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例1:张某,男,45岁。南昌三中教师。1979年12月8日就诊。自诉连续4天夜问10时至凌晨4时上门齿中内侧齿龈有一处出血,经夜间急诊局部压迫止血无效。并口服维生素K、维生素C,注射安络血4天,每天依然从晚上10时至次日凌晨4时定时性齿衄。诊时患者面色苍白,头昏,大便正常,尿黄,牙龈不红不痛,舌苔黄燥、舌质红,脉弦。平素有高血压病史,血压160/118毫米汞柱。证属肾阴虚,虚火上炎。治宜滋阴降火,兼以止血,用知柏地黄汤加味:如母10克黄柏10克生地15克丹皮10克泽泻6克赤芍10克牛膝15克石斛12克玄参15克黑蒲黄6克(布包)。服1剂,当夜齿衄减轻,服2剂血止。复诊:按原方继服3剂巩固疗效,随访至今未复发。
Example 1: Zhang, male, 45 years old. Nanchang three teachers. Visited on December 8, 1979. The private prosecution asked questions from 10 o’clock in the morning to 4 o’clock in the morning. There was a hemorrhage in the medial gingiva of the upper teeth, and local hemostasis was not effective after local emergency treatment at night. And oral vitamin K, vitamin C, injection of blood safety for 4 days, daily still from 10 pm to 4 am the next day regular gingival. At the time of consultation, the patient was pale, dizzy, had normal bowel movements, yellow urine, no red gums, no pain, yellow dry tongue, red tongue, and pulsed strings. She has a history of hypertension and has a blood pressure of 160/118 mm Hg. The card is kidney yin deficiency, virtual fire inflammation. Responsible for yin and yang, reduce the risk of fire, and to stop bleeding, with Zhibai Dihuang Tang Flavor: If the mother 10 grams Treats 10 grams Rehmannia 15 grams Danshui 10 grams Alisma 6 grams Red peony 10 grams Achyranthes 15 grams Shiqi 12 grams Scrophulariaceae 15 Black Puhuang 6 grams (cloth). Take 1 dose, when the night gingival relieve, take 2 blood only. Referral: According to the original side of the service to consolidate the three doses of efficacy, follow-up so far no recurrence.