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桂枝加葛根湯合四逆湯治外感一例

患者女性,39歲,形體肥胖,自訴感冒1+月,曾服中西藥不效,症見神疲乏力,項背強,微惡寒,加衣側惡熱,自汗出,心悸怔忡,胸及脘悶痞脹,口渴。其脈沉細,右寸略浮,舌淡紅苔薄白中剝,證屬素體陽虛,外感風寒,表寒未盡,心陰心陽受損,胃津不足。方用桂枝湯 6g,四逆湯 6g,葛根1g ,日三服。患者藥後即時自覺胃中有一股熱感由內而外擴散,達至表皮後即微微汗出,胸悶脘痞立時大減,並覺頭目清爽⋯⋯

桂枝加葛根湯合四逆湯治外感一例

患者女性,39歲,形體肥胖,自訴感冒1+月,曾服中西藥不效,症見神疲乏力,項背強,微惡寒,加衣側惡熱,自汗出,心悸怔忡,胸及脘悶痞脹,口渴。其脈沉細,右寸略浮,舌淡紅苔薄白中剝,證屬素體陽虛,外感風寒,表寒未盡,心陰心陽受損,胃津不足。方用桂枝湯 6g,四逆湯 6g,葛根1g ,日三服。患者藥後即時自覺胃中有一股熱感由內而外擴散,達至表皮後即微微汗出,胸悶脘痞立時大減,並覺頭目清爽⋯⋯

Vitamin D for COVID-19 : a case to answer ?

Interest in a potential role for vitamin D in the prevention or treatment of acute respiratory infections dates back to the 1930s, when cod liver oil was investigated as a means to reduce industrial absenteeism due to the common cold. Meta-analyses of randomised controlled trials conducted from 2007–20 reveal protective effects of vitamin D against acute respiratory infections, albeit these effects were of modest size and with substantial heterogeneity.1 The striking overlap between risk factors for severe COVID-19 and vitamin D deficiency, including obesity, older age, and Black or Asian ethnic origin, has led some researchers to hypothesise that vitamin D supplementation could hold promise as a preventive or therapeutic agent for COVID-19…