BNH N AU U MT NG

I.PHN HNH CHNH

-H v tn bnh nhn: L TH DIM
-Gii: N
-Tui: 31
-a ch: 131 Trn Ph, Hu
-Ngh nghip:
-Ngy gi vo vin: 8 gi 20 pht ngy 09/04/2009
-S vo vin: 215
-L do vo vin: au u, mt ng
-Ngy thm khm: ngy 10/04/2009
-Ngy lm bnh n: ngy 12/04/2009
II.BNH S
1.Qu trnh bnh l:
Bnh khi pht hn mt nm vi tnh trng au u m , mt ng, kh vo gic ng, d
thc gic, d hi hp, d ht hong, thnh thong c cm gic nh trng ngc. Bnh
nhn iu tr ty y nhiu ln nhng khng nn xin vo bnh vin Y hc c truyn
iu tr.
Thm khm khi vo vin:
Mch 70 ln/pht
Nhit 370C
Huyt p 110/70 mmHg
Cn nng 50kg
Chiu cao 1m60
Nhp th 18 ln/pht
Bnh nhn tnh to, tip xc tt
Ngi mt mi, yu sc
au u m vng nh
Mt ng, d hi hp, d ht hong, nh trng ngc
Khng ho, khng kh th
Nhp tim u, khng nghe ting tim bnh l
Bng mm, khng chng
Cc c quan khc cha pht hin bnh l
2.Tin s:
-Bn thn: khng mc cc bnh khc
-Gia nh: khng ai mc bnh lin quan

PHN THM KHM NG Y

I.Vng:
-Cn thn, ngi mt mi, yu sc
-Th trng trung bnh, da lng nhun,
-Khng ph thng
-C nhc bnh thng, khng teo c.
-Sc mt km ti, sc mi nht.
-Cht li nht, ru li trng, mng, t, li khng to bu, khng c du rng
II.Vn:
-Ting ni nh yu, bing ni
-Th bnh thng, hi th khng hi
-Khng ho, khng nc, khng nn ma
III.Vn:
-S lnh, s gi, thch m, khng st
-Khng t hn, khng o hn
-n ung bnh thng, nhng khng ngon ming, khng thm n
-Khng kht nc
-Tiu trong nhiu, tiu m nhiu ln (2 ln), khng tiu kh, khng rt but
-i tin phn st, k minh tit t
-au u vng nh m , au mi lng
-Khng tai
-Hi hp, d s hi, nh trng ngc, h ng th hi hp, khng au bng, kh chu
vng ngc, khng ho suyn
-Mt ng, kh vo gic ng, ng khng su, d thc gic
-Kinh nguyt bnh thng
IV.Thit:
-Mch t nhc
-Ngi lnh, chn tay lnh, lng bn tay chn lnh
-Bng khng u cc, thin n
V.Bin chng lun tr
L chng
o Bnh tng ph Tm, Thn
Hn chng:
o Sc mt khng ti, sc mi nht
o Cht li nht, ru li trng, mng, t
o Tiu trong, nhiu, tiu m nhiu
o K minh tit t, i tin phn st
o Ngi lnh, chn tay lnh, lng bn tay chn lnh, s lnh, thch m

