Patient Chen, male, 5 1/2 years old.
Initial diagnosis: October 7, 2008.
The patient had milk fungus since childhood and developed coughing and wheezing after consuming milk at the age of 1.5 years, with subsequent attacks two to three times a year in autumn. During the episodes, he had shortness of breath and wheezing at night, a chicken sound in his throat, mucous sputum in his throat in the morning, sneezing, runny nose, itching and nasal congestion, spontaneous sweating at times, poor appetite, bowel movement, and easy to be frightened at night. Physical examination: pale face, emaciation, pale nasal mucosa, clear discharge, no enlargement of tonsils. A few croup sounds were heard in both lungs. Chest X-ray did not show any abnormality. The tongue is pale with white coating and the pulse is thin. Tan Weiyong, Department of Rheumatology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine
Prescription: Huang Jing Zi 9g, Ephedra Root 6g, Radix Paeoniae Alba 9g, Radix Sinensis 3g, Radix Angelicae Sinensis 9g, Rhizoma Hu Xie Ye 12g, Radix Zing Yuan 9g, Radix Zang Dong 9g, Radix Cicadae 4.5g, Radix Jiao Liu Qu 9g, Radix Grain and Malvae 9g, Radix Sinensis 4.5g, Radix Scutellariae Sinensis 9g, Radix Lutong 9g, Radix Cang Er Cao 12g, Radix Jin Fu Cao 12g. Seven doses.
Second consultation: October 16, 2008.
The parents complained that after taking the medicine, the child’s asthma subsided and the sneezing and snot disappeared in the morning, but he still had spontaneous sweating, good appetite, regulated bowel movements, and easy to be frightened at night.
Prescription: A cream formula based on Yu Ping Feng San, Tonic Tian Dazao Wan and Si Jun Zi Tang, which is mainly used to strengthen the spleen, benefit the lung, consolidate the surface and nourish the kidney, and regulate the successive heavens to improve the latter.
Note: After taking the formula for three months, there was no asthma attack and no cold that year, and the spontaneous sweating and other phenomena gradually disappeared. Note: Scutellaria baicalensis, Xin Yi, Lulutong and Cang Er Cao are self-invented prescriptions for treating rhinitis, which have the function of opening the nasal passages, dispelling wind and activating blood, and have been clinically used to treat allergic rhinitis and chronic rhinitis with satisfactory results. In this patient’s formula, Scutellaria baicalensis clears the lung and relieves the heat in the upper jiao, Xinyi promotes the lung and dispels the wind with anti-allergic inflammatory effects, Lulutong invigorates the blood and opens the orifices, while Huang Jing Zi calms asthma and relieves bronchial spasm. After the effect of asthma subsides, the main focus should be on tonifying the successive heavens, and the cream formula is the most suitable form of treatment.