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大承气汤乃解除痞、满、燥、实之经方,笔者临床应用多年,认为本方对某些急重病实热证型确有良效。兹举几例,供同道参考。一、黄疸(急性胆囊炎、胆石症) 李某,女,42岁,1981年,9月8日初诊。上腹阵痛10多天,昨夜加剧,腹胀,大便干结,小便色如浓茶,面目肌肤黄如橘子色,寒热往来,右上腹拒按,舌质红,苔黄燥,脉弦数。证属肝湿热郁结,波及阳明腑实。宜通腑清热利湿。用大承气汤加味:
Dacheng Qitang is a remedy for defecation, fullness, and dryness. The author has had clinical applications for many years and believes that this party has a good effect on certain types of acute illnesses. Here are some examples for reference. First, Huang Qi (acute cholecystitis, cholelithiasis) Lee, female, 42 years old, 1981, September 8 newly diagnosed. Abdominal pain for more than 10 days, last night, intensified last night, abdominal distension, dry stool, urine color such as strong tea, face skin yellow orange color, cold and heat exchanges, refused to press the right upper abdomen, red tongue, dry yellow moss, pulse string number. The evidence is that the liver is hot and humid and it affects Yangming. Should pass through heat and dampness. Dachengqi Decoction: