{"id":12025,"date":"2024-10-14T13:04:14","date_gmt":"2024-10-14T03:04:14","guid":{"rendered":"https:\/\/tcmdrma.com\/bloating-the-application-of-da-chai-hu-tang-in-the-treatment-of-severe-abdominal-distention\/"},"modified":"2024-11-10T13:04:31","modified_gmt":"2024-11-10T03:04:31","slug":"bloating-the-application-of-da-chai-hu-tang-in-the-treatment-of-severe-abdominal-distention","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/bloating-the-application-of-da-chai-hu-tang-in-the-treatment-of-severe-abdominal-distention\/","title":{"rendered":"\u5927\u67f4\u80e1\u6c64\u6cbb\u7597\u4e00\u4f8b\u4e25\u91cd\u8179\u80c0"},"content":{"rendered":"

最近我治疗了一位腹胀的患者，他的肚子胀得像个大气球，吃一点东西就感觉撑得厉害。患者告诉我，之前去西医那里做了各种检查，结果什么问题也没查出来。通过望闻问切，我一摸他的脉，发现左关洪大有力，这一脉象是典型的大柴胡汤<\/a>证（当然，他还有其他问题，暂且不提）。于是我根据辩证，给他抓了草药，初始方中大黄用了6克。<\/p>\n

第一次服药后，患者反馈说大便依然像之前一样，没有任何变化。于是我心想，难道是因为他的体质强壮，大黄的剂量不够？因此在第二次开药时，我将大黄加到了12克。患者这次反馈，排便稍有增加，但只持续了一天，不过他腹胀的症状已经缓解了30%-40%，他觉得这样已经很不错了。<\/p>\n

但我根据脉象判断，疗效不应该只有40%，辩证也没有问题。因此，我意识到可能是他所用的草药质量不达标，无法完全发挥药效。于是，我要求他改用我多年临床使用的品牌中药颗粒剂，并将大黄剂量恢复到6克。我告诉他，按照这个方案，腹胀至少会改善到70%-80%。果然，患者服用一周多的药后，再次复诊时，他高兴地告诉我，腹胀已经完全好了，而且还排出了很多黑色油腻的宿便，肚子不再鼓胀，恢复了正常的状态。<\/p>\n

不仅如此，我还告诉他，这个方子对他多年前面瘫留下的后遗症也有帮助。他非常惊讶地回应：“的确是这样！以前只要一累，我的一侧脸就会僵硬不适。最近虽然工作很忙，但再也没有出现那种僵硬的感觉。”<\/p>\n

这位患者的治疗案例再一次让我感受到，辩证准确、用药得当的重要性，以及高质量中药的关键作用。<\/p>\n

 <\/p>\n

注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

医案编号：100   @安发中医针灸中心，墨尔本<\/p>\n","protected":false},"excerpt":{"rendered":"

最近我治疗了一位腹胀 […]<\/p>\n","protected":false},"author":1,"featured_media":12022,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76,307],"tags":[131,309,112],"class_list":["post-12025","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-76","category-case-study-zh-hans","tag-bloating","tag-309","tag-112"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating.jpg",1200,759,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-300x190.jpg",300,190,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-768x486.jpg",768,486,true],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-1024x648.jpg",1024,648,true],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating.jpg",1200,759,false],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating.jpg",1200,759,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-669x272.jpg",669,272,true],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-320x202.jpg",320,202,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-700x441.jpg",700,441,true],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-66x66.jpg",66,66,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-200x127.jpg",200,127,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-400x253.jpg",400,253,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-600x380.jpg",600,380,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-800x506.jpg",800,506,true],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating.jpg",1200,759,false],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-940x400.jpg",940,400,true],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-540x272.jpg",540,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-460x295.jpg",460,295,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-300x214.jpg",300,214,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-177x142.jpg",177,142,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-500x316.jpg",500,316,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-700x443.jpg",700,443,true],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/10\/bloating-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"最近我治疗了一…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/12025","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=12025"}],"version-history":[{"count":5,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/12025\/revisions"}],"predecessor-version":[{"id":12103,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/12025\/revisions\/12103"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/12022"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=12025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=12025"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=12025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}