 H chng
o Bnh mc lu
o Ngi mt mi, yu sc
o Sc mt khng ti, sc mi nht
o Ting ni nh yu, bing ni
o Thin n
o Mch t
Chn on bnh danh : Tht min (Bt m)
Chn on bt cng : L h hn
Chn on tng ph : Tm Thn
Chn on nguyn nhn: Ni nhn (Bi, T)
Php iu tr : n b thn dng, dng tm an thn, nh ch
Chn on bt cng y l l h hn. L l do bnh lin quan n tng tm, thn. Tm
vi biu hin mt ng, hi hp, d s hi, ht hong, nh trng ngc, h ng th hi
hp, sc mt nht. Thn vi biu hin au mi lng, tiu m nhiu ln, k minh tit t,
s lnh, ngi lnh, tay chn lnh, lng bn tay chn lnh. H l do bnh mc tng i
lu km biu hin ngi mt mi, yu sc, ting ni nh, bing ni, sc mt khng ti,
sc mi nht, v mch T. Hn Sc mt khng ti, sc mi nht, cht li nht, ru li
trng, mng, t, tiu trong, nhiu, tiu m nhiu, k minh tit t, i tin phn st,
ngi lnh, chn tay lnh, lng bn tay chn lnh, s lnh, thch m.
Chng tht min, bt m thng lin quan n cc tng ph Can m Tm T v Thn
trong ch yu l tng Tm v Can.
Tm ch ng tng, cng nng sinh l ca n ch yu 2 phng din ch v thn minh
v ch v huyt mch. Tm ch thn minh. Thin Tuyn Minh Ng Kh (TVn 23) ghi :
Tm tng thn, cc hot ng v tinh thn, thc, t duy c lin h n Tm. Khi Tm
kh h th tinh thn, thc, hot ng t duy bao gm c cng nng ca thn ch, tnh ch
v ngn ng b chng ngi, nh thin Bn thn sch Linh khu ni Tm kh h th bi,
Thn thng th s hi, cho nn xut hin cc chng hi hp khng yn, mt ng hay
qun, tinh thn hong ht
Can cha huyt v tng hn, ch s tit. Ban ngy, huyt chu du khp cng c th
dinh dng cho cc kh quan tng ph, ban m huyt phi quy v Can dng hn.
Tri li can huyt bt tc, can mt s nui dng th s tit km, ban m huyt khng
quy v Can, thn thc khng c nui dng, hn khng c n nu s sinh ra chng
mt, hoa mt, mt ng hay m, s hi
V vy tt c cc bnh l cc tng khc cui cng s nh hng n 2 tng Tm v Can
lm cho Tm khng tng thn, Can khng tng hn dn n tht min, bt m.

Tht min (bt m) trn bnh nhn ny lin quan n tng Tm v Thn, chng hu y
l Tm Thn dng h. Tm Thn dng h l ch phn dng ca Tm Thn bt tc,
mnh mn ha suy mt s si m n ni hnh thnh cc chng hu m hn thnh
trong, huyt i b tr, thy thp ng.
H chng biu hin ngi mt mi, yu sc, ting ni nh, bing ni, sc mt khng
ti, sc mi nht, v mch T. Dng h sinh ngoi hn biu hin s lnh, ngi lnh,
tay chn lnh, lng bn tay chn lnh, cht li nht, ru li trng mng t, khng
kht, thch m, tiu trong nhiu, i tin phn st, k minh tit t.
Tm dng h biu hin mt ng, hi hp, h ng th hi hp, d s hi, ht hong,
nh trng ngc, kh chu vng ngc, sc mt nht km biu hin chng hn l do dng
kh bt tc, thy m nghch ln gy nn, sch Thng hn minh l lun vit: Nu l nh
m l do nc ng di Tm, Tm ch ha m s Thy, nc ng trong
Tm t thy khng yn m thnh s st. Mt khc Tm dng bt tc khng c kh
nng thc y huyt gy nn chng trng kh chu vng ngc.
Thn dng h biu hin au mi lng, tiu m nhiu ln, k minh tit t, km biu
hin chng hn, t chi quyt lnh.
Tm li, tm thn dng h nh hng n tng tm v can lm cho tm khng tng
thn, can khng tng hn gy nn tht min (bt m).
Nguyn nhn tht min y l do ni thng tht tnh m chnh l t v bi. Hot ng
tnh ch ca con ngi c quan h mt thit vi tng ph kh huyt: S bin ha ca tng
ph nh hng n bin ha ca tnh ch v ngc li tht tnh qu mc cng gy tn hi
cho ni tng tng ng. T v bi qu mc s tn thng trc tip n tng ph tng
ng l T v Ph . T ch t, t qu mc thng T, Ph ch bi, bi qu mc thng Ph.
Tuy nhin trn lm sng khng hon ton tuyt i nh vy v c th l mt chnh th
hu c. Sch Linh khu-khu vn vit: V bi thng su u nn Tm ng, Tm ng th
lc ph ng tng u b nh hng. Trng Gii Tn trong Loi kinh vit: Tm l
i ch ca lc ph ng tng, kim cai qun hn phch v ch, nn u ng n Tm th
Ph ng, t ng n Tm th T ng, n ng n Tm th Can ng, khng ng n
Tm th Thn ng cho nn ng ch u ly Tm lm i din. iu ny cho thy Tm l
i ch ca lc ph ng tng, ni c tr ca tinh thn, ni pht sinh ca tht tnh, nn tht
tnh qu mc u tin hi n Tm thn, sau nh hng n cc tng ph khc gy
bnh. Trn bnh nhn ny s lo lng suy ngh v bun ru qu mc nh hng n
Tm mc d cha c biu hin thng tn trc tip n tng T v Ph v v vy gy nn
bnh cnh tht min bt m.
V vy php iu tr y l n b thn dng, dng tm an thn, nh ch. Dng bi
Bt v qu ph thang gia gim.

