一位六十多岁的女士前来就诊，主诉感冒后两周吃不下去任何食物并伴便秘。脉象弦滑而尺细，舌中苔腻。前医用祛肝火及刚猛下法治疗一周，效果不佳。问其口苦咽干目眩皆备，此为柴陷汤证伴阴虚。遂开方五日。一周后复诊，患者表示情况有所改善，能进食，但仍感到胸口堵闷。但我判断治疗效果一定会比这个好。细问之下，原来患者最后只买了3副药，且一副药分成两天吃。这相当于儿童用量，难怪效果未达预期！嘱咐其一定要按照医嘱来服药。<\/p>\n
在笃定辩证准确的前提下，写完方子治疗效果应该在什么范围之内就应该了然于胸，而无须等待患者反馈。此时治疗效果不达预期主要要考虑两个因素：药本身质量不好，患者没有遵医嘱。<\/p>\n
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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：097 @安发诊所，墨尔本<\/p>\n","protected":false},"excerpt":{"rendered":"
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