通变白头翁汤治疗滴虫性肠炎18例

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治疗方药:生山药30克,白头翁、生杭芍各12克,秦皮、生地榆各10克,甘草6克,三七粉10克,鸦胆子60粒,去皮。先将三七、鸦胆子用白蔗糖水送服一半,再将余药煎汤服,其相去时间,宜至半点钟,所余一半,至煎汤药渣时,仍如此服法。(摘自《医学衷中参西录》)。本组治疗18例,均获痊愈。病案举例:王某,男,56岁,农民,1975年11月16日初诊。两月前患“痢疾”,泻下赤白夹杂,腹痛,里急后重,经本队医疗站服用中西药治疗未愈。后在华县医院确诊为“滴虫性肠炎”,服用灭滴灵,卡巴胂、土毒素、痢特灵等西药效果不显,遂来我院求诊。患者面色晦暗萎黄,精神萎糜,四肢困乏,食欲不振,大便稀溏,赤白夹杂,腹部压痛明显,以脐周和左下腹为甚,舌质红,苔黄腻,脉濡数。粪检:脓球(++),红血球(+++),肠滴虫(+++)。证属暑热秽浊与滴虫交阻,壅滞阳明肠府,气机不畅,大肠传导失职,治以清利湿热,解毒杀虫,佐以扶正, Treatment prescriptions: 30 grams of raw yam, Pulsatilla, Health and Hangzhou 12 grams each, Qinpi, habitat toad each 10 grams, 6 grams of licorice, Sanqi powder 10 grams, Brucea javanica 60, peeled. First, 37, Brucea javanica with white sucrose water to serve half, and then serve Yutang Jiantang, the time to go, it is appropriate to half a minute, the remaining half, to Jiantang dregs, still do so. (From “Medical Participation in Western Records”). The group was treated in 18 cases and all recovered. Case Example: Wang, male, 56 years old, farmer, newly diagnosed on November 16, 1975. Two months ago suffering from “diarrhea,” diarrhea, red and white inclusions, abdominal pain, tenesmus, after the team’s medical station to take Chinese and Western medicine treatment healed. After being diagnosed as “trichomonal enteritis” in Huaxian Hospital, taking western medicine such as metronidazole, carboquinone, earth toxin and furazolidone was not effective, and he came to our hospital for treatment. The patient’s pale complexion, apathetic, limbs, lack of appetite, loose stools, red and white inclusions, abdominal tenderness, to the umbilical and left lower abdomen is very, red tongue, greasy yellow fur, pulse count. Fecal examinations: pus (++), red blood cells (+++), and intestinal trichomonas (+++). The syndrome is due to heat and turbidity and trichomoniasis, stagnation of the Yangming Intestines, impaired air delivery, negligence of colon conduction, treatment of clear and damp heat, detoxification, insect killing, and assisting with righting,
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