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例1:肖某某,男,55岁,1982年12月20日初诊。患胃脘痛4年,近又复发。昨午餐后因挖土,强力作劳而突感心下剧痛,渐及全腹,恶心呕吐,大汗淋漓,持续剧痛约3小时后稍缓,某医院诊断为“溃疡病穿孔”,拟行手术,患者因拒绝手术而转送我院。诊见:痛楚面容,呻吟不已,屈腿半卧,两足不能伸,心下痛,按之石鞕,自心下至少腹鞕满而痛不可近,外候无大热,口干不多饮,舌红、苔薄黄,六脉沉紧。此水热实邪结于心下所致,是为大结胸。法当泻热逐水破结,乃投予:大黄10克芒硝15克甘遂末1.6克,先煮大黄去渣,纳芒硝煮微沸,入甘遂末,顿服。
Example 1: Xiao Moumou, male, 55 years old, newly diagnosed on December 20, 1982. Suffering from stomach cramps for 4 years, relapsed recently. After lunch yesterday, due to excavation, strong labor and sudden feelings of pain in my heart, gradually and the entire abdomen, nausea, vomiting, profuse sweating, sustained pain is slightly slower after about 3 hours, a hospital diagnosed as “perforation ulcers”, After surgery, the patient was transferred to our hospital for refusing surgery. See you at the consultation: Painful face, uncanny face, half-legged leg, two legs unable to stretch, pain under the heart, according to the sarcophagus, from the bottom of the heart at least full of pain and not near, no hot outside, dry mouth is not much Drink, red tongue, thin yellow coating, and six veins tight. This water-heat effect is caused by the heart and it is for the big chest. Dangdang hot water break knot, is to vote: Rhubarb 10 grams Glauber’s salt 15 grams of Ganzi at the end of 1.6 grams, first boiled rhubarb to the residue, Naiman salt cook boiled slightly, into the end Ganzi, Dayton clothing.