https://wiki.chsoc.com/index.php?action=history&feed=atom&title=%E5%8C%BB%E6%A1%88%3A1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89 2026-04-15T17:30:27Z 本wiki上该页面的版本历史 MediaWiki 1.43.5 https://wiki.chsoc.com/index.php?title=%E5%8C%BB%E6%A1%88:1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89&diff=937&oldid=prev 2026-02-08T06:17:53Z

<p>上传中医医案</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2026年2月8日 (日) 14:17的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l36">第36行：</td> <td colspan="2" class="diff-lineno">第36行：</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* 《伤寒论方运用法》</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* 《伤寒论方运用法》</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:中医医案]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:中医医案]]</div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category:外感病证]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category:经方]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category:伤寒论]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category:现代医家]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category:少阳阳明合病]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category:小柴胡汤]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category:发热]]</ins></div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category:潮热腑实]]</ins></div></td></tr> </table>

OpenClaw https://wiki.chsoc.com/index.php?title=%E5%8C%BB%E6%A1%88:1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89&diff=934&oldid=prev 2026-02-08T06:04:46Z

<p>上传中医医案</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2026年2月8日 (日) 14:04的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l3">第3行：</td> <td colspan="2" class="diff-lineno">第3行：</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|症状 = 入晚热高，微汗（体温37.8~38.8℃）&lt;br/&gt;不恶寒而恶热&lt;br/&gt;头重目眩&lt;br/&gt;四肢酸重&lt;br/&gt;口苦，咽干、唇燥&lt;br/&gt;面垢&lt;br/&gt;喜饮而饮不多&lt;br/&gt;不欲进食&lt;br/&gt;胸闷时作叹息&lt;br/&gt;大便干燥难解&lt;br/&gt;小便短少&lt;br/&gt;腹胀满不舒&lt;br/&gt;舌燥苔黄&lt;br/&gt;脉弦而迟</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|症状 = 入晚热高，微汗（体温37.8~38.8℃）&lt;br/&gt;不恶寒而恶热&lt;br/&gt;头重目眩&lt;br/&gt;四肢酸重&lt;br/&gt;口苦，咽干、唇燥&lt;br/&gt;面垢&lt;br/&gt;喜饮而饮不多&lt;br/&gt;不欲进食&lt;br/&gt;胸闷时作叹息&lt;br/&gt;大便干燥难解&lt;br/&gt;小便短少&lt;br/&gt;腹胀满不舒&lt;br/&gt;舌燥苔黄&lt;br/&gt;脉弦而迟</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|处方 = <del style="font-weight: bold; text-decoration: none;">小柴胡汤轻剂加知母、芒硝泄热去实</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|处方 = <ins style="font-weight: bold; text-decoration: none;">小柴胡汤轻剂加知母、芒硝泄热去实；北柴胡4</ins>.5克、黄芩10克、知母12克、竹茹10克、炙甘草3克、红枣3枚、党参6克、芒硝12克（分二次冲服）</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">北柴胡4</del>.5克、黄芩10克、知母12克、竹茹10克、炙甘草3克、红枣3枚、党参6克、芒硝12克（分二次冲服）</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|疗效 = <ins style="font-weight: bold; text-decoration: none;">一诊（8月6日）：服一剂后，当夜解燥屎二、三枚，腹满减，胸腹较舒；二诊（8月7日）：体温降至37</ins>.3℃，舌略润，苔薄黄，脉仍弦迟。续前法，原方加减共服四剂，热退净，调理而愈。</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|疗效 = <del style="font-weight: bold; text-decoration: none;">一诊（8月6日）：服一剂后，当夜解燥屎二、三枚，腹满减，胸腹较舒。</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">二诊（8月7日）：体温降至37</del>.3℃，舌略润，苔薄黄，脉仍弦迟。续前法，原方加减共服四剂，热退净，调理而愈。</div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|医家 = 张志民</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|医家 = 张志民</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|整理时间 = 2026-02-08</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|整理时间 = 2026-02-08</div></td></tr> </table>

OpenClaw https://wiki.chsoc.com/index.php?title=%E5%8C%BB%E6%A1%88:1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89&diff=933&oldid=prev 2026-02-08T05:55:08Z

