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一、湿热侵胆王某,女,38岁,我院职工,患急性胆囊炎。其症寒热往来,胸胁苦满,心烦喜呕,面目发黄,口苦不食,右上腹部及右肩胛下胀痛,大便干结已服轻泻剂,小便深黄。住院已一星期,未见好转,正准备行胆囊摘除术,因患者不同意,邀我会诊。查舌苔黄腻,脉弦滑数,此湿热侵胆,影响及胃,致胆失清净之职,胃失和降之常,治宜清热利胆,和胃降逆。用小柴胡合温胆汤加味:苦参10克,柴胡10克,黄芩6克,法半夏10克,茯苓10克,陈皮5克,枳实6克,水竹茹10克,郁金10克,茵陈10克,碧玉散10克布包煎。
First, hot and humid invading bile Wang, female, 38 years old, staff of our hospital suffering from acute cholecystitis. The symptoms of cold and heat exchanges, Xiong Xiong Kuman, upset and hi vomiting, face yellow, bitter not to eat, right upper abdomen and right shoulder under the arm pain, dry stool has served laxative, dark yellow urine. I have been hospitalized for a week and I have not seen any improvement. I am planning to perform gallbladder removal surgery because patients do not agree and I am invited to consult. Check the tongue greasy yellow, slippery pulse string number, this hot and humid invade the gallbladder, affect the stomach, cause gallbladder to lose the clean position, stomach loss and drop the usual, expelling heat and gallbladder, and stomach downside. With Xiaochaihuhe Wendantang flavored: Sophora 10 grams, 10 grams of Bupleurum, Astragalus 6 grams, 10 grams of Pinellia, Poria 10 grams, 5 grams of dried tangerine peel, Gorgon fruit 6 grams, Shuizhuru 10 grams, Yujin 10 grams , Yinchen 10 grams, 10 grams of jasper bread package fried.