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患者李某,男,67岁,病案号6383。 1984年9月高血压脑溢血后昏迷3年多,病情尚属稳定。四肢皮肤反复出现大疱和红疹2个多月,经皮肤科诊断为大疱样类天疱疮、疱疹样皮炎,曾用反应停、DDS等药物治疗2月余,症状未能控制,由局部发展至全身皮肤出现大疱,此起彼伏,反复发作。于1987年6月11日转中医科诊治,诊见:面色(白光)白,神志不清,低声呻吟,四肢呈强直性瘫痪,四肢及躯干皮肤有大小不等的大疱,大如核桃,小似黄豆。疱内抽出液为浆性浅黄色液体,部分已溃破形成结痂或糜烂面,全身情况较差,故未作皮肤活检及免疫检查。中医辨证为血虚生风,水湿内蕴所致,治以养血祛风,少佐利湿。药用当归9,生地12,首乌10,赤芍9,黄芪12,
Patient Lee, male, 67 years old, case number 6383. September 1984 hypertensive stroke after a coma for more than 3 years, the condition is still stable. Limbs and skin repeated bullous and rash more than 2 months, the dermatology diagnosis of bullous pemphigoid, herpetic dermatitis, had used the reaction stopped, DDS and other drug treatment for more than 2 months, the symptoms failed to control, from Local development to the whole body skin blisters, one after another, repeated attacks. On June 11, 1987, he went to the Department of Chinese medicine for diagnosis and treatment. The doctor saw: white (pale) white, unconsciousness, whispered moan, his limbs were ankylosingly paralyzed, limbs and trunk skin with large blisters of different sizes, , Small like soybeans. Blisters fluid as a pale yellow liquid, the part has been crushed to form scab or erosion surface, the overall condition is poor, it is not for skin biopsies and immunological tests. Syndrome differentiation of traditional Chinese medicine for the blood of the wind deficiency, caused by water intrinsic, rule to nourishing expelling wind, less Zuoli wet. Medicinal Angelica 9, habitat 12, Shouwu 10, red peony 9, Astragalus 12,