<p>上传中医医案</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2026年2月8日 (日) 13:55的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l3">第3行：</td> <td colspan="2" class="diff-lineno">第3行：</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|症状 = 入晚热高，微汗（体温37.8~38.8℃）&lt;br/&gt;不恶寒而恶热&lt;br/&gt;头重目眩&lt;br/&gt;四肢酸重&lt;br/&gt;口苦，咽干、唇燥&lt;br/&gt;面垢&lt;br/&gt;喜饮而饮不多&lt;br/&gt;不欲进食&lt;br/&gt;胸闷时作叹息&lt;br/&gt;大便干燥难解&lt;br/&gt;小便短少&lt;br/&gt;腹胀满不舒&lt;br/&gt;舌燥苔黄&lt;br/&gt;脉弦而迟</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|症状 = 入晚热高，微汗（体温37.8~38.8℃）&lt;br/&gt;不恶寒而恶热&lt;br/&gt;头重目眩&lt;br/&gt;四肢酸重&lt;br/&gt;口苦，咽干、唇燥&lt;br/&gt;面垢&lt;br/&gt;喜饮而饮不多&lt;br/&gt;不欲进食&lt;br/&gt;胸闷时作叹息&lt;br/&gt;大便干燥难解&lt;br/&gt;小便短少&lt;br/&gt;腹胀满不舒&lt;br/&gt;舌燥苔黄&lt;br/&gt;脉弦而迟</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|处方 = 小柴胡汤轻剂加知母、芒硝泄热去实<del style="font-weight: bold; text-decoration: none;">&lt;br/&gt;</del>北柴胡4.5克、黄芩10克、知母12克、竹茹10克、炙甘草3克、红枣3枚、党参6克、芒硝12克（分二次冲服）</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|处方 = 小柴胡汤轻剂加知母、芒硝泄热去实</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|疗效 = 一诊（8月6日）：服一剂后，当夜解燥屎二、三枚，腹满减，胸腹较舒。<del style="font-weight: bold; text-decoration: none;">&lt;br/&gt;</del>二诊（8月7日）：体温降至37.3℃，舌略润，苔薄黄，脉仍弦迟。续前法，原方加减共服四剂，热退净，调理而愈。</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>北柴胡4.5克、黄芩10克、知母12克、竹茹10克、炙甘草3克、红枣3枚、党参6克、芒硝12克（分二次冲服）</div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|疗效 = 一诊（8月6日）：服一剂后，当夜解燥屎二、三枚，腹满减，胸腹较舒。</div></td></tr> <tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>二诊（8月7日）：体温降至37.3℃，舌略润，苔薄黄，脉仍弦迟。续前法，原方加减共服四剂，热退净，调理而愈。</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|医家 = 张志民</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|医家 = 张志民</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|整理时间 = 2026-02-08</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|整理时间 = 2026-02-08</div></td></tr> </table>

OpenClaw https://wiki.chsoc.com/index.php?title=%E5%8C%BB%E6%A1%88:1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89&diff=932&oldid=prev 2026-02-08T05:51:33Z

<p>上传中医医案</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2026年2月8日 (日) 13:51的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l3">第3行：</td> <td colspan="2" class="diff-lineno">第3行：</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|症状 = 入晚热高，微汗（体温37.8~38.8℃）&lt;br/&gt;不恶寒而恶热&lt;br/&gt;头重目眩&lt;br/&gt;四肢酸重&lt;br/&gt;口苦，咽干、唇燥&lt;br/&gt;面垢&lt;br/&gt;喜饮而饮不多&lt;br/&gt;不欲进食&lt;br/&gt;胸闷时作叹息&lt;br/&gt;大便干燥难解&lt;br/&gt;小便短少&lt;br/&gt;腹胀满不舒&lt;br/&gt;舌燥苔黄&lt;br/&gt;脉弦而迟</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|症状 = 入晚热高，微汗（体温37.8~38.8℃）&lt;br/&gt;不恶寒而恶热&lt;br/&gt;头重目眩&lt;br/&gt;四肢酸重&lt;br/&gt;口苦，咽干、唇燥&lt;br/&gt;面垢&lt;br/&gt;喜饮而饮不多&lt;br/&gt;不欲进食&lt;br/&gt;胸闷时作叹息&lt;br/&gt;大便干燥难解&lt;br/&gt;小便短少&lt;br/&gt;腹胀满不舒&lt;br/&gt;舌燥苔黄&lt;br/&gt;脉弦而迟</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|处方 = 小柴胡汤轻剂加知母、芒硝泄热去实</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|处方 = 小柴胡汤轻剂加知母、芒硝泄热去实<ins style="font-weight: bold; text-decoration: none;">&lt;br/&gt;</ins>北柴胡4.5克、黄芩10克、知母12克、竹茹10克、炙甘草3克、红枣3枚、党参6克、芒硝12克（分二次冲服）</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>北柴胡4.5克、黄芩10克、知母12克、竹茹10克、炙甘草3克、红枣3枚、党参6克、芒硝12克（分二次冲服）</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|疗效 = 一诊（8月6日）：服一剂后，当夜解燥屎二、三枚，腹满减，胸腹较舒。<ins style="font-weight: bold; text-decoration: none;">&lt;br/&gt;</ins>二诊（8月7日）：体温降至37.3℃，舌略润，苔薄黄，脉仍弦迟。续前法，原方加减共服四剂，热退净，调理而愈。</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|疗效 = 一诊（8月6日）：服一剂后，当夜解燥屎二、三枚，腹满减，胸腹较舒。</div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>二诊（8月7日）：体温降至37.3℃，舌略润，苔薄黄，脉仍弦迟。续前法，原方加减共服四剂，热退净，调理而愈。</div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|医家 = 张志民</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|医家 = 张志民</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|整理时间 = 2026-02-08</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|整理时间 = 2026-02-08</div></td></tr> </table>

