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王某某,男,46岁,干部。1994年2月做结肠癌手术,术后尿频1年。 患者自述尿频。每次尿频间隔2～3分钟,尿浑浊,伴五心烦热,心烦易怒,睡眠不宁。每晚垫换尿布20余次。望其舌质红少苔,诊其脉滑数尺数弱。 证病:心肾阴虚。 分析:心肾阴虚,虚火上炎,水不济火,所以致失眠,心烦易怒;舌为心苗,舌根属肾,所以舌红少苔;肾与膀胱相表里,肾虚则膀胱失固,下窍失禁,所以小便频数浑浊。五心烦热是心肾阴虚之证象。治疗:依六味地黄丸,萆薢分清饮加减。治法:滋肾阴,降心火,缩尿,分清秘浊。 处方:山药10克,丹皮10克,茯苓10克,泽膝
Wang Mou, male, 46 years old, cadres. In colon cancer surgery in February 1994, postoperative urinary frequency was 1 year. The patient reported urinary frequency. Each urinary frequency interval of 2 to 3 minutes, turbid urine, with five upset hot, upset irritability, restless sleep. Change diapers more than 20 times a night. Looking at the red tongue and little moss, the number of pulse slippery feet is weak. Syndrome: heart and kidney yin deficiency. Analysis: heart and kidney yin deficiency, virtual fire on the inflammation, the water is not fire, so insomnia, upset irritability; tongue for the heart seedlings, tongue root is kidney, so little red tongue coating; kidney and bladder phase table, kidney deficiency bladder is lost Incontinent under the guilt, so urinating frequency turbidity. Five upsets are evidence of the yin deficiency of the heart and kidneys. Treatment: According to Liu Wei Di Huang Wan, split the drink to add or subtract. Governing Law: Ziyin yin, drop heart fire, urination, clear the secret turbidity. Prescription: 10 grams of yam, 10 grams of Danpi, 10 grams of Poria, Ze Knee