title | Medical Cases of Chen Ruichun |
smart_toy
bubble_chart Content Ye, male, 39 years old, visited on August 10, 1977. The patient underwent a subtotal gastrectomy and recovered well. However, after discharge, he gradually developed stuffiness and fullness in the epigastrium and abdomen, frequent belching, and difficulty in bowel movements. Despite eating small, frequent meals and mainly consuming liquid diets, he still felt stuffiness and lack of appetite, and the condition became increasingly apparent. The pulse manifestation was thin and weak, and the tongue was white and moist. Although the patient's abdominal distension and fullness were post-surgical, when compared to the "abdominal distension and fullness after sweating" in the "Treatise on Cold Damage Diseases," the disease causes were different, but the symptoms were the same. Therefore, Magnolia Bark, Fresh Ginger, Pinellia, Liquorice, and Ginseng Decoction with modifications was used for treatment:
Tangshen 12g, Pro Formula Pinellia 9g, Submature Bitter Orange 6g, Magnolia Bark 9g, Prepared Liquorice Root 6g, finger citron slices 9g, Aucklandia Root 6g, Fresh Ginger Rhizome 3g
After taking 5 doses, the patient felt the qi moving downward, and abdominal distension, fullness, and belching were greatly reduced. He continued to take the medication, totaling 20 doses, taking one dose every 1-2 days. After more than two months, everything returned to normal. One year later, there was no recurrence of abdominal distension and fullness, digestion was good, and the patient had gained some weight.