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李××,男,28岁。4月4日傍晚,被密蜂剌伤颏部左侧,随用碱水洗擦伤处,并用庆大霉素、四环素等药注射、内服,罔效,肿痛愈甚。翌日下午来诊时,患者精神不振,表情痛苦,颏部左侧有一针刺样伤口,伤面干痂,颏部肿硬疼痛,下及颈胸红肿,左侧下颌高度红肿疼痛,酷似痈疮。脉浮,舌红,苔黄。血验:白血球总数11.200,分类:中性76%,淋巴21%,酸性3%。诊断为蜂刺伤。“痛则不通”由于蜂毒外袭,营卫不宣,络脉壅遏不畅,致使患处红肿疼痛。治宜散邪败毒。方用败毒散加减(以汤代散):羌活14克,独活13克,柴胡1 3克。前胡12克,川芎13克,云芩13克,枳壳13克,天葵子15克,蚤休15克,甘草5克,二付,水煎服。
Li X, male, 28 years old. On the evening of April 4th, the bee was bruised on the left side of her jaw and washed with an alkali solution to wash her bruises. The injections of gentamicin and tetracycline were taken orally, and the results were even worse. On the afternoon of the next day, the patient complained of a lack of energy and expression. There was a needle-like wound on the left side of the zygomatic area, and the wound surface was dry. The zygomatic swelling was hard and painful. The lower part of the jaw was red and swollen. The left lower jaw was highly swollen and painful, resembling acne. . Pulse floating, red tongue, yellow fur. Blood test: The total number of white blood cells is 11.200. Classification: Neutral 76%, Lymphatic 21%, Acidic 3%. The diagnosis was a bee sting. “The pain is unreasonable.” Because the bee venom attacked, the health guards did not declare, and the collaterals were uncomfortable, resulting in swelling and pain in the affected area. Expensive waste and evil. The side added and subtracted with seizure powder (by Tang Dai San): 14 grams of alfalfa live, 13 grams of live alone, 13 grams of Bupleurum. 12 grams of Peucedanum, 13 grams of Chuanxiong, 13 grams of Yunqi, 13 grams of Citrus aurantium, 15 grams of Tiankuzi, 15 grams of wolfberry off, 5 grams of licorice, second pay, Shuijianbi.