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程××,女性,53岁,炊事员,住院号3513。因恶心、呕吐、眼黄、上腹不适一周,于1982年1月30日入院。患者于1981年9月发现右侧乳房肿块,黄豆大小质坚。因懼作活检,自11月8日起于私人医生处服用中药2.5月。药方:僵蚕30g、黄药脂30g、山慈菇30g、夏枯草30g、露蜂房10g、蛇六谷30g、天葵子15g、生牡蛎40g、海藻30g、党参15g、当归15g、银花30g、生黄芪30g、生草9g。服后因感纳谷不馨及上述症状而入院。病程中无发热,无重度乏力感。门诊时曾隐瞒服中药史。入院后才出示药方。既往无肝炎或药敏史。体检:巩膜明显黄染,肝肋下1.0cm,剑下1.5cm,脾未及。肝区轻叩痛。肝功能SB8.7mg,SB′2.3mg、SGPT 370u、AKP 10.5u,A/G为3.6/
Cheng × ×, female, 53 years old, cook, hospital number 3513. Due to nausea, vomiting, eye yellow, abdominal discomfort for a week, January 30, 1982 admission. Patients in September 1981 found the right breast lumps, soy size and quality. Due to fear of biopsy, since November 8 at a private doctor taking traditional Chinese medicine 2.5 months. Prescription: silkworm 30g, xanthate 30g, mountain agaric 30g, Prunella 10g, hive 10g, snake Valley 30g, Amakusa 15g, raw oyster 40g, seaweed 30g, Codonopsis 15g, Angelica 15g, Yinhua 30g , Raw Astragalus 30g, raw grass 9g. After the service due to Najibuyin and the above symptoms and admission. No fever in the course of the disease, no sense of severe fatigue. Outpatient service was to conceal the history of Chinese medicine. Only after admission to produce the prescription. No past history of hepatitis or drug sensitivity. Physical examination: Sclera obvious yellow dye, liver ribs 1.0cm, sword under 1.5cm, spleen is not. Liver area tapping pain. Liver function SB8.7mg, SB ’2.3mg, SGPT 370u, AKP 10.5u, A / G 3.6 /