北沙参+肝硬化+乏力

70岁女性，腹部胀大半年余。臌胀，脾肾阳虚，气血瘀滞。慢性病容，消瘦无力，腹部胀大，双下肢浮肿，体弱畏风寒，食欲少，睡眠差，手足凉，暮后发热，大便干燥，小便短赤，周身皮疹痒甚，舌质暗红，苔白腻，脉滑细，两尺尤弱。腹围86cm，腹水，肝硬化。舌质暗红，光滑少苔，脉沉细弦。舌光暗少苔，脉沉细弦。舌暗红，薄白苔，脉沉虚弦。舌质红绛略瘦，有裂纹，苔少，脉弦细。

51岁男性，主诉腰酸、手足心热1年，伴心烦、乏力。舌质偏红，苔薄黄，左尺沉弱。B超示早期肝硬化，脾大。中医诊断肝积，证属肝肾阴虚。舌质干红，苔薄黄少津，脉沉小滑，脉沉细，脉沉滑略数，脉右弦滑，左沉细，脉沉细，尺无力，脉沉滑数，脉沉缓而柔，右沉滑有力，脉弦滑略数，脉沉滑数，舌干黄白，舌质暗，舌苔干白少津，舌质暗红，舌质红，苔薄白，舌下静脉略粗。

男，46岁。腹胀，乏力，失眠1年。舌质绛，舌苔白厚，脉细数。中医诊断：症瘕；鼓胀。属气阴两虚，湿滞内结。舌红苔欠匀，脉软滑。舌苔白剥脱，脉滑。舌偏黯苔稍满，脉滑细。舌略黯苔腻滑左半偏厚，脉细软左稍弦。

男，45岁，乏力纳差、上腹不适6月，加重伴身、目、尿黄1月。黄疸，气阴亏虚、湿热内蕴证。面色暗黄，舌暗红、苔黄腻，脉细弱。重度乏力，胸闷气急，纳呆，食入即吐，轻度腹胀，口干，身、目深黄色，尿黄，大便每日4～5次，右肺底呼吸音低，移动性浊音阳性，双下肢水肿。总胆红素423.7μmol/L，结合胆红素245.8μmol/L，谷丙转氨酶1200U/L，凝血酶原时间18.9s，B超提示右侧大量胸腔积液。

57岁，乏力、气短、纳差、肝区不适、两胁胀痛、睡眠差、大便软，病程30余年。肝郁脾虚，气虚血瘀。面色晦暗无光泽，舌淡红，苔薄白，脉平缓。蜘蛛痣，血清谷草转氨酶升高，血红蛋白降低，血小板减少。

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患者男性，52岁。胁肋胀痛，大便质稀，腰膝酸软，乏力，口干苦。舌苔厚腻，舌质澹红，脉小弦。中医病名属肝癌，证型为肝郁脾虚，瘀血交阻。病因病机涉及肝气郁结、脾虚湿困、瘀血内阻。望诊见舌苔厚腻，舌质澹红。闻诊未见明显异常。问诊提示乏力、口干苦、大便溏薄。切诊见脉小弦。

患者男性，32岁。主要症状为夜尿多、乏力、纳差、腹胀。病程5年，有慢性肝病史，诊断为肝硬化失代偿期，腹水。中医诊断为臌胀，证型为气阴两虚。面色晦暗，舌淡红，苔薄白，脉细弦。腹胀，夜尿多，乏力，纳差。