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秋季泻,自1979年首先在北京发现以来,各地区时有流行,严重危害婴幼儿身体健康。近几年来,笔者采用加味三仁汤加葛根、乌梅、阿胶治疗,效果较佳。现报道验案如下。 1 王某,女,1岁。1997年11月5日初诊。患儿间断性腹泻4d,伴发热,大便每日10多次,量多,呈水样便,无脓血及粘液。呕吐2次,尿少,干哭无泪。查T38.1℃,神志清,精神较差。面色苍黄,眼凹。咽红,口唇干燥,舌红、苔白腻,满布全舌。心肺(-)。腹软,无压痛,肠鸣音活跃。肝脾不大。脉细而滑,指纹紫滞。大便常规检查:脂肪球(+++)。诊断:秋季泻。证属:湿热弥漫三焦,津气两亏。处方:上方加党参、麦冬各6g,五味子、藿香各3g。进2剂后,体温降到正常,腹泻减少为每日3～4次,精神好转。效不更方,上方再进2剂,大便恢复正常,诸症全愈。
Autumn diarrhea, first discovered in Beijing in 1979, is endemic in various regions and seriously endangers the health of infants and children. In recent years, I use flavored San Ren Tang plus Pueraria, plum, gelatin treatment, the better. Reported the case is as follows. 1 Wang, female, 1 year old. November 5, 1997 newly diagnosed. Children with intermittent diarrhea 4d, with fever, stool 10 times a day, the amount of water was stool, no pus and blood mucus. Vomiting 2 times, less urine, dry tears without tears. Check T38.1 ℃, conscious mind, poor spirit. Pale yellow, concave eyes. Throat, dry lips, red tongue, greasy moss, covered with whole tongue. Cardiopulmonary (-). Abdominal soft, no tenderness, bowel sounds active. Small spleen and liver. Pulse thin and smooth, finger purple stagnation. Stool routine examination: fat ball (+++). Diagnosis: Fall diarrhea. Testimony: hot and humid filled triple burner, two gas loss. Prescription: top with Codonopsis, Radix every 6g, Schisandra, Agastache 3g. Into 2, the body temperature dropped to normal diarrhea reduced to 3 to 4 times a day, the spirit improved. Efficiency is not more square, and then into the top 2, stool returned to normal, Zhu Zheng all the more.