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更年期综合征可导致高血压冠心病,淫羊藿治疗效果极佳-
更年期综合征可导致高血压冠心病,淫羊藿治疗效果极佳

更年期综合征可导致高血压冠心病,淫羊藿治疗效果极佳

淫羊藿古人用以补肾壮阳,强筋健骨,治阳痿、风湿痹痛等。笔者见到不少绝经前后的妇女,有烦躁、出汗等更年期综合征,并有头晕、血压高或心区闷痛,心电图示心肌缺血而诊为冠心病。笔者用淫羊藿为主的二仙汤化裁,治疗此类疾病,取得良好效果。今举3例病例如下。

王某某,女,49岁,近年来月经后错,3~4月来1次,量少,1~2天净。烦躁苦闷,易怒欲哭,阵发面部烘热而出汗,汗后背冷等不适,纳可,大便干,2~4天1次,小便稍黄,失眠多梦。舌暗苔白,脉沉细。方宗二仙汤化裁,药用:淫羊藿12g,当归10g,知母10g,黄柏10g,炙甘草10g,浮小麦20g,大枣10g,柴胡10g,肉苁蓉10g,柏子仁15g,茯神12g,郁金10g。7剂后,诸证虽减,尚多汗,原方加煅龙骨、煅牡蛎各20g。又7剂复诊,烦躁易怒及烘热出汗均大减,大便已正常,失眠多梦也好转,下肢晚上浮肿。原方去炙甘草、大枣、肉苁蓉,加车前子20g,继服14剂,诸症悉平。

周某,女,51岁,月经已绝1年,1年来头晕目眩,烦躁易怒,哭笑无常,阵发烘热出汗,纳眠便可。既往血压正常,近半年来较高,常 170~180/96~110mmHg(1mmHg=0.133kPa),医院诊为高血压病Ⅱ期,给予西药洛汀新口服,血压仍高,并有咳嗽副作用,改用拜心通每日1片, 血压150~160/94~106mmHg, 头晕、 躁汗等依旧, 转中医治疗, 测血压166/108mmHg。笔者用二仙汤加减,药用:淫羊藿12g, 知母10g, 黄柏10g, 生龙骨30g, 生牡蛎30g, 生石决明30g, 天麻10g, 钩藤12g, 当归10g, 枸杞子10g, 菊花10g, 生地黄15g。 7剂后复诊, 诸证均减, 血压148/96mmHg, 原方去生石决明, 加夏枯草10g, 14剂后血压128/82mmHg, 诸症悉平。

胡某,女,50岁,月经刚绝8个月,烦躁易怒,阵发烘热出汗,心前区阵发疼痛,心电图有左室劳损,西医诊为冠心病,用消心痛、洛活喜等不效,来中医诊治。笔者用二仙汤出入,药用:淫羊藿12g,仙茅10g,知母10g,黄柏10g,当归10g,延胡索10g,浮小麦20g,煅龙骨30g,煅牡蛎30g,郁金10g,丹参 12g。7剂后复诊,躁汗及心区痛大减,近有口渴目涩,原方去仙茅、郁金,加枸杞子10g,生地黄15g,山茱萸10g。服14剂后,症状基本消失,心电图示已无劳损;又继服14剂后,诸症悉平而停药。

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