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案1 陈某,男,25岁,农民,1980年1月30日初诊。患者1980年1月28日在田间耕作,天气转阴,北风袭人,细雨绵绵,身被淋湿。当晚即恶寒发热,头痛,自服APC 2片。次晨发热不退,恶寒,头痛身疼,微咳,痰微黄,口微渴。经大队卫生站诊为感冒,给服土霉素,APC,枇杷露等药。虽2次发汗,但热不退,病情反而加重,于1月30日到我院中医科门诊。证见恶寒发热,汗少,头痛,咳嗽吐痰,色黄而粘,伴右胸疼痛,口渴引饮,大便正常,小便微黄,舌边尖微红,苔薄白,脉浮数略滑。体温40.5℃,脉搏108次/分,右肺可闻散在小水泡音,心律齐,无杂音;腹软,肝脾未及,神经病理反射阴性。门诊胸透:右下肺片状模糊致密阴影。血检:白细胞25,000,中性88%,
Case 1 Chen, male, 25 years old, farmer, first diagnosed on January 30, 1980. The patient was plowing in the fields on January 28, 1980. The weather turned cloudy and the north wind plunged into people. The rain was dripping and the body was wet. The night was aversion to fever, headache, self-service APC 2 tablets. The next morning is not hot, chills, headache, body pain, micro-cough, yellowish sputum, mouth thirst. After the brigade’s health station diagnosed as a cold, he was given oxytetracycline, APC, and other drugs. Although 2 sweats, but the heat does not retreat, but the condition worsened, on January 30 to our hospital Chinese medicine clinic. Cards see chills, fever, low sweat, headache, cough, spitting, yellow and sticky, with right chest pain, thirst to drink, normal stool, yellow urine, reddish tongue, thin white coating, floating pulse Slightly slippery. Body temperature 40.5 °C, pulse 108 beats / min, right lung can be heard scattered in small blisters, heart rate Qi, no noise; abdominal soft, liver and spleen is not, negative neuropathological reflex. Outpatient Chest: The right lower lung is a thin, dense shadow. Blood test: WBC 25,000, neutral 88%,