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- 第26章 中医药调理胃阴虚热（第1页）
第26章 中医药调理胃阴虚热（第1页）
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胃阴虚热[病案]王某，女性，今年五十八岁了。她长期以来一直备受胃病的折磨，食欲每况愈下，常常感觉胃脘部位胀得难受，疼痛难耐。她也曾尝试过各种方法来缓解症状，比如服用一些温暖干燥的药物，像木香、川朴、乌药、吴茱萸等等，但这些努力似乎都只是徒劳无功，病情不仅未见丝毫好转，反而日益恶化，最终竟然发展到卧床不起的悲惨境地。如今的她只能进食少量稀粥，而且经常打嗝不止。每到夜晚时分，发热情况便会愈发严重，体温时常飙升至39c之高。尽管经历过多方详细检查，但依旧未能找出引发高热的根源所在。此刻的她面容苍白如纸，毫无血色可言，并伴随着呕吐、口渴难耐只想饮水以及大便稀薄等不适症状。仔细观察其舌头，只见舌边泛白，而中间区域却是红绛色且异常干燥，脉象也稍显急促。[治则]滋阴养胃。[方药]金石斛九克，北沙参九克，麦冬九克，制玉竹十二克，生地十二克，茯苓十二克，炒山药十八克，莲肉十二克，清炙甘草四点五克，另外再使用西枫斗三克，煎水代替茶水饮用。服用了一剂药之后，当天夜里发热的症状就大大减轻了。经过仔细斟酌后，让患者先服下了三剂精心调制好的药剂。随着时间的推移，神奇的事情发生了，发热的症状逐渐消失不见，呕吐也终于止住了，原本异常的大便也慢慢恢复到了正常状态，现在甚至可以像普通人一样正常进食了！看到病情如此明显地好转，我喜出望外，但并没有掉以轻心。深思熟虑后，我又在原方中加入了党参十二克、黄芪九克以及大枣三枚这三味药材，并嘱咐患者继续按此方服用十剂药。一段时间过后，再次见到这位患者时，他的精神面貌焕然一新，身体已完全康复如初！[评析]这可是叶天士创立的养胃汤作为基本方子啊！这种神奇的药方居然拥有如此强大的功效！它不仅可以滋养胃阴，还能有效地调理身体因虚弱劳累而引发的各种症状，甚至对一些肺部疾病也有着显着的疗效。然而，这位可怜的患者本应选择性质温和且具备滋润特性的药剂来进行调养，可不幸的是，他却误服了温燥的药物。这一失误直接导致了其胃阴遭受严重的亏损，使得病情变得愈发严峻起来。此刻，我们巧妙地运用养胃汤这一法宝，来精心滋养胃阴。再恰到好处地增添一些西枫斗，如此一来，便能如虎添翼般地更好地滋润胃部，并激发津液的蓬勃滋生啦！经过如此神妙的调养方法，让原本衰竭的阴液重新焕发生机与活力，仿佛获得了新生一般。同时，那令人烦恼不堪的虚火也会无声无息地消散离去，不再给人带来任何不适和困扰。甚至都不需要再依靠清热药剂的辅助作用，他体内的燥热之气就会自然而然地逐渐减退，直至完全消失不见，仿佛从来没有出现过一样！这种神奇的效果简直令人惊叹不已啊！：（）每日医案
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