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龙胆泻肝汤出自李杲《兰室秘藏》,是治疗肝经实火,湿热引起胁痛,耳聋,胆溢口苦,筋痿黄汗,阴肿阴痛,白浊溲血的代表方剂。笔者临床随证加减,治疗各种病症,每获良效,兹举例如下。1 慢性胃炎刘某某,女,70岁,1997年4月20日初诊。患慢性胃炎十几年,常感胃疼,脘腹胀满,恶心,嗳气,食欲不振,口苦咽干,每因情志不畅而加重。查:舌红、苔黄腻且厚,脉弦数有力。证属肝经实热,耗伤胃阴。治以滋阴健胃。方选龙胆泻肝汤加味。药用:龙胆草20g,生地15g,青蒿12g,生苡仁18g,柴胡15g,黄芩10g,泽泻12g,甘草8g,枸杞子12g,当归15g,扁豆12g,栀子12g,山药15g。6
Long Dan Xie Gan Tang comes from Li Lan’s “Zhi Room Secret Collection” and is a treatment for liver fire, hot and humid caused by hypochondriac pain, deafness, bile overflowing bitter taste, tendon yellow sweat, Yin Yin Yin pain, white muddy blood stasis representative prescription. The author clinically adds or subtracts with the card to treat various diseases. For each benefit, examples are as follows. 1 Chronic gastritis Liu Moumou, female, 70 years old, newly diagnosed on April 20, 1997. Suffering from chronic gastritis for more than ten years, he often feels stomachache, abdominal distention, nausea, belching, loss of appetite, and pain in the mouth. He suffers from aggravated emotions. Check: red tongue, greasy and thick yellow tongue, a few powerful pulse string. The evidence is that the liver is really hot and consumes stomach yin. Governance with nourishing yin and stomach. Fangxuan Long Dan Xie Gan Decoction. Medicinal: Gentian 20g, habitat 15g, Artemisia annua 12g, Coix seed 18g, Bupleurum 15g, Radix Astragali 10g, Alisma 12g, licorice 8g, Gardenia 12g, Angelica 15g, lentils 12g, gardenia 12g, Chinese yam 15g. 6