Herbal Name | Scientific Name | Daily Use (g) |
麻黃 | Ephedra sinica Stapf | 9 |
杏仁 | Prunus armeniaca Linné | 9 |
桂枝 | Cinnamomum cassia Blume | 6 |
甘草 | Glycyrrhiza uralensis Fischer | 4 |
The aqueous extracts from the herbs above were perorally administered two times a day, by 120 cc volume. |
Chapter | Provision Number | Herbal Medicines | Provisions |
「辨大陽病」 | 40 | 小靑龍湯 | 傷寒表不觧心下有水気 |
43 | 桂支加厚朴杏子湯 | 表未觧故也 | |
46 | 麻黃湯 | 表證仍在 | |
61 | 乾姜附子湯 | 無表證 | |
91 | 回逆湯, 圭枝湯 | 救表救裏, 救表 | |
124 | 抵當湯 | 六七日表證仍在 | |
「辨大陽病 結胸」 | 134 | 大䧟胷湯 | 表未觧也 |
163 | 圭支人参湯 | 表裏不觧者 | |
168 | 白虎加人参湯 | 表裏俱热 | |
170 | 白虎加人参湯 | 無表證者 |
甲骨文(Oracle) | 大篆(Bronze) | 小篆(Seal) | Meaning | |
衣 | Clothes | |||
毛 | - | Hairs | ||
表 | - | Fur clothes | ||
麃 | - | a giant deer | ||
𧞧 | - | Fur clothes made with a giant deer |
Case 1 | Case 2 | |
Height (cm) | 174 | 163 |
Weight (kg) | 59 | 49 |
Age | 21 | 32 |
Sex | Male | Female |
Job | Student | Nurse |
Chief Complaint | Sleep Disorder - Insomnia | Depersonalization |
Present Illness | He had problems with friends in school since 8 years ago and was diagnosed with bipolar disorder, depressive disorder and panic disorder 4 years ago. He also expressed delusions, so was medicated with Quetiapine which is used for schizophrenia but he didn’t take it much. | She didn’t want to born and raise a child but, her husband made her to do. She had been expressing anger during raising her child so, made many troubles with her husband. She was diagnosed with anxiety disorder an year ago and medicated with the drugs but didn’t take them much. |
Onset | 8 years ago | 1 years ago |
Symptoms | ㆍFalling asleep at 5am and waking up 12pm ㆍHaving tiredness during the day ㆍPanic disorder symptoms(palpitation, cold sweat, stiffened) in crowded places ㆍMultiple suicide impulse, fear of death ㆍDropped out of school at the age of 17 | ㆍNo sense of reality. Feeling like dreaming ㆍToo bright and blurry vision in the sunlight ㆍExpressing anger while raising a child alone ㆍGoing to E.R. after arguing with the husband ㆍHaving fights with her sister frequently ㆍVomiting many times when angry |
Medication Period | Treated with Mahwang-tang for 60 days | |
Progress | ㆍAppetite and digestion have improved a lot ㆍGained weight ㆍBeing able to sleep enough and having confidence in sleep ㆍExcessive anger has relieved ㆍChest stuffiness has relieved | ㆍDigestion has improved a lot ㆍBeing able to control anger ㆍBreathing became smooth and easy ㆍSevere fatigue during the day disappeared ㆍGlare has relieved |
Case 1 | Case 2 | |
Narrative of 表 | The patient was a captain among friends in the middle school. But, after fighting with a friend, the patient had been bullied. As a result, the patient dropped out. However, he went back to school some days later and forced the friend to apologize. The patient made the friend kneel. The patient lost his face and status in the school after fighting. It made him very angry and happened to make a big problem. | The patient was originally more interested in work and financial techniques to earn than in childcare. So the husband promised to raise the child after childbirth and the patient to keep working but, the promise was not kept. The desire to make money was stronger than to raise children, but this was not satisfied. So, the patient had threw up several times while arguing with the husband and was taken to the emergency room a few times. |
The Provision of 麻黃湯 | ||
46. 大陽病, 脉浮紧, 無汗発热, 身疼痛, 八九日不觧, 表證仍在, 其人発煩, 目䏃, 劇者必衂, 所以然者, 陽気重故也, 麻黃湯主之. | ||
The Major Expressions in the Provision | Related Patient Information | |
Case 1 | Case 2 | |
大陽病 | Disease developed while active excessively | |
Expression of excessive anger Dropping out of school | Expression of excessive anger Going to E.R. frequently | |
表證仍在 | Pursuing the visible part and projecting self-esteem | |
Table 5. | Table 5. | |
其人発煩 | Anger explodes as it becomes impossible to achieve 表 by other wills | |
He was bullied at school, and out of revenge, he forced his friend to apologize Throwing plates to his brother | Bursting her anger to her husband because he didn’t help with childcare as promised Fighting with her sister fiercely | |
目䏃 | Vision becomes sensitive to lights | |
Having too bright vision so, prefer a dark place | Blurry, bright vision Feeling like dreaming | |
劇者必衂 | When gets angry, always fights and makes things bigger | |
After forcing the friend apologize him, the school violence committee was held with police officers. He was dropped out of school at the end. | Going to E.R. after arguing with her husband. Made some troubles in the work place earlier | |
陽気重 | Fatigue during the day and feeling stuffiness in chest | |
Feeling depression and tiredness in the day even if he had slept for 8-9 hours | Having difficulty in raising her child in the day due to exhaustion so, she had to take a nap |
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