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笔者近年在门诊收治患深部静脉炎11例,以活血化瘀为法,兼以利湿消肿,对瘀血引起的沉疴痼疾,获得奇效。本组年龄最大者64岁,最小14岁。发病最短者5天,长者42天,除2例外伤,余9例为产妇和老人,并有卧床病史。证见患肢严重肿胀,呈凹陷性水肿,表浅静脉曲张,皮色紫暗,患侧股部围径均以健侧粗。患肢小腿部有挤压痛,膝关节曲伸不利,行走困难。以活血化瘀为主,兼利湿消肿。自拟化瘀消肿汤:丹参、川牛膝,鸡血藤、泽泻各30克,土茯苓40克,赤芍20克,桃仁12克,炒穿山甲15克,川芎,红花、大黄炭各10克。加减:产后下肢肿加益母草30克;瘀血重加(?)虫,全蝎各10克,地龙20克,螟蚣一条;湿重加防已15克,赤小豆60克。日一剂,水煎服,日二次。一般服药两天后,患肢肿胀开始消退。
In recent years, the author has treated 11 patients with deep phlebitis in the outpatient department and treated them with Huoxue Huayu as a method, combined with dampness, swelling and swelling, and caused phlegm and blood stasis caused by blood stasis. The oldest person in this group was 64 years old and youngest 14 years old. The shortest episode was 5 days, and the elderly 42 days. Except 2 injuries, the remaining 9 cases were maternal and elderly, and had a history of bed rest. The syndrome showed severe swelling of the affected limbs, with depressed edema, superficial varicose veins, dark purple skin, and ipsilateral girth circumferences were all thickened on the contralateral side. There is pain in the lower limbs of the affected limbs, and the knee joints are unfavorable in flexion and extension and difficulty in walking. Mainly to promote blood circulation, and dampness swelling. Self-made Huayu Xiaomao Decoction: Salvia miltiorrhiza, Chuan Bing, Millettia, Alisma 30 grams each, 40 grams of Smilax glabra, Radix paeoniae 20 grams, Peach kernel 12 grams, fried pangolin 15 grams, Chuanxiong, safflower, rhubarb charcoal Each 10 grams. Addition and subtraction: postpartum lower extremity swollen Motherwort 30 grams; blood stasis plus weight (?) insects, 10 grams of the whole medlar, 20 grams of earthworm, quail one; wet weight plus anti-15 grams, 60 grams of red bean. Day one, Shuijianbi, the second day. Two days after taking the medicine, swelling of the affected limb began to subside.