补中益气汤治疗阳虚发热两则

阳虚发热临床较为罕见,多为中气不足,阳气亏虚,多为真热假寒,治以补中益气汤为主。病案一患者平素脾胃虚弱,同时兼顾健运脾胃,使气血生化有源,阳气得复。病案二患者平素体虚,治疗时随证加减,辨证用药,临床疗效显著。治疗时,应注意理气与滋阴药物的使用,使热退而气不滞,阴不伤。

Two Medical Records about Using Buzhong Yiqi Decoction Treat Fever Due to Yang Deficiency

Fever due to yang deficiency is rare in clinic, the most is deficiency of qi in middle-jiao and yang deficiency, the pathogenesis is cold syndrome with pseudo-heat symptoms, and the treatment mainly to be Buzhong Yiqi Decoction. In the case one, the patient has the weakness of spleen and stomach, so the treatment should take into account the invigorating spleen and stomach, make qi-blood formation having the source and yang recovering. In the case two, the patient＇ s body is usually empty, so the treatment added or subtracted drugs according to the symptoms, which made significant clinical effect. In addition, it should also pay attention to using of Qi-regulating and Yin-nourishing drugs, prevent qi stagnation and impairment of yin at the time of anti-febrile.