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一、赵某,女,61岁。1972年5月29日初诊。右下腹痛已四天。前两天伴发烧,呕吐,纳差,口干。大便正常,小便色黄。检查:右下腹有压痛和反跳痛,隐约可触到肿块。验血:白细胞15600。舌质红,苔边白、中微黄,脉象细数。西医诊断为急性阑尾炎。中医辨证病属湿热积滞,肠络不通。治宜清热解毒,行气活血。处方:银花12克,连翘12克,蒲公英30克,败酱草30克,红藤30克,赤芍9克,丹皮9克,桃仁9克,丹参12克,元胡12克,生火黄4.5克。3剂。6月2日二诊:药后腹痛消失,纳增,唯觉下腹作胀。淤滞已行,毒邪渐解,仍有气滞未除。上方加减续进,处方:银花12克,连翘12克,蒲公英30克,败酱草30克,红藤30克,赤芍9克,丹皮9克,乌药9克,青陈皮各9克,枳壳9克。3剂。6月10日三诊:腹胀消失,食欲增加,
One, Zhao, female, 61 years old. May 29, 1972 new diagnosis. The right lower quadrant pain has been for four days. The first two days were accompanied by fever, vomiting, anorexia, and dry mouth. Normal stool, yellow urine. Check: There is tenderness and rebound tenderness in the lower right abdomen, which may touch the mass. Blood test: WBC 15600. The tongue is red, and the moss is white, slightly yellow, and pulse-like. Western medicine diagnosed as acute appendicitis. TCM syndromes are hygrothermal stagnation, intestinal collateral barriers. Expelling heat detoxification, qi and blood circulation. Prescription: 12 grams of silver flower, 12 grams of Forsythia, 30 grams of dandelion, 30 grams of Patrinia, 30 grams of red vine, 9 grams of red peony, 9 grams of paeonol, 9 grams of peach kernel, 12 grams of Salvia miltiorrhiza, 12 grams of Yuanhu, Yellow flame 4.5 grams. 3 doses. June 2nd diagnosis: Abdominal pain disappeared after treatment and was increased. The stagnation has been done, and the evil spirits have gradually resolved. There is still no qi stagnation. The above addition and subtraction continued prescription: silver flower 12 grams, 12 grams of Forsythia, dandelion 30 grams, 30 grams of Patrinia, red vine 30 grams, red peony 9 grams, 9 grams of paeonol, 9 grams of aggregata, green tangerine peel Each 9 grams, 9 grams of shell. 3 doses. Three consultations on June 10: abdominal distention disappeared and appetite increased.