崔×,男,8岁.因车祸于1984年10月12日收住本县人民医院外科,查为“脾破裂、胃底出血、右侧股骨骨折”,急行脾切除、胃修补术.术后继发“肠粘连、麻痹性肠梗阻”,时仅一周,行剖腹术三次,屡用新斯的明肌注、胃肠减压、抗炎、输血、补液维持水电质平衡及中药通下等保守疗法,罔效.会诊意见:继续手术,效果欠佳,预后莫测.家属转请中医治疗.刻诊.术后三日无大便、矢气,少尿,形体消瘦,肌肤枯燥,面色苍白,目眶陷下,腹部膨隆,胀痛拒按,潮热烦躁,时有呻吟,舌质红绛乏津,舌苔黑燥起刺,舌下脉络瘀滞,脉沉实数.听诊无肠鸣,叩诊呈鼓音.证属水热瘀互结,腑气不通.治宜逐水、泻热、攻瘀、通腑.方选大陷胸汤加味:大黄12克、芒硝、桃仁各9克、甘遂3克.嘱先煎桃仁、后下大黄,以开水20毫升浸芒硝15分钟,取清汁与煎汁合,入甘遂末和匀,分两次连夜进服.药后两时许,患儿阵发性腹痛加剧,子夜即觉腹中滚动,鸣响之声渐增,翌晨即泻下大便三次,先坚后溏色皆黑,坚者如石卵,溏者臭难闻.至此,腹胀随便续减,危笃之势顿挫.形疲而颜面有神,口渴而舌上津生,舌下脉络微滞,苔薄黄,脉细数.此结开腑通,气液两伤,余邪未净.拟育阴增液、益脾化瘀.选增液汤合四君子汤加桃仁、大黄少许,以资善后,嘱只宜少饮米汤, Cui ×, male, aged 8. Because of a car accident in October 12, 1984 admitted to the county People’s Hospital surgery, checked as “splenic rupture, gastric bleeding, the right femoral fracture, acute splenectomy, gastric repair surgery. Subsequent ”intestinal adhesion, paralytic ileus" when only one week, the line laparotomy three times, repeatedly with Neostigmine injection, gastrointestinal decompression, anti-inflammatory, blood transfusion, hydration to maintain water and electricity balance and traditional Chinese medicine Such as conservative treatment, indiscriminate. Consultation advice: continue surgery, poor results, unpredictable prognosis .Families turn to Chinese medicine treatment. Carved .After three days without stool, vestibular gas, oliguria, body weight loss, dull skin, complexion Pale, head orbital depression, bulging abdomen, pain and refusal to press, hot flashes irritability, moan when the tongue crimson crimson, tongue black dry prickly, sublingual vein network stasis, pulse Shen real number auscultation without bowel Percussion was drum sound. Card is water and heat stasis each node, Fu gas unreasonable. Expelling water, diarrhea heat, attack stasis, Tongfu. , Kansui 3 grams.Will first fried peach, after the next rhubarb, with boiled water 20 ml Glauber salt for 15 minutes, take clear juice and decoction together, then into the end of Gan and even, divided into two night into the service .After two hours , Children Severe abdominal pain, the night that sleep in the abdomen, the sound of the sound of the increase, the next morning that stool three times under diarrhea, the first Kennedy after the color is black, Kennedy stone eggs, mound smelly. At this point, abdominal distension Just continue to reduce the risk of Dan situation frustration .Fatigue and facial expression of God, thirst and the tongue on the jinsheng, sublingual vein micro-hysteresis, thin yellow fur, pulse breakdown .This knot open Fu Tong, gas and liquid two injuries, Yu Evil net.Phyllisophenyanzeng fluid, benefiting the spleen and removing blood stasis.Selection of liquid soup with four gentlemen soup plus peach, rhubarb a little, with good, then only advised to drink less rice soup,