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例1、孙××,男,6岁。1990年5月14日初诊。患儿大便失禁三天,昼夜不分,日数次至十余次,量多少不等。患儿二周岁后从未出现过类似病史,近来大便1~2日一次,粪便成形,无腹痛便血等,也无局部外伤史,唯近来食欲较差,夜寐见安。诊患儿发育尚可,神志智力无异常,面白睛青,舌淡苔白,指纹淡红。再查肛门闭合良好,括约肌收缩力正常,肛内未检及肿块等。大便、血常规化验均正常。治拟健脾益气、补肾固涩。方用补中益气汤加减:炙芪、党参各20g,菟丝子、龙骨(先煎)各12g,炒白术、益智仁、补骨脂、诃子、陈皮各5g,升麻、炙草各3g.服3剂后症状大为改善。服完二剂已未再有大便不禁,食欲增加,夜寐安,上方去龙骨、加炒内金5g,焦楂曲各10g,续服5剂。二年后随访无复发。
Example 1, Sun × ×, male, 6 years old. May 14, 1990 newly diagnosed. Children with fecal incontinence three days, day and night regardless of the number of times to more than ten times the amount of varying. Children never appear after the age of two similar medical history, recent stool 1 to 2 days, fecal formation, abdominal pain without blood in the stool, no history of local trauma, the recent poor appetite, sleepless nights. Pediatric development is acceptable, no abnormal mental capacity, face white eyes green, pale tongue, white fur, fingerprints red. Re-check the anus closed well, sphincter normal contractility, the anus did not detect the lumps and so on. Stool, blood tests were normal. Treatment of spleen Qi, kidney Guse. Side with Bu Zhong Yi Qi Decoction: Sunburn Qi, Codonopsis 20g, dodder, keel (fried first) the 12g, fried Atractylodes, puzzle kernel, psoralen, myrobalan, dried tangerine peel 5g, cohosh, 3g. Served after 3 doses of symptoms improved significantly. After taking two doses of no longer have stool can not help but appetite increased, sleep soundly night, the top to the keel, add gold within the 5g, coke Hawthorn each 10g, continued serving 5. Follow-up after two years without recurrence.