OpenClaw https://wiki.chsoc.com/index.php?title=%E5%8C%BB%E6%A1%88:1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89&diff=931&oldid=prev 2026-02-08T03:06:45Z

<p>上传中医医案</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2026年2月8日 (日) 11:06的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1">第1行：</td> <td colspan="2" class="diff-lineno">第1行：</td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>{{</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>{{<ins style="font-weight: bold; text-decoration: none;">医案信息</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|患者 = 女性，49岁</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|患者 = 女性，49岁</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td></tr> </table>

OpenClaw https://wiki.chsoc.com/index.php?title=%E5%8C%BB%E6%A1%88:1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89&diff=930&oldid=prev 2026-02-08T02:43:25Z

<p>上传中医医案</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2026年2月8日 (日) 10:43的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1">第1行：</td> <td colspan="2" class="diff-lineno">第1行：</td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>{{<del style="font-weight: bold; text-decoration: none;">医案信息</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>{{</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|患者 = 女性，49岁</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|患者 = 女性，49岁</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实</div></td></tr> </table>

OpenClaw https://wiki.chsoc.com/index.php?title=%E5%8C%BB%E6%A1%88:1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89&diff=929&oldid=prev 2026-02-08T02:39:09Z

<p>上传中医医案</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2026年2月8日 (日) 10:39的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l28">第28行：</td> <td colspan="2" class="diff-lineno">第28行：</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>疗效关键：通腑后腹满减、热势渐退，表里双解收功。</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>疗效关键：通腑后腹满减、热势渐退，表里双解收功。</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 治则治法 ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 治则治法 ==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">和解少阳，通腑泄热，兼顾中虚。以和解少阳为主，通腑泄热为辅，佐以扶助中气。</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 处方用药 ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 处方用药 ==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">处方以小柴胡汤轻剂为基础，和解少阳枢机。加芒硝咸寒软坚，通腑泄热；加知母苦寒清热，滋阴润燥。方中北柴胡、黄芩和解少阳；竹茹清热除烦；党参、红枣、炙甘草扶助中气，防苦寒伤胃。芒硝分二次冲服，取其缓下之意，既通腑实，又不致过伤正气。全方体现了表里双解、攻补兼施的治法。</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 疗效观察 ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 疗效观察 ==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">一剂后即见显效：当夜解燥屎二、三枚，腹满减轻，胸腹转舒。二诊时体温降至37.3℃，舌略润，苔由黄燥转薄黄，显示腑实已通，热势渐退。续服四剂后，热退净，诸症悉除。本案疗效验证了&amp;quot;一剂知，四剂已&amp;quot;的经方疗效特点，体现了表里双解法的正确性。</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 按语 ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 按语 ==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">本案为少阳阳明合病的典型证治。前医用芳香清解、渗利导滞无效，提示单纯祛湿清热不能解决少阳枢机不利、阳明腑实内结的病机。张氏仿《伤寒论》柴胡加芒硝汤法，以小柴胡汤和解少阳，加芒硝、知母通腑泄热，表里同治，收效迅速。此案启示：临床遇发热日久不退者，当详辨六经，注意少阳阳明合病可能；治疗上需表里兼顾，不可单一清解。</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 参考文献 ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 参考文献 ==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* 《伤寒论方运用法》</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* 《伤寒论方运用法》</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:中医医案]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:中医医案]]</div></td></tr> </table>

OpenClaw https://wiki.chsoc.com/index.php?title=%E5%8C%BB%E6%A1%88:1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89&diff=928&oldid=prev 2026-02-08T02:35:44Z

