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某患儿,男,4岁,1974年6月初诊。近两个月来,常于半夜熟睡后突然惊叫1~2分钟,然后不自觉地在床上爬来爬去,持续3~4分钟,再又安睡。每隔1~2天发作一次,幼儿园不便管理,送回家中。证见面色萎黄,瘦弱,食欲不佳,尿微黄,大便时干时结,舌淡红,少苔,脉细虚数。诊为血虚神魂不藏所致。治宜养血安神。方选甘麦大枣汤加安神定志之品,处方:浮小麦21克,大枣3枚,甘草4.5克,生龙齿12克,茯苓12克(朱砂拌),五味子2.1克。清水煎服,连服2剂,观察2周未见再发。再服12剂,以固疗效。按:本例脉细虚数,舌淡红,少苔,面色萎黄,尿黄等,均为血虚之候。肝藏血,心藏神,盖夜则阳入阴,血虚则阴不足涵蓄阳气,故神不藏而发为惊叫、夜游。甘麦大枣汤养血缓肝,加龙齿、朱砂茯苓以安神定
A child, male, 4 years old, first diagnosed in June 1974. In the past two months, I often suddenly screamed for 1 to 2 minutes after I slept in the middle of the night. Then I ran up and down in bed unconsciously for 3 to 4 minutes and then slept again. Every 1 to 2 days after the onset of a child, the kindergarten inconvenience management, sent home. The card showed chlorosis, thinness, poor appetite, slightly yellow urine, dry knot when the stool was dry, pale red tongue, little coating, and imaginary pulse. Diagnosed as a result of blood deficiency is not hidden. Expelling nourishing and soothe the nerves. The selection of Ganmai Dazao Tongan Anshenzhizhi’s products, prescription: 21 grams of floating wheat, jujube 3, licorice 4.5 grams, 12 grams of raw dragon teeth, Poria 12 grams (cinnabar mix), Schisandra 2.1 grams. Clear water decoction, even served 2 doses, observed no recurrence 2 weeks. Take another 12 doses for a solid cure. According to this example, the pulse is imaginary, the tongue is reddish, there is little moss, the complexion is chlorosis, and the urine is yellow, all of which are blood deficiency. Liver hides the blood, the heart hides the god, covers the night then the sun enters the yin, the blood deficiency is the yin deficiency to contain the yang, therefore the god does not hide and becomes the screaming, the night swim. Ganmai Dazao Nourishing Slowing Liver, Adding Dragon’s Tooth, Cinnabar