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一睾丸炎耿××52岁退休干部因睾丸肿痛5天,诊断为急性睾丸炎应用抗菌素,症状未减而来就诊。症见:阴囊肿痛,灼热坠胀,痛甚汗出,伴心烦胸闷,口苦纳差,小便短赤,大便不畅。检查:体温正常,左侧睾九较右侧明显肿大,疼痛拒按,舌质红苔黄腻,脉滑数;血白细胞9017/mm~2,中性59%。辨证为肝经湿热下注,拟疏肝通络,清热化湿,四逆散加味:柴胡10克赤白芍各10克盐枳实10克木通7克生大黄7克(后入)丹皮10克蒲公英15克败酱草15克川楝子10克生甘草3克三剂,水煎服,并卧床休息。
An orchitis retired 52-year-old retired cadres diagnosed as acute orchitis with antibiotics for 5 days due to testicular swelling and pain. Zheng Jian: scrotum swelling, burning bulge, pain is very sweaty, with upset chest tightness, mouth pain, poor appetite, short urine, poor stool. Check: normal body temperature, left side of the left side of the testis 9 was swollen, the pain refused to press, red tongue, yellow greasy tongue, slippery pulse; blood white blood cells 9017/mm~2, neutral 59%. Differentiation for the liver by hot and humid bet, to be relieving the liver and collaterals, heat and dampness, Sini San flavored: Bupleurum 10 grams Chibai Poria each 10 grams of salt Gorgon fruit 10 grams of wood through 7 grams of rhubarb 7 grams (back) Danpi 10g Dandelion 15g Patrinia 15g Chuanxiong 10g raw licorice 3g three doses, Shuijianbi, and bed rest.