虚劳

强国令，男，42岁。一诊2010，经常神疲乏力，冬天午后有下肢发冷，时有心悸心烦，苔薄，质暗红，脉沉细。肝肾不足，气血不畅，治拟补益肝肾气血，理气活血。生晒参90g生黄芪150g炙黄芪150g炒白术150g陈皮90g山药150g茯苓150g生地黄150g熟地黄150g砂仁30g蔻仁30g枸杞100g菟丝子150g仙茅100g仙灵脾150g黄精150g山茱萸100g川牛膝100g怀牛膝100g丹参150g郁金90g当归身90g川芎90g天门冬150g麦门冬150g桑寄生15g二诊2011，慢性咳嗽史，去冬服膏方后，咳痰（+），痰白粘带黑，伴胸闷，劳则自汗多，冬天怕冷，双下肢怕冷，舌质暗淡红，脉小弦滑。肺肾不足，肺失清肃。治拟补气益肾，清肃肺气。巴戟天90g淮小麦300g枳壳60g煅瓦楞300g黄芩90g沥半夏150g桑寄生150g郁金90g黄精150g枸杞100g山药150g生晒参90g桂枝45g大枣200g灵芝90g炙甘草90g木香90g南沙参150g北沙参150g益智仁90g当归身90g山茱萸100g菟丝子150g茯苓150g生黄芪150g炙黄芪150g紫河三诊2012，有慢性咳嗽、鼻炎史。受凉及吃海鲜时咳嗽不已，腰酸，怕冷，动则汗出，平时鼻干。苔薄，质淡暗，脉弦滑。证属肺肾不足，卫外不固。治拟补肺益肾，固表，化痰，清肃肺气。芦根300g芦根200g芦根150g芦根60g芦根60g僵蚕100g南沙参150g北沙参150g巴戟天90g山茱萸90g茯苓150g生晒参90g前胡150g柴胡150g辛夷90g紫菀150g丹参150g生甘草90g黄芩150g赤芍100g白芍100g川断90g仙灵脾150g桂枝30g生黄芪150g炙黄芪150g全蝎30g四诊2013，有慢性咳嗽、鼻炎史。去冬服膏方后咳减、感冒减。秋季鼻干。稍怕冷，自汗。纳平，二便正常，苔薄质暗红脉细弦。证属肺肾不足，卫外不固。治拟补肺益肾，固表，化痰，清肃肺气。生晒参90g生黄芪150g炙黄芪150g防风60g炒白术150g茯苓150g桂枝30g生地黄150g熟地黄150g山药150g山茱萸90g仙灵脾150g黄精150g菟丝子150g巴戟天90g川断90g狗脊90g天门冬150g麦门冬150g南沙参150g北沙参150g赤芍100g白芍100g射干150g蝉衣60g僵蚕100g