2022- 1-3 1 sun disease, don't pay for it by mistake.

It is not advisable to make up for sun disease by mistake.

Case white, male, 30 years old. First visit on March 22nd, 20 10.

Suffering from "chronic prostatitis" 1 year or more, the symptoms are frequent urination, urgency, premature ejaculation, accompanied by decreased libido, knee pain, excessive sweating, dry mouth, less nocturia, acceptable eating, loose stools, 2-3 times a day, and careless diarrhea.

The tongue is red, the fur is thin and white, and the pulse is slender.

Considering the syndrome differentiation of zang-fu organs, this case is easily identified as spleen-kidney deficiency syndrome, and the treatment method is tonifying kidney and strengthening spleen, which was done by previous doctors, but the effect is not obvious after repeated use.

According to the syndrome differentiation of six meridians, Feng Lao asked about "sweating" (in fact, sweating is not much, and many doctors tend to ignore this symptom). The first thing that comes to mind is the syndrome of Guizhi Decoction for Taiyang Disease.

Seeing that the patient was worried, combined with premature ejaculation and frequent urination, he was diagnosed as Guizhi Gulong Oyster Decoction.

Dry mouth in the upper body, weakness in the knees in the lower body, and decreased libido. Consider keel Down syndrome.

The combination of the two ingredients, together with Cherokee Rosa laevigata and leek seeds, can regulate nutrition externally, regulate qi and blood internally, replenish deficiency and astringent essence, and calm the nerves.

Considering that the stool is thin, easy to diarrhea, and the Taiyin is cold and wet, Atractylodes lancea is used before and ginger is added after it, which is intended to warm and tonify the cold and wet.

Generally speaking, the differentiation of six meridians belongs to the combination of the sun and the Taiyin, and the differentiation belongs to Guizhi Gulong Muli Decoction combined with Dimegulong Decoction, Rosa laevigata, Semen Allii Tuberosi and Rhizoma Atractylodis.

Prescription:

Ramulus Cinnamomi 10g, Radix Paeoniae Alba 10g, Cynanchum atratum 12g, Radix Glycyrrhizae Preparata 6g, Radix et Rhizoma Rhei (co-fried) 15g, Radix Aconiti Lateralis Preparata (co-fried) 10g, Fructus Rosae Laevigatae 10g, and Chinese chives.

7 doses, decocted in water.

2065 438+00-03-29 Secondary diagnosis: frequent micturition, urgency and premature ejaculation have all been reduced.

Aconitum carmichaeli was changed to 12g, and Ciwujia 15g, 7 doses, and decocted in water.

2010 April 12 the third visit:

After taking the above 7 doses, the frequency and urgency of urination gradually became less obvious, and premature ejaculation improved obviously, but it was repeated after stopping the drug.

The stool is still thin, 2 ~ 3 times a day, and the dry mouth is obviously reduced.

Replace the above ginger with 6 grams of processed ginger, remove the spine, 7 doses, and decoct with water.

After taking 7 doses, you can continue to take it locally, and you can stop taking it when there are no symptoms.

Learn from experience

1. Prescription of Guizhi Gulong Muli Decoction

The prescription of Guizhi Gulong Muli Decoction can be found in Article 8 of Synopsis of the Golden Chamber: Syndrome of Blood Stasis Deficiency Combined with Treatment of Fatigue and Pulse: "The husband has lost sperm, his abdomen is burnt, his head is cold, his eyes are drooping, and his pulse is extremely weak and slow, which means clearing the valley, losing blood and losing sperm. The pulse is slightly tight, the man loses sperm, and the woman dreams of sex. Guizhi Gulong oyster soup is the main one. "

This prescription uses Guizhi decoction to regulate ying-wei, qi and blood, and adds keel and oyster to relieve constipation, astringe semen and fix semen, which is a common prescription for treating "nocturnal emission of men and sexual intercourse of women in dreams".

Guizhi Gulong Muli Decoction combined with keel soup is one of the commonly used prescriptions for treating andropathy by Feng Lao.

To grasp this prescription, we can understand it from the narration in Zhang Zhongjing's Medical Interpretation:

Sperm loss and sexual intercourse in dreams are mostly caused by lust, restlessness and dreams.

Its disease is also based on sweating, body fluid injury and Wei Rong disharmony.

