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《白天临证,夜间读书》之学习笔记3

  • 2026-01-13 15:02:56
《白天临证,夜间读书》之学习笔记3

《白天临证，夜间读书》之学习笔记3

1.桂枝汤：太阳中风，阳浮而阴弱。阳浮者，热自发；阴弱者，汗自出。啬啬恶寒，淅淅恶风，翕翕发热，鼻鸣干呕者，桂枝汤主之。太阳病，头痛发热，汗出恶风，桂枝汤主之。
桂枝汤方：桂枝三两，芍药三两，炙甘草二两，生姜三两，大枣十二枚
桂枝汤的主证：发热、头项强痛，怕风，恶寒，有汗，脉浮。
2.桂枝甘草汤方证：心悸、欲得按者。
桂枝四两，甘草二两。
3.桂枝加葛根汤主证：项背发紧，恶寒、恶风，局部汗出，触诊局部发凉。
葛根四两，芍药三两，生姜三两，甘草二两，大枣十二枚，桂枝二两。
葛根60g、先煎半小时
4.桂枝加龙骨牡蛎汤主证：噩梦、脱发，脉虚。
桂枝、芍药、生姜各三两，甘草二两，大枣十二枚，龙骨牡蛎各三两。
5.桂枝加黄芪汤主证：如有物在皮中状（蚁走感）、恶风，头痛，多汗，黄汗。
桂枝三两，芍药三两，炙甘草二两，生姜三两，大枣十二枚，黄芪二两。
6.昨天接诊落枕3天的患者，今天电话随访，颈肩部疼痛痊愈，稍有活动受限，疗效满意。
7.昨天接诊的双小腿疼痛伴酸胀感的女性患者，夜间症状明显，门诊经浮针治疗后1次后诉疼痛及酸胀感缓解50%，予以开萘丁美酮胶囊0.5g po qd和洛索洛芬钠凝胶贴膏200mg外用于双小腿，今日电话随访，患者诉夜间及上午疼痛基本缓解，酸胀感较前明显好转，续观。
8.2026.01.02开始连续3次浮针治疗的神经根型颈椎病患者，今日电话随访，患者诉回去后疼痛及活动受限好转，病情稳定，疗效可。浮针治疗神经根型颈椎病保守治疗10余天疗效不佳验案

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      收录于《白天临证，夜间读书》之学习笔记系列
      作者提示: 健康医疗分享，仅供参考
      贵州,2026年1月12日 22:32,
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      137. /yingpanguazai/ssd/ssd1/www/no.67808.cn/vendor/topthink/think-template/src/template/driver/File.php ( 2.41 KB )
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      139. /yingpanguazai/ssd/ssd1/www/no.67808.cn/runtime/temp/6df755f970a38e704c5414acbc6e8bcd.php ( 12.06 KB )
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      1. CONNECT:[ UseTime:0.001097s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
      2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001751s ]
      3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000644s ]
      4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000532s ]
      5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001203s ]
      6. SELECT * FROM `set` [ RunTime:0.000444s ]
      7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001287s ]
      8. SELECT * FROM `article` WHERE `id` = 460041 LIMIT 1 [ RunTime:0.000988s ]
      9. UPDATE `article` SET `lasttime` = 1768294137 WHERE `id` = 460041 [ RunTime:0.028360s ]
      10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.000629s ]
      11. SELECT * FROM `article` WHERE `id` < 460041 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.001054s ]
      12. SELECT * FROM `article` WHERE `id` > 460041 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.001095s ]
      13. SELECT * FROM `article` WHERE `id` < 460041 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.001456s ]
      14. SELECT * FROM `article` WHERE `id` < 460041 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001516s ]
      15. SELECT * FROM `article` WHERE `id` < 460041 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.005134s ]
      0.136975s