张某,男,54岁。病历号841448。1960年至洞庭湖建新农场(血吸虫疫区)劳教,染血吸虫疾惠。先后多次经省血防所、省人民医院、湖医附一、附二院诊断为慢性血吸虫病、肝脾肿大,脾功能亢进,食道胃底静脉曲张,血吸虫性肠炎。先后两次经锑剂及一次“血防—846”系统治疗后转当地某医院调治未瘥,建议手术切脾,患者惧于手术,来我院中医治疗。入院时右胁疼痛,固定不移,腹大如鼓,双肋下痞块,有如覆杯,头昏乏力,神倦懒言,间常牙衄及鼻衄,腹痛腹泻,或为稀水,或为脓血,甚则洞泄,四肢萎缩,颜面晦暗,面、颈、胸可见痴蛛痣,舌质淡暗、苔薄微黄,脉沉细而弦。血象:白细胞2250 Zhang, male, 54 years old. Medical Record No. 841448. In 1960, a new labor force was established in the Dongting Lake Construction New Farm (schistosomiasis area), and blood flukes benefited. It has been diagnosed as chronic schistosomiasis, hepatosplenomegaly, hypersplenism, esophageal and gastric varices, and schistosomiasis colitis on several occasions by the provincial schistosomiasis control center, the Provincial People’s Hospital, Hu Yiyi Hospital, and the Second Hospital. After two times of elixirs and a “bloody-846” system treatment, it was transferred to a local hospital for treatment. It is recommended that the spleen be operated and the patient be afraid of surgery and come to our hospital for treatment. Right-threatening pain on admission, fixed, the abdomen is as big as the drum, double ribs under the cheek block, like a cover cup, dizziness, fatigue, gods lazy words, often gingival and nasal discharge, abdominal pain, diarrhea, or thin water, Or for pus and blood, even the hole leaks, limbs shrink, dark face, face, neck, chest visible mad spider licking, dark tongue, thin yellow fur, thin pulse and string. Blood: Leukocytes 2250