(2016-12-11 11:16:40)
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臨床上(shang)為(wei)什么會有尿(niao)(niao)毒癥(zheng)?因(yin)為(wei)比較(jiao)簡單不(bu)嚴重(zhong)的(de)病(bing)不(bu)能(neng)得到及時正確的(de)治療,誰都無法否(fou)認疾(ji)病(bing)發展到尿(niao)(niao)毒癥(zheng)后的(de)難治,我們無需(xu)太在意尿(niao)(niao)毒癥(zheng)中(zhong)醫能(neng)否(fou)治療,更重(zhong)要的(de)是觀念的(de)改(gai)變(bian),觀念改(gai)變(bian)了,尿(niao)(niao)毒癥(zheng)本就跟你無緣。
尿毒癥案例一、Mayobanex Villalona,10-15-2007初(chu)診,32歲。處(chu)方(fang):桂枝5錢(qian)(qian)(qian)、茯苓(ling)5錢(qian)(qian)(qian)、澤(ze)瀉6錢(qian)(qian)(qian)、黃(huang)連2錢(qian)(qian)(qian)、黃(huang)芩3錢(qian)(qian)(qian)、白芍5錢(qian)(qian)(qian)、麥冬3錢(qian)(qian)(qian)、黨(dang)參3錢(qian)(qian)(qian)、炮附子4錢(qian)(qian)(qian)、生姜2錢(qian)(qian)(qian)、生附子3錢(qian)(qian)(qian)、干(gan)姜2錢(qian)(qian)(qian)、炙甘草3錢(qian)(qian)(qian)、烏(wu)藥(yao)8錢(qian)(qian)(qian)、細(xi)辛2錢(qian)(qian)(qian)、補骨(gu)脂(zhi)3錢(qian)(qian)(qian)、熟地3錢(qian)(qian)(qian)。服藥(yao)到(dao)04/28/2008以后就停止(zhi)洗腎至今。
07/29/2009發(fa)生心(xin)臟(zang)有(you)刺(ci)痛(tong),再(zai)增加枳實(shi),瓜蔞實(shi),薤白(bai)三味藥(yao)。針(zhen)刺(ci):巨(ju)闕、關元(yuan)、中極(ji)、公孫、內關。耳針(zhen):心(xin)點。背針(zhen):肺(fei)俞、心(xin)俞、腎(shen)俞、京門。針(zhen)后痛(tong)去。
在(zai)腎(shen)衰竭之前有兩大癥狀:一個(ge)(ge)是(shi)(shi)極度暈眩,病人無論是(shi)(shi)坐、站、躺(tang)下(xia)來都沒有用(yong),照(zhao)樣會(hui)暈眩;第二個(ge)(ge)就(jiu)是(shi)(shi)惡心嘔(ou)吐,四十分鐘(zhong)就(jiu)會(hui)吐掉(diao),四十分鐘(zhong)就(jiu)會(hui)吐掉(diao)。所以當病人頭暈、惡心不(bu)止時,就(jiu)要(yao)考(kao)慮到(dao)是(shi)(shi)否是(shi)(shi)要(yao)腎(shen)衰竭?這時可以用(yong)兩個(ge)(ge)處方,一個(ge)(ge)是(shi)(shi)真(zhen)武湯,還有一個(ge)(ge)是(shi)(shi)五苓散。排下(xia)面的水要(yao)用(yong)真(zhen)武湯,排上面的水就(jiu)用(yong)五苓散。
尿毒癥案(an)例二、02-09-2007,Susan Skirvin,1956年生(sheng),已經洗(xi)腎五個(ge)月(yue)。初診(zhen)時(shi),便(bian)秘(mi)、無胃口、雙(shuang)足冰(bing)冷、身體多(duo)覺(jue)冷。月(yue)經六周沒來,手指關節腫(zhong)痛,無法(fa)緊握(wo),脈弦。這(zhe)是里寒濕癥。初診(zhen)處方:桂枝(zhi)4錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、白(bai)(bai)芍4錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、炙(zhi)甘草3錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、生(sheng)姜3錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、大棗(zao)10枚、生(sheng)附子4錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、干姜2錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、白(bai)(bai)術3錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、茯苓5錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、木通3錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、當歸2錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、細辛2錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、炮附子5錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)。 06-01更改處方:桂枝(zhi)改為6錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、白(bai)(bai)術改為5錢(qian)(qian)(qian)(qian)(qian)(qian)(qian),增加補骨脂2錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、敗龜(gui)板2錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、烏藥4錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、澤瀉4錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、黃連(lian)2錢(qian)(qian)(qian)(qian)(qian)(qian)(qian)、黃芩(qin)3錢(qian)(qian)(qian)(qian)(qian)(qian)(qian),自本(ben)日起就沒有(you)再(zai)洗(xi)腎了(le)。
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