祝味菊医案

2008-10-07 08:13 楼主
祝味菊为上海名医,原籍浙江绍兴,随父迁居重庆。幼年学习歧黄,少年涉猎西医,衷中参西,学有专长,壮年至沪悬壶问世,善治疑难杂症,遐尔闻名,先生对中医学有独特之见解,宗于《内经》:“阳气者若天与日,失其所则折寿而不彰”,“邪之所凑,其气必虚”之说,以保持阳气为要务,是以在处方中常用附子。
在三十年代先生与志同道合的章次公等创办上海国医学院,旋又担任上海中国医学院董事兼实习老师,上海新中国医学院院长,门墙桃李,为培养中医人才,尽了不少力量。
余忝列门墙,从游多年,每于疑难杂症在侧侍诊,所知较详。老师久已作古矣,爰将四十年前医案,仅就记忆所及,约略介绍如下:
用方重,医奇疾
蒋姓妇人,年48岁。每天早晨醒来必手足抽动,甚或大跳,床几为之倒塌,如此者2~3小时,则抽搐自然停止,能勉强进行家务劳动。神志始终清楚,每逢寒暖交替节气,如立春、立秋、冬至等,发作更甚。全家为妇病而担忧,其夫闻有能治此病者,必踵门求医,而所服之方,不外羚羊角、天麻、石决明等药。由于多服凉药,中焦受伤,又并发了胃病,早上呕吐之后,胃痛始减,一病未已,又增一病。后闻祝师善治疑难杂症,即上门求诊。经过诊查,断为虚阳上浮,非肝风也,而胃气受戕,中寒久留。处方:生龙齿(先煎)30克,活磁石(先煎)45克以潜阳,附子(先煎),12克以益阳气,代赫石(先煎)18克以镇逆,旋复花(包)9克,淡干姜9克,温中祛寒理气,全蝎(去毒)6克,大蜈蚣6克以定惊,另佐姜半夏12克,陈皮9克,炒白术12克以理中焦。服3帖后,抽搐跳动及胃痛呕吐均已大减,虽冬至节降临,疾病亦未大发。药既对症,再用前法。生龙齿(先煎)30克,活磁石45克,黄附片(先煎)12克,淡干姜9克,姜半夏12克,陈皮9克,石菖蒲9克,嫩钩藤12克,全蝎9克,蜈蚣9克,旋复梗12克,制香附12克。连服4帖,抽搐大定,胃仅隐痛,呕恶全止,心情愉快,胃纳增加,再续服上方4帖以巩固疗效。以后纵然发作,即以原药方照服3帖,病即霍然。
温通治痢,独其匠心
徐姓,男,50岁。常居于潮湿之地,因饮食不节,突患痢疾,日夜泻数十次,腹部胀满,里急后重,红白相间,高热不退,迁延十余天之久,形瘦色晦,四肢疲乏,几不能行走矣。到处求医,皆云暑湿内伏,湿热弥漫,湿为黏腻之邪,非易速痊。又换一医诊治曰:“汝之病痢,除赤白之外,还有青黄之
I wish for Shanghai medical Ju taste, Shaoxing, Zhejiang origin, the father moved to Chongqing. Huang Qi childhood learning, juvenile Western range, co Participation in the West, learned, the prime of life come to Shanghai hanging pot, good governance diseases, known for ya Seoul, President of Chinese medicine have unique views on the cases of "Classic": " If those days and yang, then lost the Zheshou and poor, "and" put together by the evil, the gas will empty ", in order to maintain yang for the task, is commonly used in the prescription Aconite.
In 1930, Mr. Zhang meeting with like-minded public, and other founding countries of the Shanghai Medical College, Xuanyou Shanghai as China Medical College and director of teacher training, the president of the Shanghai Chinese Medicine, peach and plum walls doors for training of Chinese medicine professionals to do a lot of力量.
As the incoming wall than out the door, from the tour for many years, each side in diseases in the paternity service, and know more details. Has long been something of the teacher say, the yuan will be 40 years before the treatment, just remember, briefly introduced as follows:
Side with heavy, odd medical diseases
Woman surnamed Jiang, 48 years old. Will wake up every morning, hand-foot-tic, or even join, which collapsed a few beds, so those 2 to 3 hours, the natural convulsions stopped, barely able to carry out household chores. Has a clear mind, every turn of the warm winter weather, such as the beginning of spring, the beginning of autumn, winter and so on, the worse attack. Women's disease for the whole family to worry about, I learned that her husband can cure the disease, the door will arrive for treatment, and the service side of which, simply put, horns, Tianma, such as Concha haliotidis drugs. As the number of cold medicine services, were injured in the coke, complicated by the stomach in the morning after vomiting, stomach by only one disease has not, by a disease. I wish to hear after the division of good governance diseases, that is, the door-to-door treatment. After investigative, to break up false positive, non-liver wind, and by Qiang Wei Qi, in Kurume cold. Prescription: Health and Long-tooth (Xian Jian) 30 grams of live magnet (Xian Jian) to 45 grams Yang, Fuzi (Xian Jian), 12 grams of Yiyang gas, rock deh (Xian Jian) to 18 grams against the town, Xuan Fu Hua (package) 9 grams, 9 grams Ginger light, temperature in Qu Han Qi, Scorpio (to drugs) 6 g, 6 g centipede is scheduled to panic and other file Jiang Banxia 12 grams, 9 grams Chenpi, fried Atractylodes 12 grams of coke so as to the rationale. 3 Tie services, stomach pain and vomiting and convulsion beating have been greatly reduced, though the winter solstice festival comes, the disease has not made big. Medicine is symptomatic, and then before the law. Health-long tooth (Xian Jian) 30 grams, 45 grams of live magnet, attached yellow tablets (Xian Jian) 12 grams, 9 grams light Ginger, Ginger Banxia 12 grams, 9 grams Chenpi, tatarinowii Schott 9 grams, 12 grams Uncaria tender, Scorpio 9 grams, 9 grams centipede, Inula Terrier 12 grams, 12 grams Cyperus system. Even serve Tie 4, Dading convulsions, only abdominal pain stomach, the only all-Oue, in a good mood, appetite, held serve to consolidate the top of the 4 Tie effect. Even after the attack, that is to serve as the original prescription note 3, that is, Ran disease.
Wen-Zhi Li, and their own ingenuity
Xu Xing, the male, 50 years old. Often living in damp place, as a result of non-food festival, inrush suffering from dysentery, diarrhea dozens of day and night, Zhang Man abdomen, Lijihouzhong, alternating red and white, persistent high fever, a few days on the persistent long, dark color Xingshou, limbs weary, A few can not carry on walking. Everywhere for treatment, within Jieyunshushi V, filled with hot and humid, wet for Nianni of evil, easy-speed recover from illness. And medical care for one said: "If you sick of dysentery, with the exception of Chi Bai, there's Huang
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2008-10-07 16:47 2楼
好文章,支持!!
2008-10-07 18:06 3楼
这许多的英文是怎么回事
2008-10-07 18:23 4楼
中英结合,很好。只是有的英文不太懂。
2013-11-27 10:36 5楼
这个移动到医案评按版块了啊
⬅ 病案探讨之高血压病 老茶馆 这个中上腹揪扭不适该怎么治疗 ➡