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游某,男,20天,1978年7月28日就诊。呕吐,食不下,不大便已20天。患儿于1978年7月8日出生后,呕吐频繁,哺乳后半小时即吐,生后一直未解大便。在某医院住院经钡灌肠,拟诊为“肠梗阻”。住院期间靠静脉点滴来维持,动员手术治疗,家属不同意,要求出院。7月28日给余诊,就诊时证见:精神疲乏,面色(白光)白,发育不良,形体消瘦,大肉下陷,头发稀疏,声音低弱,腹部胀满,按之濡,无包块,指纹沉淡不显,舌质淡嫩,舌苔薄白。询其母,在妊娠期间患重度贫血,患儿是第三胎足月顺产。中医辩证属脾胃虚寒,升降失职所致。
You You, male, 20 days, July 28, 1978. Vomiting, food can not eat, no bowel movement has been 20 days. After the child was born on July 8, 1978, her vomiting occurred frequently. She vomited half an hour after breastfeeding, and her bowel movement remained unsolved after birth. In a hospital hospitalized by barium enema, was diagnosed with “intestinal obstruction.” During the hospital stay to rely on intravenous drip to maintain the mobilization of surgical treatment, the family does not agree, requiring discharge. July 28 to the clinic, see the certificate: mental fatigue, pale (white), white, stunted, body weight loss, large meat subsidence, thin hair, low voice, abdominal fullness, according to the top, no mass, The fingerprints are dull, the tongue is light and the tongue is thin. Ask her mother, suffering from severe anemia during pregnancy, the child is a third child full-term delivery. Dialectics of traditional Chinese medicine is spleen and stomach deficiency, due to negligence.