VI.iu tr
1.Php iu tr: n b thn dng, dng tm an thn, nh ch
2.Chm cu:
1) n b Thn dng: Mnh mn, Thn du, Quan nguyn, Kh hi
2) H tc b: m cc, Thi kh, Thiu Ph, Thn mn, Tam m giao
3) H b mu: Phc lu, Thiu xung, Kinh c, i n
4) Nguyn lc: B Thi kh, t Phi dng, b Thn mn, t Chi chnh
5) Du m: Thn du (Bq.23 Du huyt), Kinh mn (.25 m huyt), Tm du, C khuyt
(Nh.14)
6) Bt mch giao hi: Cng tn Ni quan, Lit khuyt Chiu hi
7) An min 1, An min 2, Bch hi, T thn thng
8) Nh chm: vng ni tit, vng Tm, Thn mn
2.Thuc:
Bi Bt v qu ph thang gia gim (Thn kh hon)
1. Thc a 32g
2. Sn th 16g
3. Hoi sn 16g
4. an b 12g
5. Phc linh 12g
6. Trch t 12g
7. Nhc qu 4g
8. Ph t ch 4g
9. Vin ch 6g
10. Toan to nhn 6g
Nhc qu, Ph t ch: n b Thn dng.
Thc a B huyt, t m b thn.
Sn th B Can Thn, sp tinh kh, c h thot
Sn dc B T, dng V, sinh tn, ch Ph, b Thn, sp tinh.
n b Thanh nhit lng huyt, hot huyt ha , thanh can ha gim bt tnh n ca
Sn th.
Trch t t thy t, thng thy o, thanh t thn ha gim bt tnh n tr ca Thc a.
Phc linh B t thng thn giao tm, kin t tr thp gip Hoi sn kin t.
3. Phng php b tr:
a.Ch sinh hot
iu dng tinh thn, trnh cng thng, ngn phin no, sng thoi mi, v t.
Sinh hot tnh dc iu .
Khng lm vic tr c cng nh lao ng chn tay qu sc.
Tp i ng ng gi.
b.Ch tp luyn
Tp th v th gin trc khi ng: th 4 th hoc th bng

 Tp xoa bp: Xoa tam tiu, xoa u mt c

Day huyt H bin, Tht min, An min, Tam m giao
Xoa bp bm huyt cc vng u nh Bch hi, T thn thng, cc huyt thuc kinh T
V Thn nh trn.
Tp mt mn th thao va sc mnh: i b, chy chm, bi li
c.Ch n ung
Hn ch gia v cay nng, thc n nhiu cht du m
Bui ti nn dng thc n d tiu, khng nn n qu no
Trc khi i ng khng nn ht thuc l, ung c ph, ung ru hoc ung thuc c
tnh kch thch.