薄荷+纳差

女，44岁，胃脘及两胁胀痛，打嗝，烧心泛酸，纳差，口苦，恶心呕吐，消瘦，面色萎黄，精神差，眼窝凹陷，大便干，眠差。胃脘痛，肝郁脾虚证。面色萎黄，舌象未提，声音未提，气味未提，症状描述包括胃脘胀痛、打嗝、烧心、纳差、口苦、呕吐、大便干、眠差，脉象未提。

10岁男性患者，主诉间断头面抽动及喉中发声2年余。病史提示上呼吸道感染后出现症状，季节变化及感冒后加重。中医诊断为多发性抽动症，证型为风邪犯肺，内外相招，肝风内动。舌象未提及，脉象未提及，面色未提及，声音未提及，气味未提及，病史包括湿疹及过敏性鼻炎。

患者30岁，女性，右侧乳房硬结肿痛1月。中医病名乳岩，证型肝气郁结，血瘀凝结。望诊见乳头周围皮色枯皱，舌象未提及。闻诊未提及。问诊见乳房胀痛、食纳增加、口干。切诊未提及脉象。病程1月。

40天男婴，面目及全身皮肤黄，尿布小便黄染，口唇干红，舌红苔薄黄，腹胀纳差，好哭闹。湿热内蕴，肝胆瘀阻。面色晦暗，舌红苔薄黄，脉象未提。

患者年龄38岁，男性。主诉间断胃脘疼痛3年，复发1周。主要症状包括胃痛、脘痛连胁、嗳气得舒、纳差、食不知味、腹泻、排便不畅、夜寐不安。舌质澹红，苔白少津，脉弦紧。中医诊断为胃痛，辨证为肝气犯胃。病因为大怒后诱发，病机为肝气郁结，横逆犯胃。

患者女，5岁4月，发热、头痛、咳嗽4天，病程4天。主诉发热、头痛、咳嗽。刻诊精神差，目赤，乏力，不恶寒反恶热，口渴，心烦，纳差，全身酸痛，发热反复，体温39.1℃，大便干，小便短赤，咽红，扁桃体Ш度肿大，舌红、苔黄，脉数。中医诊断时疫感冒，证属气分证。望诊见舌红、苔黄，闻诊未见异常，问诊见发热、头痛、咳嗽、乏力、口渴、心烦、纳差、大便干、小便短赤，切诊脉数。

患者56岁，男性。胃胀2月余。胃脘痞满，嗳气泛酸，纳差腹胀，右胁胀痛，全身乏力。舌质红，苔薄腻。脉沉滑数。中医诊断胃痞，证型肝郁犯胃，气机升降失常，湿阻中焦。

女，53岁，胃胀、反酸、消瘦、睡眠差1年，闭经3年。面色不华，目窠黑暗，舌红苔薄白，脉弦缓平。纳食少，纳后不舒，呃逆，胃胀，情绪不稳定。中医诊断为胃脘痛，证属肝脾不和。病因病机为肝脾不和、肝失疏泄、脾失健运、气机不畅、气滞湿阻。

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29岁，女性。主诉为全身性荨麻疹，病程半年，瘙痒难耐。症状包括疹起伴胸闷胁胀、腹痛、心中烦闷、纳差、便溏。舌澹胖有齿痕，脉弦细。中医诊断为肝脾不调，气血失和。

陈某，女，35岁，四肢酸软乏力，头昏，健忘，多梦，腰酸痛，纳差，舌红、苔白，舌红、苔薄黄，脉象未提及，辨证为中气虚，气不达四肢而致乏力、头昏、健忘、多梦、腰酸痛。

患者35岁，女性。主诉头晕1个月。现病史示头晕头懵，失眠，头皮发紧发木，烦躁易怒，胃凉打呃，纳差便溏。月经周期延长，量少色红，有时经来腹痛。辨证分析示脾虚，情志过激致肝郁脾虚。中医诊断眩晕，证型肝郁脾虚。舌澹红，苔薄黄，脉弦细。

患者女性，36岁。精神紧张、恐惧多疑2年。情绪低落，极易紧张，外出需家人陪伴。遇喧哗处恐惧异常，鼻尖手心出汗，神呆不寐，喜静怕乱，胸闷太息，心烦易急，颜面麻木，头脑昏沉，大便偏干，月经量多。舌暗红，边有齿痕，脉细弦。证型为心肝血虚，痰湿内扰。

10岁男性，间断鼻塞、流涕2年，加重1个月，鼻塞、流清涕、晨起喷嚏频作、鼻痒、头痛、自汗出、面色少华、纳差、腹胀、便溏。眼眶下可见变态反应着色，鼻甲水肿，鼻黏膜有薄层水样黏液。血常规示嗜酸性粒细胞比率7%。诊断为鼻鼽，证属肺脾两虚。

患者15岁，男性，腹泻腹痛5~6年，大便稀泻，日3~5次，消瘦，纳差，伴荨麻疹。舌澹红苔薄白，脉弦。饮食不洁致虫居肠中，阻滞气机，脾胃运化失职，湿热内生，虫体耗损气血，致面色萎黄。辨证为饮食不洁，湿热生虫，肠道功能紊乱。

男，53岁，胁脘痞闷胀痛，疲乏纳差，黄腻舌苔，细略数脉，湿热内阻，肝胆湿热，胁脘痞痛，舌苔黄腻，脉细略数，舌苔薄黄，脉弦细，脉细

患者26岁，女性，全身散在皮疹，瘙痒难忍三月余。皮肤散在粟粒样红色皮疹，尤以腋下、腹背部、腹股沟处为多。舌质红，苔薄白，脉细。诊断为皮风（皮肤湿疹），病因为风热之邪。病机为风热郁于肌肤，外发皮疹，内扰心神，致瘙痒、心烦、纳差、夜眠欠佳。

患者年龄36岁，男性。主诉咳嗽二周。主要症状为咳嗽、咳痰不爽、痰量不多、咽干而痛、纳差食呆。舌象澹红，苔白微腻，脉象滑。中医病名为上呼吸道感染，辨证为外感风寒，日久化热，肺失宣肃。病因病机为外感风寒，日久化热，肺失宣肃。望诊见舌象澹红，苔白微腻。闻诊未提及。问诊包括咳嗽、咽干而痛、纳差食呆。切诊见脉滑。

27岁女性，高热1周，畏寒头痛，汗出热退，复热，纳差口淡，便泻不畅。湿温，湿热交阻，郁于脾胃。脉濡数，苔薄腻。面色晦暗，舌苔薄腻。声音低微，无特殊气味。病程1周。