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刘某某,女,15岁。学生。1986年4月15日初诊。患者因贪玩旷课被父母训斥,事过8日,颈项右侧突长一肿块,初如乌梅大小,至第4日则肿如鸡蛋大,硬如顽石,推之不移,头颈微痛,转侧受限。曾经某医院肌注青、链霉素1周罔效,后转我院就诊。证如前述,询如大便秘结。察舌质淡红、苔黄白相兼微燥,脉弦滑。诊为上石疽,为肝气郁结所致。治宜疏肝解郁,解毒散结。方用小柴胡汤合仙方活命饮加减:柴胡黄芩各10克姜半夏香白芷制乳香制没药各
Liu Moumou, female, 15 years old. student. April 15, 1986 was the first diagnosis. The patient was reprimanded by her parents for having skipped school. On the 8th, the neck grew suddenly on the right side of the neck. It was as large as ebony at the beginning. On the 4th day, it was swollen like an egg, hard as hard stone, and it was hard to push. , limited side. Once a hospital had an intramuscular injection of streptomycin and streptomycin for 1 week, and then transferred to our hospital for treatment. As stated in the foregoing, the inquiry is like constipation. The tongue was pinkish, yellow and white, and the veins were slippery. The patient was diagnosed with Shang Shi Qi and was caused by liver qi stagnation. Expelling Liver Jieyu, detoxification Sanjie. Fang Xiao Chai Hu Tang He Xian Fang Huo Ming Yin addition and subtraction: Bupleurum chinense each 10 grams of ginger Banxiaxiangbaiqi frankincense system myrrh