷3克 丹皮10克 栀子10克 玫瑰花10克 代代花10克

服药2剂后,足心烦热骤减,继服10剂后,足心烦热减轻达90%,睡眠正常。加生地19克,服药6剂而愈。

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