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that a new intrahepatic tumor was found. On October 6,
2013, at the 4th clinic, I had chest pain, chest tightness,
and hypochondriac pain. The tongue is pale (+) purple
(+), and the coating is white and sticky. Pulse left string
(+), right string (+) sliding (+) thin (+). The prescription
is changed to: Codonopsis 15g, Poria 90g, Stir-fried
Atractylodes 10g, Tangerine Peel 15g, Vinegar Corydalis
30g, Albizia Julibrissin 30g, Magnolia officinalis 15g,
Evodia 3g, Ginger Pinellia 50g, Curcuma 30g, Yin
Chen 20g, Triangular 30g, Horse Money 0.3 g, Shanzi
mushroom 20g, Zhejiang fritillary 50g, fried jujube seed
20g, raw keel 50g, vinegar-made turtle shell 30g, divine
song 15g, raw oyster 60g. 14 doses, the decoction method
is the same as before. During the defensive treatment for
2 months. The 13th clinic on December 15, 2013: chest
tightness, sigh, hypochondriac pain, stomach upset. The
tongue is purple (+), the tip is red, and the fur is white and
greasy (+). Pulse left string, right string (+). On October
6th, 10g Amomum villosum, 10g of green calyx plum,
10g of Chinese neem and 30g of Alisma were prescribed.
In order to further consolidate the soothing of the liver,
regulate the qi and soothe the nerves, the sautéed jujube
seed 50g and the albizia peel 50g were once changed. The
22nd visit on March 28, 2014: I woke up early recently
and had more urine. The tongue is purple (+), and the
coating is pale yellow and greasy (+). The left string of
pulse slides and the right string slides. On the basis of the
foregoing, the prescription added 20g of Plantago Seed,
50g of Alisma, 15g of Big Abdomen, 15g of Chuan Seed,
minus Codonopsis. Clinic 24 on May 9, 2014: Recently,
CT examination reported stable condition. Interventional
therapy was performed again on July 24, 2014. By the
31st clinic on August 22, 2014: I felt short of breath,
sighed, and throbbed pain in the liver area. The tongue is
pale (+) purple (+), and the coating is white and greasy (+).
Pulse left string (+) floating (+), and string (+) thin (+).
The prescription is adjusted to: Poria 20g, Tangerine Peel
20g, Ginger Pinellia 50g, Curcuma 50g, Triangle 50g,
Sichuan Achyranthes 30g, Araceae 30g, Jiao Shenqu 20g,
Raw Keel 50g, Raw Oyster 90g, Fried Atractylodes 12g,
Fried White Lentil 25g, 30g Corydalis vinegar, 15g green
grass, 30g soft-shelled turtle shell made with vinegar, 10g
roasted licorice, 30g acacia bark, 30g Alisma, and 12g
Gastrodia. The decoction method is the same as before.
On the basis of this prescription, treatment is
performed according to the tongue, pulse and symptoms.
On September 9, 2014, interventional therapy was
performed again. It's hard to sleep. On October 22, 2014,
interventional therapy was performed again. During the
physical examination, his condition was stable. By the
62nd clinic on December 11, 2015, my tongue was purple
(+) and the coating was white and greasy. Pulse left string
(+) slide (+), right slide (+). The adjusted prescription
is: Poria 20g, Tangerine Peel 20g, Ginger Pinellia 50g,
Curcuma 50g, Triangular 50g, Sichuan Achyranthes 30g,
Araceae 30g, Shenqu 20g, Raw Keel 50g, Raw Oyster
90g, Fried Atractylodes 12, Fried White Lentil 25g,
Vinegar Corydalis 30g, Fructus sinensis 15g, Vinegar
soft-shelled turtle 30g, Roasted licorice 10g, Albizia
julibrissin 30g, Alisma 30g, Gastrodia 12g, Raw puhuang
30g, Big belly 20g, Raw coix seed 30g, Magnet 50g,
Shegan 15g, Red Flower 10g. The decoction method is
the same as before. Compared with the previous period,
it gradually increases the intensity of removing dampness
and phlegm, promoting blood circulation and removing
blood stasis, while taking into account the importance of
calming the stress, ensuring adequate sleep, and conducive
to the body's homeostasis. The follow-up treatment
is based on this formula, and the syndrome is treated
according to the changes of symptoms. Radiofrequency
ablation of intrahepatic lesions was performed on March
29, 2016. At the 74th visit on June 26, 2016, she had
discomfort in both sides, sighed with joy, and frequent
nocturia. Purple tongue (+), white and sticky coating.
Pulse left string (+) floating (+) sliding (+), right string (+)
thin. The adjusted prescription is: vinegar Corydalis 50g,
Classic medical cases record｜經(jīng)典醫(yī)案
