主癥 初起脘部或繞臍疼痛,旋即轉(zhuǎn)移至右下腹,以手按之其痛加劇,痛處固定不移,右腿屈而難伸,并有發(fā)熱惡寒,惡心嘔吐,便秘 ,尿黃,舌苔薄膩而黃,脈數(shù)有力等證。若痛勢劇烈,腹皮拘急,拒按,局部可觸及腫塊,壯熱自汗,脈象洪數(shù)等,則屬重證。
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Main Manifestations Firstly, there is epigastric or periumbilical pain which soon moves down to the right lower quadrant. The pain is localized, intensified by pressure and accompanied by limited extention of right leg, chills and fever, nausea, vomiting, constipation, dark urine, thin yellowish stickly tongue coating , and rapid forceful pulse. The presence of excruciating pain intolerable with pressure, tenseness of belly, palpable lump found in the local of abdomen, high fever, spontaneous sweating, and surging and rapid pulse indicates a severe condition.醫(yī)學(xué)全在線www.med126.com
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治法 取手足陽明經(jīng)穴為主。毫針刺用瀉法,留針20-40min,一般每日針1-2次,重證可每隔4小時針刺一次。
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Treatment Points from Large Intestine Meridian and Stomach Meridians are chiefly prescribed. Reducing technique is applied with needles retained for 20 to 40 minutes. The treatment is given usually once or twice a day, but once every four hours for the severe cases.
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處方 天樞 闌尾穴 曲池 上巨虛
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Prescription Tianshu (ST 25), Lanwei (EX- LE 7), Quchi (LI 11) and Shangjuxu (ST 37). |