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杨某某,男,12岁。1978年6月14日初诊。因两天前突然高热、呕吐数次,腹痛拒按,日行脓血大便6～7次,伴里急后重而送来急诊。查:T39.6℃,R28次/分,P112次/分,BP11.6/6.6KPa,呈急性病容,躁动不安,神志恍惚,时有抽动,面色灰暗,四肢不温。双肺呼吸音粗,心率112次/分,律齐。腹部隆起,肝脾未扪及,肠鸣音减弱。舌质红,苔黄根腻,脉弦细数。大便常规示:脓球(++),白细胞1～5/HP,红细胞1～3/HP。西医诊为“中毒性菌痢”,即施对症处理,未见缓解,高热、抽搐有增无减,四肢厥冷,呕吐频作,行鲜血大便2次,遂邀余会诊,诊为“热毒痢”。证
Yang Moumou, male, 12 years old. First visit on June 14, 1978. Due to sudden high fever and vomiting several times a day ago, abdominal pain refused to press, daily abscess blood stool 6 to 7 times, accompanied by tenesmus and sent emergency. Check: T39.6°C, R28 beats / min, P112 beats / min, BP11.6 / 6.6KPa, acute illness, restlessness, ambition, twitching, dark complexion, limbs not warm. The breath sounds thick in the lungs with a heart rate of 112 beats/min. The abdomen bulges, the liver and spleen are not affected, and the bowel sounds weaken. Red tongue, tired yellow moss, pulse string breakdown. The stool routine showed: pus (++), white blood cells 1 to 5/HP, red blood cells 1 to 3/HP. Western medicine diagnosed as “toxic bacteria”, that is, symptomatic treatment, no remission, high fever, convulsions increase unabated, limb cold, frequent vomiting, blood and bowel movements 2 times, invited more than consultation, diagnosed as “hot Drug abuse.” certificate