白虎加人参汤、增液汤治疗一例风温病的报告

病人48岁,男,春天得病。最初数日疲倦无力,头颈出汗,肢节疼。第五日开始手足厥冷,尤其高烧41℃,有寒战。以后每天波动在38.5℃和40.5℃之间,伴以头痛、失眠、多汗。第二周末胸腹发现散发的红斑点,出汗和发疹是本病病程中突出的症状。第三周中住院,经过各项检查,排除了伤寒、结核病、流感等。入院后白细胞计数数日内连续下降至1350/mm~3。大量抗菌药和输血无效。中医根据症候群诊断为风温病,立刻进白虎加入参汤。致使白细胞计数曲线在两天内由下降急剧转变为上升,一直达到正常水平,以后稳定在正常范围内,在此治疗之后与此联同应用增液汤,下柏油便数行。于是热全退,汗止8/10,住院三周,进入恢复期,本报告应用现代科学观点讨论了诊断和药物的作用。

Treatment of Wind-Warm Syndrome (Febrile Diseases Caused by Wind)—Report of One Case

A patient, 48 years old, male, was sick in spring. On the fifth day he began to have a high fever about 41℃, with chills. Thereafter, the daily fever varied between 38.5℃ and 40.5℃, accompanied by profuse sweat. By the end of the second week, scattered erythematous eruptions were found in the breast and abdominal region. Sweating and the erupions were likely to be the prominent symptoms in the course of disease. After admission, blood examination showed that WBC decreased to 1350/mm~3 in a few days. It was of no use to administer large doses of antibacterial agents and blood transfusion. The patient's life got into danger. However, on the basis of "four large" syndrome the diagnosis of windwarm syndrome was made, and the patient was given Bei Hu ad ginseng decoctum(白虎加人参汤). The WBC curve, then, returned to normal whitin two days. At the same time, Zeng Yi decoctum (增液汤) was used, which caused several tar stools. Thus, the fever came down at all and sweating was relieved. The patient entered a convalescent stage afetr he stayed in hospital for three weeks.