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1、Shanghan clinicalcasesstudyInthe1980’s,PeopleRepublicofChinaDr.ZahnDechao‘sclinicalcase张德超医案Food-denyingdysenteryMaincomplains:A7year-oldboysufferingfromseverediarrheawithpassageofmucusandbloodforfivedays.ManifestationMainsigns:morethan10timesofmajorbloodystoolsadayOthersymptomsands
2、igns:Abdominalpain,poorappetite,reliefoffeverafterresolvingtheexterior.Initialtreatments:1)Sincefeverwithseverediarrhea，usethemethodof”haulingtheboatupstream”(exteriorsyndrome)Maybefoodaccumulation?2)Sincepoorappetitemaybecausedbyfoodaccumulation,usethemethodofprecipitationtodischar
3、geaccumulatedfood.EvaluationFirsttreatmentissomewhatright,feverrelieved,butnoeffectondiarrhea.Secondtreatmentiscompletelywrong,moreseverediarrhea,vomitandfood-denyingappears.Dr.ZahnDechao’sinitialimpressionPulse:soggyandweakpulse,especiallyrightGuanPulse.Tongue:redtonguebodywithwhit
4、ecoating.Whatinformationthosesignsgiveus?PulseLocationLeftrightHandcunhandguanChiHeartLiverkidneyLungSpleen&StomachVitalgateSoggyandweakpulsemeansJustlikeAirchairisleakingair.TongueRedtongue＝Sincebodyfluidlosesduetodiarrhea,itisakindofphysicalresponse.Whitecoating＝EvillocatesinQiasp
5、ectMechanismSpleen&StomachextremelydeficiencyandQidynamicdisordernoexterior norepletion机制：脾胃虚极，气机失调（非表非实）DonghanDynastythesamethinghappened伤寒中风，医反下之，其人下利日数十行，谷不化，腹中雷鸣，心下痞硬而满，干呕，心烦不得安。（158）WithwindstrokeofColddamage,treatedbyprecipitation,thepatientshoweddiarrhea,tensoftimesaday,indi
6、gestedfood,thunder-likebowelrumbling,glomusQiwithhardnessandfullnesslocatedinstomach,dryretching,restlessvexation.（158）伤寒论InShang-Han-Lun东汉Donghan(25-220)LicoriceHeart-DrainingDecoctionSyndrome(LHDDS)甘草泻心汤证医见心下痞，谓病不尽，复下之，其痞益甚。此非结热，但以胃中虚，客气上逆，故使硬也。甘草泻心汤主之。（158）SinceglomusQilocatedins
7、tomachremained,whichrepresentednottorecover,andthentreatedbyprecipitationagain,itbecamemoresevere.Itisnotheatbind,however,hardnessiscausedbystomachdeficiencyandGuestQiupward.LicoriceHeart-DrainingDecoctiontakeschargeofthissyndrom.（158）ThesameMaincomplainsSecondinapropriatetreatmentM
8、ainmechanismofthiss
