gan yang shang kang
肝陽上亢
(in
English and Chinese 中英文)
(liver yang over active)
按此看中文
by: Joe Hing Kwok Chu
Symptoms of liver yang over active:
Lab test on Catecholamines:
Patients with liver yang over active condition
(liver yang overactive) shows higher level of:
-
epinephrine
-
norepinephrine
-
dopamine
Clinical observation:
Fullness in the head and dizziness, restless and easy
to get angry, blurry vision, red face, insomnia, a lot of dream, hot flashes
in the face, bitterness in the mouth, red tongue, fur of tongue is thin,
yellow or white, stringy pulse or stringy and slippery pulse. It may
show higher pulse rate, higher breathing rate and blood pressure.
Hyperventilation: due to the increase of carbon
dioxide emissions, it can cause
respiratory alkalosis, cerebral hypoxia, causing dizziness, fatigue,
patients face and hands and feet feel numb and cold, sometimes with a
sense of stuper
Prescription:
tian ma
10 g,
gou teng
10 g, shan
zhi 10 g,
Shan zhi zi 10 gi,
huang qin
10 g,niu
xi
10 g,
du zhong
10 g,
sang ji sheng
10 g,
ye jiao teng
10 g,
fu shen
10 g,
ju hua
10 g,
xia ku cao
10 g,
cao que ming
10 g,
shi jue ming
30 g,
zhen zhu mu
30 g.
Make into decoction.
One prescription per day.
Source of formula: Hu Xian Guo, vice
chief physician, Yuan An District Hospital, Hubei
Province China; translated
by
Joe
Hing Kwok Chu
See liver
fire ascending
Note: Respiratory alkalosis is due
to pulmonary hyperventilation or the plasma concentration of H2CO3
primary PaCO2 decreased, which led to a rise in pH (> 7.45).
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肝陽上亢型症狀:
眩暈頭脹,煩躁易怒,目眩面赤,失眠多夢,面色潮紅,口苦。舌質紅,舌苔薄黃或白,脈象弦或弦滑。
肝陽上昇患者血漿兒茶酚胺(包括去甲腎上腺素(NE)、腎上腺素(E)和多巴胺( DA)含量均較正常人的高;
而致呼吸率,心率,血壓都增高。過度換氣時,由於二氧化碳排出量增加,可出現呼吸性鹼中毒,腦細胞缺氧,引起頭暈、乏力,患者並感到面部和手足麻涼,間或有恍惚感。
療法﹕ 以 平 肝 潛 陽 ﹐ 清 火 熄 風 。
處方﹕
天麻 ,
鉤 藤
,
山 梔 子
,
黃 芩 ,
牛膝
,
杜 仲
,
桑 寄 生
,
夜交藤 ,
茯 神
,
菊 花 ,
夏枯草 ,
草決明
各 10 克 ﹐石
決 明,
珍珠母
各 30 克 ﹐ 水 煎 服 ﹐
每 日 1 劑 。
(處方來源﹕湖 北 遠 安 縣 中 醫 院 副 主 任 醫 師 - 胡 獻 國)
看肝火上炎。
註:呼吸性鹼中毒是指由於肺通氣過度使血漿H2CO3濃度或PaCO2原發性減少,而導致pH值升高(>7.45)。
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