血症治验两例

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例1,便血(急性出血性坏死性肠炎) 男,24岁。自述于3天前腹痛、腹胀,继之发热,日解血性便7~8次。曾诊为“菌痢”治疗无效,于1989年元月23日入院。体检:急性病容,面色(白光)白,体温40.2℃,血压16.0/9.33kPa。舌苔薄微黄,脉细数,腹稍膨,脐周压痛较明显,心率120次/min,律齐;血红蛋白9.6g/L,红细胞3.0×10~(12)/L,白细胞18×10~9/L,中性0.76,淋巴0.24;血性大便。辩证施治,以黄连解毒汤出入。黄连5g、黄柏12g、黄芩12g、栀子12g、公英30g、生地榆30g、白芨30g、丹皮12g、白芍30g、甘草6g、二花15g、生大黄5g。每日一剂水煎服,共服4剂后大便成 Example 1, blood in the stool (acute hemorrhagic necrotic enteritis) Male, 24 years old. After 3 days of self-reported abdominal pain, bloating, followed by fever, the bloody day will be 7-8 times. The patient who had been diagnosed as “bacteriophage” was ineffective and was admitted to hospital on January 23, 1989. Physical examination: acute disease, complexion (white light) white, body temperature 40.2°C, blood pressure 16.0/9.33kPa. Thin yellow tongue coating, pulse breakdown, slightly abdominal swelling, obvious tenderness around the umbilical cord, heart rate 120 beats/min, regular; hemoglobin 9.6g/L, red blood cells 3.0×10~12/L, white blood cells 18×10~ 9/L, neutral 0.76, lymphoid 0.24; bloody stool. Dialectical treatment with Huanglian Jiedu Decoction. Coptis chinensis 5g, Phellodendron chinense 12g, Astragalus membranaceus 12g, gardenia 12g, male and female 30g, medlar 30g, white peony 30g, paeonol 12g, white peony 30g, licorice 6g, Erhua 15g, rhubarb 5g. One dose of water decoction, a total of four doses of stool
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<正> 治疗方法:黄连4.5克,吴萸3克,党参12克,白术9克,丹参15克,佛手6克,白芍15克,公英15克,神曲12克,乌贼骨9~12克,甘草4克。脾胃虚寒加苍术、砂仁;气血两虚加黄芪、当归;肝胃