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(一)热入血室龙某,女,25岁。住本乡同功桥村。1988年3月诊。分娩后3日,感受风寒,发热昏迷,汗出腹痛,经服中西药治疗6天诸证不减,延余诊视,高热汗出,时有恶风,神昏谵语,两目常直视,时作昏睡,躁扰不宁,烦渴喜饮冷,气粗声洪,胸腹热甚,少腹拒按而痛,小便赤、大便秘,饮食不进,口苦而间有呕逆,恶露量少有黑块,体温波动在39～41.5℃,舌尖红干、苔薄白少津,脉弦大有力,吾以产后血脉空虚,风寒外袭,热入血室,淤血阻滞,邪热上扰神明为治。拟和解清热行淤为法。投柴胡白虎合桃仁承气汤加减:柴胡15克 參须10克炙草6克石膏30克大黄15克(酒炒) 条芩15克(炒) 法夏10克 知
(A) The hot blood room Long, female, 25 years old. Live in the village of Tongxiang Township. March 1988 consultation. 3 days after childbirth, feeling cold, fever coma, sweating abdominal pain, after treatment with Chinese and Western medicine treatment for 6 days, the evidence is not reduced, delayed diagnosis, high fever sweating, when there is evil wind, God faint language, two eyes often look straight, When sleeping, disturbed restlessness, thirst and hi drink cold, gas rough sound, chest and abdomen heat even, lower abdomen refused to press and pain, red urine, constipation, diet does not enter, bitter and vomiting, lochia Less black mass, body temperature fluctuations in the 39 ~ 41.5 °C, red tongue, dry tongue, thin white Shaojin, pulse string strong, I empty postpartum blood vessels, cold outspoken, hot into the blood chamber, congestion block, evil fever on the disturbance God is rule. It is proposed to reconcile the heat and eliminate silt. Cast Chaihu Baihuhe Taoren Chengqi Decoction: 15 grams of Radix Bupleuri, 10 grams of alfalfa, 6 grams of gypsum, 30 g of rhubarb, 15 g of Chinese rhubarb, and 15 g of fried quail (fried), 10 g of Faxia.