Mr. Xiong is 44 years old. One year after the operation of gallbladder cancer, his body and eyes have been yellow and bright in color for nearly 7 hours. He is dizzy, tired, has hypochondriasis, dry mouth and bitter taste, constipation, red tongue edges, yellow and greasy fur, and slippery pulse. Laboratory examination: jaundice index 12U, Van den Brach direct reaction +++, zinc sulfate turbidity test 20U, bilirubin 171μmol/L (10mg/DL), cephalin cholesterol flocculent test +++, artificial thymol turbidity test 20U, alanine aminotransferase 370U. The syndrome is Yang jaundice, heat is more serious than dampness, and the treatment is to clear away heat, detoxify and remove dampness. The prescription is modified Yintian Baibei Decoction, and the ingredients are: Artemisia capillaris, Rhizoma Atractylodis Macrocephalae, Radix Baibei, Euonymus japonicus, Polygonum cuspidatum, Semen Plantaginis, Poria, White Peony Root, Scutellaria Baicalensis, and Licorice. After taking 15 doses, the patient was re-examined: still dizzy and tired, the heat reduced but the dampness was not gone, so the treatment was changed to clearing dampness and heat. The prescription was: Artemisia capillaris, white back leaf root, coix seed, Imperata root, Lobelia, Poria, Gardenia, Toosendan fruit. After taking 6 doses, the patient was re-examined: the jaundice had basically subsided, the urine became clear, and he felt tired. The signs of spleen deficiency were obvious. The prescription was: Tianjihuang, Artemisia capillaris, Codonopsis pilosula, Poria cocos, White Peony Root, and Licorice. A total of 6 doses were taken. The jaundice completely subsided, the flank pain stopped, the urine was clear, the bowel movements were smooth, and the fatigue was reduced. The laboratory examination showed that all the above indicators were normal. The patient was advised to strengthen the spleen and nourish the liver to deal with the problem. The prescription was: Tianjihuang, Codonopsis pilosula, Poria cocos, Wudouyi, White Peony Root, Morus alba, Uncaria rhynchophylla, Gangniangen, and Rehmannia glutinosa. |
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