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1 便血赵某来,女,34岁。教师。住院号:273号。患者胃脘疼痛反复发作6年,解黑便2天,经某西医院胃镜检查诊为“胃溃疡并出血”。大便潜血试验(+++),急诊入院。症见:胃脘胀痛,灼热,两胁胀不适,口干口苦,呕吐频作,头昏,两眼发黑,疲乏无力,面色苍白,汗出肢冷,大便色黑如柏油状,便时少腹坠胀,眩昏欲仆,随后不省人事。舌质淡,苔薄黄,脉弦细数。证属肝胃郁热,伤及胃络。治宜清肝泄热。方选化肝煎加减:杭白芍生地各15g 黑栀仁丹皮陈皮泽泻生大黄土贝母各10g 黄连5g,2剂,水煎服。药后大便渐转黄黑,余症
1 Bloody Zhao, female, 34 years old. teacher. Hospital number: 273. The patient had recurrent epigastric pain for 6 years, resolved black stools for 2 days, and was diagnosed as having “gastric ulcer and bleeding” by a gastroscope examination in a Western hospital. Fecal occult blood test (+++), emergency admission. Symptoms: Stomach cramps and pain, burning, two threatening distension, mouth dry mouth, frequent vomiting, dizziness, black eyes, fatigue, weakness, pale, sweating cold, black stool as tarry, When he was absent, he bulged and bulged, and then he was unconscious. The tongue is light, the fur is yellow, and the pulse is very thin. The syndrome is a fever of the liver and stomach and it hurts the stomach. Expelling liver clearing heat. Side of the selection of liver decoction addition and subtraction: Hangzhou White peony root habitat 15g each of black peony bark peel dermatophyte dermatophyte rhubarb earthworms each 10g berberine 5g, 2 agents, decoction. After the drug gradually fades into a black and yellow stool