我们对流行性出血热病人的剧烈腹痛,过去一般是请外科会诊或对症治疗,但疗效甚微。1978年我们根据中医“中满腹胀,湿热内甚,其人壮气实者,则攻下之……”、“病者腹满,按之不痛为虚,痛者为实,可下之”、“温病下不嫌早”等理论,以硝黄汤治疗出血热发热期剧烈腹痛3例,收到满意效果,现报告如下: 一、药物剂量及用法:大黄碎块50克,用沸水400～500毫升冲泡5～10分钟,其滤液再冲芒硝15克,一次口服。二、3例患者均为成年农民,除具典型流行性出血热症状外,均有剧烈腹痛,如锥如绞,阵发性发作,腹肌紧张,全腹压痛,对症治疗无效。经服用硝黄汤后,有以下共同表现:(1)腹痛、腹肌紧张迅速缓解至消失。(2)服药后5～6小时即腹泻。2例腹泻前有一阵绞痛,时间甚短,泻后感到舒适,剧烈腹痛消失,安静入睡。(3)在通大便的同时,小便量也增加。(4)粘膜、皮肤充血及出血点迅速减退和消失。(5)3例均未出现低血压,2例无少尿,似有“越期”现象。三、典型病例介绍: We have severe abdominal pain in patients with epidemic hemorrhagic fever, the past is the general consultation or symptomatic treatment, but the effect is minimal. In 1978, according to Chinese medicine, “we are full of abdominal distension, hot and humid is very, the person is strong, then the attack ... ...”, “the patient abdominal full, according to the pain is not true, ”,“ Warm disease is not too early, ”and other theories to nitrate treatment of severe fever in haemorrhagic fever in 3 cases, received satisfactory results, are as follows: First, the drug dosage and usage: Rhubarb 50 grams, with boiling water 400 ~ 500 ml brewing 5 to 10 minutes, the filtrate then Chong-Glauber’s salt 15 grams, once orally. Second, all three patients were adult peasants. Except for typical epidemic hemorrhagic fever symptoms, severe abdominal pain, such as cone-like strands, paroxysmal attack, abdominal muscle tension, abdominal fullness and symptomatic treatment were not effective. After taking nitrate yellow soup, the following common manifestations: (1) abdominal pain, abdominal muscle tension quickly eased to disappear. (2) 5 to 6 hours after taking the medicine diarrhea. 2 cases of diarrhea before angina, a very short time, feel comfortable after diarrhea, severe abdominal pain disappeared, sleep quietly. (3) While passing the stool, the amount of urination also increased. (4) Mucosa, skin congestion and bleeding rapidly diminish and disappear. (5) No hypotension was found in 3 cases and no oliguria in 2 cases, which seemed to be “overdue”. Third, a typical case description: