1病历摘要男,18岁。以头痛、流涕伴发热2 h就诊。查体:T 38.5℃,P 85次/min,R 18次/min,BP 130/75 mm Hg。体格检查:发热面容,双鼻腔有少量液性分泌物,咽部充血,心、肺、腹未见异常。拟诊为“感冒”。门诊医生给予氨咖黄敏胶囊2粒,口服,3次/d。因患者中度发热,临时给予柴胡注射 1 medical record summary Male, 18 years old. Treated with headache and runny fever for 2 h. Physical examination: T 38.5°C, P 85 beats/min, R 18 beats/min, BP 130/75 mm Hg. Physical examination: fever face, a small amount of liquid secretions in the nasal cavity, pharyngeal hyperemia, no abnormalities in heart, lung and abdomen. It was diagnosed as a “cold”. The outpatient doctor gave 2 capsules of Amika Huangmin capsule orally and 3 times a day. Temporary administration of Bupleurum injection for moderate fever