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张某,女,28岁,1976年2月26日入院。发热,精神异常,大小便失禁2天。患者1周来患“感冒”未愈,继之出现精神异常,哭笑无常,初诊“精神分裂症”而给镇静药,当晚大小便失禁,次日进行会诊,诊为“病毒性脑炎”而转中医治疗。诊见身热(体温39℃)夜甚,心烦不寐,神昏谵语,舌质红绛,脉象细数等,此属邪热入营,逆传心包。治宜清心开窍。方选清宫汤加减送服安宫牛黄丸,处方:玄参15克,莲心6克,竹叶9克,连翘12克,水牛角65克(先煎),麦冬15克,大青叶21克。1剂,水煎取300毫升,分2次(每次加
Zhang, female, 28 years old, was admitted on February 26, 1976. Fever, mental disorders, incontinence for 2 days. The patient was suffering from a “cold” illness in 1 week, followed by a mental abnormality, crying and laughter. The patient was given a sedative medication when he was first diagnosed with “schizophrenia,” he was incontinent on the night, and he was diagnosed the next day as a “viral encephalitis.” And turn Chinese medicine treatment. At the time of consultation, I saw a fever (temperature of 39°C) at night. I was upset and uneasy, and my faint language, red tongue, and breakdown of pulse and pulse were the evil heat entering the camp and the pericardium. Expediently clean heart. Fang Xuan Qing Gong Tang Decoction to take Angong Niuhuang Wan, prescription: Scrophulariae 15 grams, 6 grams of lotus root, bamboo leaves 9 grams, 12 grams of Forsythia, buffalo horn 65 grams (first fried), Ophiopogon japonicus 15 grams, Daqingye 21 grams. 1 dose, 300 ml water, 2 times (per time