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病例一刘某,女,51岁,1985年5月16日初诊。患者因急性胰腺炎住院,治疗中曾多次用阿托品(总量21毫克)皮下注射及用(?)通定240毫克肌肉注射,用药后感觉尿意窘迫,尿频、尿急、尿道涩痛,渐加重至每10～30分钟即要解小便,每次尿量少,夜间亦如此以致不能安寐。经导尿并留置导尿管5天,拔管后症状复如前。检查:腹软,耻骨上深压痛,拒按,叩诊膀胱浊音界位于耻骨上三横指。诊断为尿潴留。证属癃闭。此乃湿热下注,膀胱气化受阻所致。治宜化气利尿,佐以清热。用五苓散加味:桂枝15克,白术10克,苓茯15克,猪苓15克,泽泻15克,
Case 1 Liu, female, 51 years old, first diagnosed on May 16, 1985. The patient was hospitalized for acute pancreatitis. He was given subcutaneous injections of atropine (total amount of 21 mg) and 240 mg intramuscular injection (?) for the treatment of acute pancreatitis. After treatment, he felt urinary distress, urinary frequency, urgency, and urethral astringency. Increased to every 10 to 30 minutes to resolve the urine, each time the amount of urine is less, so that it can not be at night. The catheter was catheterized and indwelled for 5 days. The symptoms reappeared after extubation. Examination: Abdominal soft, pubic bone deep tenderness, refused to press, percussion bladder voiced circles in the pubic bone three horizontal fingers. Diagnosis is urinary retention. The card is closed. This is a hot and humid bet, due to the obstruction of bladder gasification. Appropriate gas diuretic, with heat. The flavor of Wuzhi San is used: 15 grams of cassia twig, 10 grams of Atractylodes, 15 grams of Poria, 15 grams of Poria, 15 grams of Alisma,