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吾×××,男,11岁,维族。住院号:266850。患者于1992年10月10日因全身紫癜、鼻衄求诊,伴面色苍白,精神疲倦,头昏头晕,纳谷不香,不思饮食。查血小板20×10~9/L。门诊拟血小板减少性紫癜,收住我院儿科。住院后经用维生素C,维生素K_4、青霉素、强的松等药治疗两个月,精神好转,皮肤紫癜消失,但是血小板始终不升,仅30×10~9/L。12月13日请中医会诊协助治疗。见病人面色苍白,肢体消瘦软弱无力,纳食不香,腹胀便秘,腹部膨隆,无移动性浊音,脉细软无力,苔光剥,舌质红。症属气虚肾亏、血瘀。治拟益气补肾活血:黄芪、鸡血藤各15克,党参20克,白术、赤芍、补骨脂各12克,菟丝子10克,生大黄、当归各6克,茜草9克,大枣10个,5付。
My × × ×, male, 11 years old, Uygur. Hospital number: 266850. Patients on October 10, 1992 due to systemic purpura, epistaxis consultation, with pale complexion, mental fatigue, dizziness and dizziness, the valley is not fragrant, do not think diet. Check the platelets 20 × 10 ~ 9 / L. Outpatient to reduce thrombocytopenic purpura, admitted to our hospital pediatrics. After hospitalized with vitamin C, vitamin K_4, penicillin, prednisone and other drugs for two months, the spirit improves, the skin purpura disappeared, but the platelet did not rise, only 30 × 10 ~ 9 / L. December 13 Please Chinese medicine consultation to help cure. See the patient pale, limbs weak and feeble, satisfied that the food is not fragrant, abdominal distension constipation, abdominal bulging, no moving dullness, weak pulse, moss stripping, red tongue. Symptoms of kidney deficiency, blood stasis. Qi and kidney Qi and blood: Astragalus, Millettia each 15 grams, 20 grams of Codonopsis, Atractylodes, Radix Paeoniae Rubra, 12 grams each, Dodder 10 grams, rhubarb, Angelica 6 grams, 9 grams of madder, jujube 10, 5 pay.