阴虚内热+肝火上炎+失眠相关医案

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失眠肝火上炎阴虚内热

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31岁男性，胃脘闷痛伴烧心、泛酸、恶心欲吐、口干、两胁及后背疼痛、左肩臂麻木、夜寐差、大便干、小便黄。胃脘痛，肝气郁结，情志不遂致气机阻滞，脾胃失和，胆胃郁热，胃阴受损。面色正常，舌暗紫体胖有齿痕，苔薄黄腻，脉弦滑。

肝火上炎阴虚内热慢性萎缩性胃炎肝气郁结

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侯某，女，24岁。头晕、头痛、失眠。病程近几天加重，鼻出血，左鼻孔先出血，继而右鼻孔出血，血流入口内。面微黄，口舌满血。脉浮无力。舌澹。脉弱。脉弦无力。中医病名：鼻衄。证型：血热妄行。病因病机：内热亢盛，迫血妄行。望诊：面微黄，舌澹。闻诊：未提及。问诊：头晕、头痛、失眠、全身酸楚、纳差、尿黄。切诊：脉浮无力、脉弱、脉弦无力。

肝火上炎阴虚内热失眠鼻衄

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女性，32岁，左侧头部胀痛反复发作3年，近半年加重，伴头晕、视物模煳、畏光、失眠多梦。舌质红绛，苔薄黄，脉弦细略数。诊断为血管神经性头痛，证属肝阳上亢，瘀血阻络。

肝火上炎阴虚内热失眠多梦血管神经性头痛

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患者57岁，右侧肢体活动不利，言语謇涩，便秘如羊屎状，病程约3个月。舌紫暗，中心苔厚黄，脉沉。证属汗后当风，风邪袭络，脑络瘀阻。既往有脑梗病史。

肝火上炎阴虚内热脑梗后遗症风邪袭络

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女，烘热汗出，面红潮热，头晕耳鸣，烦躁易怒，口干便结，失眠多梦，腰膝酸软，舌红暗、苔白，脉弦细数，中医病名属围绝经期综合征，证型为血虚肝热，病因病机为阴虚阳亢，阴虚生内热，阴虚不能敛汗，肝火上炎。望诊见舌红暗、苔白，闻诊未提及，问诊见症状描述，切诊脉弦细数。

阴虚内热肝火上炎肾阴虚肝阳上亢

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患者19岁，女性，主症为心悸、气短，活动后加重。舌澹，苔薄白，脉细无力。中医病名为风湿性心肌炎，证型为风湿入络，上犯心脏。病因病机为风湿侵袭，心络气血不畅，心气虚。望诊见舌澹或澹红，苔薄白或白薄。闻诊未提及。问诊见心悸气短，活动加重，有早搏，扁桃体肿大。切诊见脉细无力或弦细。

阴虚内热肝火上炎风湿性心肌炎心气不足

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