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Chang-Ju Hsieh1Lun-Chien Lo2Tsung-Chieh Lee1*
1Department of Traditional Chinese Medicine, Changhua Christian Hospital, Changhua, Taiwan
2School of Chinese Medicine, China Medical University, Taichung, Taiwan
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Edema is a very common symptom in clinical diseases and it often involved in a variety of internal and external causes as well as the vacuity of five viscera,and even the qi transformation of triple burner in Traditional Chinese medicine (TCM).
This case is an edematous patient with the history of thymoma, who had undergone the left lower lobe lung resection and angioplasty with stent placement. This time he was admitted due to the left pleural effusion and shortness of breath and edema. And patient asked for Chinese medicine treatment. Due to the pleural effusion, we use mu fang ji tang which is referred to as the therapy of propping rheum in the diaphragm in the Essential Prescriptions of the Golden Coffer. After the treatment, the patient’s dyspnea improved. However, the abdominal fullness sustained and edema gradually got worse, and the patient had nausea and vomit at night. Therefore we use zhen wu tang to warm kidney yang and disinhibit water. After all the treatment, the patient’s symptoms got relived and discharged from hospital.
Therefore, through this case, we could realize the initial identification of phlegm, rheum, water and damp of the treatment in traditional Chinese medicine,and analyze the relationship between the clinical evidence and the therapeutic effects of mu fang ji tang and zhen wu tang.
【Keywords】edema, Phlegm-Rheum (tan yin), mu fang ji tang, zhen wu tang,abdominal fullness
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212.10 以木防己汤及真武汤治疗水肿患者之病案报告
