title | Xiong Liaosheng's Medical Cases |
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bubble_chart Content Liu, female, 60 years old. Previously suffered from cerebral hemorrhage, hospitalized for over three months. Due to an overdose of chlorpromazine, she became unconscious, with total body paralysis, incontinence of urine and feces, inability to speak, and inability to eat. Daily intake of liquid food and medication was administered through a nasal feeding tube. One day, she caught a common cold, with fever, sweating, and continuous vomiting. Western medicine did not alleviate the fever, and the vomiting worsened. Initially, one dose of Mulberry Leaf and Chrysanthemum Decoction was administered, which stopped the sweating and alleviated the fever, but the vomiting persisted. By the fourth day, any liquid food administered through the nasal tube was immediately regurgitated. After much deliberation during a follow-up consultation, the doctor recalled Article 101 of the "Treatise on Cold Damage Diseases," which states, "In cases of cold damage disease apoplexy, if there is a Bupleurum syndrome, the presence of one symptom is sufficient, not all symptoms need to be present." Additionally, Article 96 mentions "vexation and vomiting." Therefore, a dose of Minor Bupleurum Decoction was prescribed to observe the effects. Prescription:
Bupleurum 6g, Tangshen 9g, Ginger Pinellia 9g, Stir-fried Scutellaria 9g, Fresh Ginger Rhizome 3 slices, Chinese Date 6 pieces, Prepared Liquorice Root 6g
1 dose, decocted with water, divided into 3 nasal feedings.
The medicine was administered through the feeding tube into the stomach and was not immediately regurgitated, thus stopping the vomiting. After the second and third doses were administered through the nasal tube, she was able to resume normal nasal feeding of all liquid foods and medicinal solutions.