The purpose of Longmu is not only to solidify sperm, but also to stop chest and abdomen tremor. It is the correct treatment of this syndrome to regulate Wei Rong and qi and blood with Guizhi Decoction.

"Essays" said: "Except Cinnamon and Radix Aconiti Lateralis, people suffering from heat and excessive sweating are called" Long Mu Decoction ",which is the treatment of this syndrome.

The addition and subtraction of these two formulas is really amazing.

Dreaming of sperm loss is very common among unmarried young men and patients with chronic prostatitis.

But this can be seen in psychosomatic diseases, drowning or enuresis of men and women, regardless of age.

It is worth noting that this prescription is often regarded as fatigue, and the symptoms are aggravated or not healed for a long time due to tonic treatment. The main reason is that Guizhi decoction is the main syndrome.

Read the Japanese Theory of Generalized Similarity, see the following discussion:

People with weak temperament, with excessive lust, emaciation, bloodless face, frequent slight fever, abdominal anxiety and vigorous chest and abdomen movements, can take Guizhi plus Long Mu decoction for a long time, so they can be born again. Can be combined with reference, can experience.

2. About the method of decocting drugs

The method of decocting drugs has always been an important part of Chinese medicine clinic.

Clinically, due to different learning experiences and sects, doctors often have different methods of decocting and taking drugs in their doctor's orders. Used for raw keel, raw oyster, cooked aconite, gypsum, etc. Feng Lao never decocts medicine first, and every prescription will be specially marked with "co-decocting".

Moreover, Feng Lao usually tells patients to soak the medicine in cold water 1 hour before decocting, and then boil it with low fire 15 minutes.

Decoct each dose in water twice, and take it at 9 ~ 10 and 3 ~ 4 pm respectively (except acute fever syndrome).

1, getting more and more prosperous every day.

Think less about the dark thoughts of others, pay more attention to your own mood, and pay more attention to love and beauty.

People are not so malicious to you.

Most people do things to make their life better, not to make your life worse/see your jokes/discourage you.

There is a person in your heart who you admire very much and can encourage you to do something consistent with him.

There is a person in my heart who doesn't agree with you, so I can remind you not to do what he did.

So remember what people you admire have done, and remember what people you don't like have done.

No one will remember the mistakes you made or the things you can't handle well.

Everyone will only look at whether your pace is fast enough, whether you can play your potential, and to what extent your ability to create value is impacted. Solving all attacks with progress is the best means.

In fact, there are very few valuable things that we really do in our daily life, and a lot of time and energy are spent on trivial things that have no value.

This may be one of the core differences between the poor and the rich.

Rich people can outsource trivial things as much as possible through capital, saving their time and energy to the greatest extent.

Poor people lack capital, so they can only solve their own problems (such as housework, commuting, forced work).

Assuming that all other conditions, such as IQ and environment, are the same, the rich will grow several times faster than the poor if they concentrate their saved time and energy on learning new knowledge and thinking about important issues.

The attraction of a woman must contain admirable vitality.

Most people, easily in their early thirties, have a feeling of resignation, and the whole person is depressed.

Since then, life has become boring, with a strong sense of menstruation, and the whole body is a housewife with a baby at home.

On the contrary, high-quality women, no matter at any stage of life, you can feel the vigorous vitality from them, and they have the vitality of girlhood and the stubbornness of unyielding fate in their bones.

For them, life is a big playground, and they will always experience and create their own unknown world with childlike curiosity and the courage and enthusiasm of newborn calves who are not afraid of tigers.

6. Many people never take the initiative in the relationship between men and women, do not take the initiative to express their likes, do not take the initiative to ask others, do not take the initiative to initiate a chat, and even the more they like, the colder they are.

Rationally speaking, after taking the initiative, the worst result is to refuse, without any loss to yourself.

But people are not rational animals. On the emotional level, many people will fall into a black hole of fear if they are rejected in the relationship between men and women.

In this black hole, there is a deep sense of worthlessness, the shame of being unloved, the fear of being abandoned, feeling like a clown or a beggar, and feeling that the hot face is attacking others' cold ass.

Before we learn to face this black hole, we can't take the initiative in the relationship between men and women or face rejection indifferently.

It is also a proactive action. Some people think that initiative is the expression of self-strength and standing in a favorable position, and initiative can reflect "me" very well.

Some people will think it is the embodiment of humility and seeking.

Different people have different cognition of initiative, which leads to different choices.