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儿科某些急性感染性疾病,在发热过程中,经常出现痞满,燥实或湿热挟滞等证。应用大承气汤攻下,用之得法往往效如桴鼓。现举治验病案如下。一、痢疾寇某,男,11岁,1985年9月8日初诊。患儿持续高热8小时,伴阵发性腹痛,恶心、呕吐1次,而来就诊。曾有不洁饮食史。体温40.2℃,痛苦表情,舌尖红,苔黄腻,咽不充血,心肺正常,下腹压痛,以左下腹较为明显,可触及条索状物。大便常规:白细胞10～15,诊为“痢疾”。
In some acute infectious diseases in pediatrics, there are frequent signs of fullness, dryness or dampness, heat retention, etc. during fever. The use of Dachengqi Tang to attack, use it often be effective. The following medical treatment cases are as follows. One, dysentery, a male, 11 years old, first diagnosed on September 8, 1985. The patient continued to have high fever for 8 hours with paroxysmal abdominal pain, nausea, and vomiting for one visit. There was a history of unclean eating. Body temperature 40.2 °C, painful expression, red tongue, greasy yellow coating, pharynx does not congestion, normal heart and lung, lower abdominal tenderness, more obvious to the left lower abdomen, palpable cords. Stool routine: Leukocytes 10 to 15, diagnosed as “diarrhea.”