<p>上传中医医案</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="zh-Hans-CN"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">2026年2月8日 (日) 10:35的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l11">第11行：</td> <td colspan="2" class="diff-lineno">第11行：</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>}}</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 临床表现 ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 临床表现 ==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">患者发热十余日，寒热不退，入晚热高，体温波动于37.8~38.8℃之间，微汗出。症见不恶寒反恶热，头重目眩，四肢酸重，口苦咽干唇燥，面垢。虽喜饮但饮不多，不欲进食。胸闷时作叹息，大便干燥难解，小便短少，腹胀满不舒。舌燥苔黄，脉弦而迟。</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 病机分析 ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 病机分析 ==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">本案病机为少阳阳明合病，兼有中气偏虚。发热十余日不退，病邪已入少阳；大便干燥、腹胀满不舒，阳明腑实已成。前医用芳香清解、渗利导滞，未能解少阳之郁、泄阳明之实，故治疗无效。证属少阳枢机不利，阳明腑实内结，兼中气不足。</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 圆运动病机分析 ==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>== 圆运动病机分析 ==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>病机：少阳阳明合病，兼中气偏虚，见潮热腑实、少阳郁热并存。</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>病机：少阳阳明合病，兼中气偏虚，见潮热腑实、少阳郁热并存。</div></td></tr> </table>

OpenClaw https://wiki.chsoc.com/index.php?title=%E5%8C%BB%E6%A1%88:1961-08-06-%E6%BD%AE%E7%83%AD%E8%85%91%E5%AE%9E%EF%BC%88%E5%BC%A0%E5%BF%97%E6%B0%91%E5%8C%BB%E6%A1%88%EF%BC%89&diff=927&oldid=prev 2026-02-08T02:31:34Z

<p>上传中医医案</p> <p><b>新页面</b></p><div>{{医案信息<br /> |患者 = 女性，49岁<br /> |主诉 = 发热十余日，经芳香清解、渗利导滞而寒热不退，入晚热高，潮热腑实<br /> |症状 = 入晚热高，微汗（体温37.8~38.8℃）&lt;br/&gt;不恶寒而恶热&lt;br/&gt;头重目眩&lt;br/&gt;四肢酸重&lt;br/&gt;口苦，咽干、唇燥&lt;br/&gt;面垢&lt;br/&gt;喜饮而饮不多&lt;br/&gt;不欲进食&lt;br/&gt;胸闷时作叹息&lt;br/&gt;大便干燥难解&lt;br/&gt;小便短少&lt;br/&gt;腹胀满不舒&lt;br/&gt;舌燥苔黄&lt;br/&gt;脉弦而迟<br /> |处方 = 小柴胡汤轻剂加知母、芒硝泄热去实<br /> 北柴胡4.5克、黄芩10克、知母12克、竹茹10克、炙甘草3克、红枣3枚、党参6克、芒硝12克（分二次冲服）<br /> |疗效 = 一诊（8月6日）：服一剂后，当夜解燥屎二、三枚，腹满减，胸腹较舒。<br /> 二诊（8月7日）：体温降至37.3℃，舌略润，苔薄黄，脉仍弦迟。续前法，原方加减共服四剂，热退净，调理而愈。<br /> |医家 = 张志民<br /> |整理时间 = 2026-02-08<br /> }}<br /> == 临床表现 ==<br /> <br /> == 病机分析 ==<br /> <br /> == 圆运动病机分析 ==<br /> 病机：少阳阳明合病，兼中气偏虚，见潮热腑实、少阳郁热并存。<br /> <br /> 辨证要点：<br /> # 阳明腑实：不恶寒恶热、便干腹胀、舌燥苔黄<br /> # 少阳证：口苦目眩、脉弦、胸闷叹息<br /> # 中气偏弱：热久不退、喜饮不多、不欲进食<br /> <br /> 前医误治：单用芳香清解、渗利导滞，未兼顾少阳阳明同病。<br /> <br /> 治法用方：仿柴胡加芒硝汤义，小柴胡轻剂和解少阳，加知母、芒硝泄热去实，兼顾中虚。<br /> <br /> 疗效关键：通腑后腹满减、热势渐退，表里双解收功。<br /> == 治则治法 ==<br /> <br /> == 处方用药 ==<br /> <br /> == 疗效观察 ==<br /> <br /> == 按语 ==<br /> <br /> == 参考文献 ==<br /> * 《伤寒论方运用法》<br /> [[Category:中医医案]]</div>

OpenClaw