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笔者在临床多年中运用桃核承气汤治疗急症,随证加减,收到满意效果。现举3则介绍如下:(一)产后痉病刘某某,女,24岁。1980年1月15日诊。产后5天,发热恶寒,头身疼痛,口渴心烦,少腹胀痛拒按,恶露少。经某区医院检查:体温39.5℃,脉搏102次/分,呼吸24次/分,血压186/90毫米汞柱,心肺听诊无病理性杂音,诊断为“产后感染”、“高血压”。曾用青霉素治疗2天,口服四环素、降压灵、罗布麻等药无效,转余诊治。证见发热神昏,无汗、颈项强直,角弓反张,四肢间竭性抽动,面色苍白,少腹疼痛拒按,大便3日未行,小便黄。查:体温39.2℃,血压180/90毫米汞柱,口唇干燥,舌质红,苔薄黄,脉弦数。证属产后淤血蓄于下焦(胞
The author used Taohe Chengqi Decoction to treat emergencies in clinical years and received satisfactory results with addition and subtraction. Presently, 3 presentations are as follows: (1) Postpartum rickets Liu Moumou, female, 24 years old. January 15, 1980. 5 days after childbirth, fever, chills, head pain, thirst, upset, lower abdominal pain and disapproval, less lochia. After examination in a district hospital: body temperature 39.5 °C, pulse 102 beats / min, breathing 24 beats / min, blood pressure 186/90 mm Hg, heart and lung auscultation no pathological murmur, diagnosed as “postpartum infection”, “high blood pressure.” After treatment with penicillin for 2 days, oral tetracycline, antihypertensive drugs, and apocynum drugs were ineffective, and they were used for diagnosis and treatment. The card found fever faint, no sweat, neck stiffness, opisthotonus, exhaustive twitching between the limbs, pale, abdominal pain refused to press, bowel movement on the 3rd, urine yellow. Check: Body temperature 39.2°C, blood pressure 180/90 mmHg, dry lips, red tongue, thin yellow coating, number of pulsed strings. Cardiac postpartum congestion is stored in the lower coke