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杨某,女,34岁,1983年4月14日初诊。患者素体尚健,平时恣嗜肥甘辛辣。新婚之年已身孕月余,近日又蕉果生冷油炙之品杂进,于昨日下午出现上腹部疼痛,当夜11点在我院急诊,经西医常规处理效不显,缘家属虑其高龄早孕,执意中医治疗,于翌日凌晨收入中医病区治疗。诊见上腹部阵发性剧烈疼痛已历20小时,疼痛连及左肋,呻吟不已,辗转不安,伴发热不恶寒,汗出,口苦咽干,小便黄赤,大便4日未解。查:左上腹实满,拒按,唇干舌红,苔薄腻微黄,脉弦滑略数。体温37.6℃,血压130/90毫米汞柱,尿淀粉酶
Yang Mou, female, 34 years old, was newly diagnosed on April 14, 1983. The patient’s body is still healthy, usually fat and sweet and spicy. In the wedding year, she has been pregnant for more than a month. Recently, the fruit of the banana fruit was mixed with cold oil. The upper abdominal pain occurred yesterday afternoon. At 11:00 pm in the emergency room in our hospital, the treatment effect was not obvious by Western medicine, and family members considered their early pregnancy. He insisted on Chinese medicine treatment, and he was admitted to the TCM ward in the early morning of the next day. The diagnosis of paroxysmal severe pain in the upper abdomen has lasted for 20 hours. The pain was even worse than that of the left ribs. It was irritated and irritated. It was accompanied by fever, cold, sweat, dry mouth and throat, yellow urine, and bowel movements on the 4th. Check: The left upper abdomen is full, refused to press, dry lips, dry tongue, thin, greasy yellow coating, slippery pulse strings slightly. Body temperature 37.6°C, blood pressure 130/90 mm Hg, urine amylase