{"id":9100,"date":"2024-06-06T01:49:21","date_gmt":"2024-06-06T01:49:21","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e5%b0%8f%e9%99%b7%e8%83%b8%e6%b1%a4%e6%b2%bb%e7%96%97%e6%80%a5%e6%80%a7%e8%83%83%e7%97%9b\/"},"modified":"2025-05-09T12:06:33","modified_gmt":"2025-05-09T02:06:33","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e5%b0%8f%e9%99%b7%e8%83%b8%e6%b1%a4%e6%b2%bb%e7%96%97%e6%80%a5%e6%80%a7%e8%83%83%e7%97%9b","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e5%b0%8f%e9%99%b7%e8%83%b8%e6%b1%a4%e6%b2%bb%e7%96%97%e6%80%a5%e6%80%a7%e8%83%83%e7%97%9b\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u5c0f\u9677\u80f8\u6c64\u6cbb\u7597\u6025\u6027\u80c3\u75db"},"content":{"rendered":"

患者男，亚裔，30多岁，主诉为暴食后胃部疼痛，四年前过饱时也曾犯过一次，痛感强烈。患者认为是积食伤胃，希望吃保和丸缓解。舌象无异常，苔薄白。摸脉右寸关附近浮滑弦，余脉相对较缓。从结的位置来看，不在中焦脾胃，沉按不实，可见非保和丸或大柴胡、承气类泻下剂所宜。按位置来看应该是结胸，按其心下，疼痛拒按。继续询问患者，自觉胸部不适，正为小陷胸汤之所宜。予大剂量1天，小剂量2天。患者服用两日后已自觉诸症消失，未再坚持服最后一天。<\/p>\n

如果患者本为结胸证，却因为是在暴食后发病而误以为是积食而错误的使用下法，不仅不会改善病情，反而会造成病情加重。所以，准确而客观地判断病情是非常重要的。<\/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

\n

NO.049<\/p>\n","protected":false},"excerpt":{"rendered":"

患者男，亚裔，30多 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76],"tags":[],"class_list":["post-9100","post","type-post","status-publish","format-standard","hentry","category-76"],"acf":[],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"blog-large":false,"blog-medium":false,"recent-posts":false,"recent-works-thumbnail":false,"fusion-200":false,"fusion-400":false,"fusion-600":false,"fusion-800":false,"fusion-1200":false,"portfolio-full":false,"portfolio-one":false,"portfolio-two":false,"portfolio-three":false,"portfolio-five":false,"woocommerce_thumbnail":false,"woocommerce_single":false,"woocommerce_gallery_thumbnail":false},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"患者男，亚裔，…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9100","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=9100"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9100\/revisions"}],"predecessor-version":[{"id":13933,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9100\/revisions\/13933"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9100"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9100"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}