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1 渗出性中耳炎患者,女,47岁.左耳鸣伴听力下降3个月余.曾在当地医院诊治,拟“慢性卡他性中耳炎”予抗炎、扩血管及激素治疗2周无明显效果.于1994年9月23日来我科医治.症见:精神欠佳,面色(白光)白,畏寒不利清谷,舌淡胖,苔白厚粘腻,脉濡.五官科检查:左耳鼓膜内陷,呈淡黄色,标志消失.音叉检查:BC>AC,WT偏向患耳,呈传音性聋.辨证属脾肾阳虚所致元阴不足,清阳不升,脾虚湿盛,水邪停阻.治宜:温阳健脾,利水通窍.方用白术12g、茯苓15g、白芍10g、附子3g、生姜3g、石菖蒲25g、山药12g、
1 Patients with exudative otitis media, female, 47 years old. Left tinnitus with hearing loss for more than 3 months. He was diagnosed and treated in a local hospital and he planned to treat chronic catarrhal otitis media with anti-inflammatory, vasodilator, and hormone therapy for 2 weeks without significant effect. On September 23, 1994, I came to our department for treatment. Symptoms: Poor spirit, pale complexion (white), chills, adverse clearing, pale tongue, thick white sticky moss, pulse turgor. ENT inspection: left ear The indwelling of the tympanic membrane is pale yellow and the mark disappears. Fork examination: BC>AC, WT is biased towards the affected ear, and it is transmitted with noise. The syndrome is due to lack of yin in the spleen-kidney yang deficiency, Qingyang does not rise, the spleen deficiency is wet, Water evil stopping. Expelling: Wenyang spleen, Lee water Tongqiao. Square with Atractylodes 12g, Poria 15g, Angelica 10g, Fuzi 3g, ginger 3g, Shichangpu 25g, yam 12g,