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例1 李某,男,38岁,工人,1991—7—10初诊,患者于发病2天前,自觉右小腿曾被蚊虫叮咬,而后整个小腿先痒后疼,红漫肿,疼痛跛行。周身发热恶寒,伴头昏乏力,食欲不振,口苦,小便短赤,大便干燥,查体:体温38.7℃,痛苦面容,舌质偏红,苔黄腻,脉弦数有力。右小腿外侧中三分之一处有一溃疡,约8×6cm,中心缺血性坏死,皮色灰黑,疮口凹陷,边缘形如缸口,并向周围漫延,流溢灰黑及青紫色秽臭的污血脓水,并伴有小腿静脉曲张。化验:白细胞12000/mm~3,中性82％,血沉62mm/小时。中医辨
Example 1 Lee, male, 38 years old, worker, 1991-7-10 Newly diagnosed, patients with conscious right leg had mosquito bites 2 days before the onset, and then the whole leg itching after the first pain, red diffuse swelling, pain limp. Whole body fever chills, accompanied by dizziness, loss of appetite, mouth bitter, short urine red, dry stools, physical examination: body temperature 38.7 ℃, painful face, reddish tongue, yellow moss, strong pulse string. About one third of the right lateral leg ulcer, about 8 × 6cm, central ischemic necrosis, gray skin color, sores depression, edge-shaped cylinder mouth, and spread to the surrounding, flowing gray and black foul smells The foul pus water, accompanied by calf varicose veins. Laboratory tests: leukocytes 12000 / mm ~ 3, 82% neutral, ESR 62mm / hour. Chinese medicine discrimination