张某,女,63岁。1988年11月25日下午3时许,因上腹部突然不适,继则胀痛,呕血,出血量约400ml,急诊住院。入院诊断为门脉高压症,上消化道出血,脾肿大。给予止血,抗炎,输血等治疗,仍呕血不止。10天后病情恶化,呕血便血并作,家属知难救治,自动出院,转求中医施治。 8日初诊患者状如神脱气绝,色态如尸,呼吸微弱,无能自主,脉沉细如丝,舌质干燥无苔,仍继续呕血未止。思辨病机:气为血帅,气血冲和,则血行于络中,气病必然累及血病,气机逆道,迫血离道随气上 Zhang, female, 63 years old. At 3 pm on November 25, 1988, due to sudden discomfort in the abdomen, following pain, vomiting blood, bleeding volume of about 400ml, emergency hospital. Admission to hospital for diagnosis of portal hypertension, upper gastrointestinal bleeding, splenomegaly. Give hemostasis, anti-inflammation, blood transfusion and other treatments, still vomiting more than blood. After 10 days, his condition deteriorated, hematemesis and blood in the stool were performed, and the family members became aware of the difficulty in treatment. They were automatically discharged and transferred to Chinese medicine for treatment. On the 8th, the newly diagnosed patient was decapitated, his body color was corpse, his breath was weak, his incompetence was involuntary, his veins were thin and silky, and his tongue was dry and without furrow, and his vomiting continued. Speculative pathogenesis: Gas is blood and handsome, blood and red blood, the blood line in the network, gas disease must involving the blood disease, air machine reverse road, forced blood from the road on the gas