Assignment

Name: Teh Hui Jia 郑慧嘉

Student ID: B190120B
Batch: BTCM19-B1
Subject: BOMS4035 Pediatrics of TCM 中医儿科学
Lecturer: Mr. Teo Chee Fong 张志峰讲师
 Assignment 课后作业
（中英文作答）(Answer the questions with Chinese and English)

1.如何区分生理性胎黄、病理性胎黄？How to distinguish physiological and

pathological conditions in neonatal jaundice?

鉴别点 生理性胎黄 病理性胎黄

Identification Physiological conditions in neonatal Pathological conditions in neonatal
points jaundice jaundice

出现时间 足月儿生后 2-3 天出现，4-5 天达高峰； 24 小时内出现或出现过迟

早产儿生后 3-5 天出现，5-7 天达高峰
Time of onset Onset within 24 hours or too late
2-3 days after birth, peaking at 4-5 days for
full-term infants; 3-5 days after birth,
peaking at 5-7 days for preterm infants

消退时间 足月儿<2 周 足月儿>2 周

Time to fade <2 weeks for full-term infants infants >2 weeks for full-term infants
早产儿 3-4 周 早产儿>4 周
3-4 weeks for preterm Preterm infants > 4 weeks
或退而复现
or receding and reappearing

血清胆红素 日升高＜85μmol/L (5mg/dL) 日升高＞85μmol/L (5mg/dL)

Serum 或每小时＜0. 5mg/dL 或每小时＞0. 5mg/dL
bilirubin
未超过 Bhutani 曲线的第 95 百分位数 超过 Bhutani 曲线的第 95 百分位数

未达到相应日龄、胎龄及相关危险因素 达到相应日龄、胎龄及相关危险因
下的光疗干预标准 素下的光疗干预标准

Daily elevation <85μmol/L (5mg/dL) Daily elevation >85μmol/L (5mg/dL)

or <0. 5mg/dL per hour or >0. 5mg/dL per hour

Not exceeding the 95th percentile of the Exceed the 95th percentile of the
Bhutani curve Bhutani curve

Not achieving the criteria for phototherapy Achieved the criteria for phototherapy
intervention at the appropriate day, intervention at the appropriate day,
gestational age and associated risk factors gestational age and associated risk
factors
结合胆红素 >34μmol/L (2mg/L)

Conjugated
bilirubin

伴随症状 无其他临床症状 有其他症状，如精神倦怠、不欲吮

乳，大便或呈灰白色等；有原发疾
Accompanyin No other clinical symptoms
g symptoms 病表现
Other symptoms, such as mental
lethargy, not wanting to suckle, stools
or grayish white; primary disease
manifestations

2.胎黄如何辨证施治？How to treat neonatal jaundice by pattern differentiation of

syndrome?
湿热郁蒸以面目皮肤色黄，色泽鲜明如橘，哭声响亮，尿黄，舌红苔黄腻为辨
证要点，治以清热利湿退黄，方用茵陈蒿汤。寒湿阻滞以面目皮肤色黄，色泽
晦暗，精神萎靡，四肢欠温，纳呆便溏，舌淡苔白腻为辨证要点，治以温中化
湿退黄，方用茵陈理中汤。气滞血瘀以面目皮肤发黄，晦暗无华，右胁下痞块
质硬，肚腹膨胀，青筋显露，瘀斑，舌见瘀点为辨证要点，治以行气化瘀消积，
方用血府逐瘀汤。胎黄动风以黄疸迅速加重，嗜睡，神昏，抽搐为辨证要点，
治以平肝息风退黄，方用茵陈蒿汤合羚角钩藤汤。胎黄虚脱以黄疸迅速加重，
面色苍黄，气促浮肿，神昏肢冷为辨证要点，治以温阳益气固脱，方用参附汤
合生脉散。
Dampness and heat stagnation s characterized by yellow skin color of the face and
eyes, bright orange color, loud crying, yellow urine, red tongue with yellowish
coating. It treats with clear heat, eliminate dampness and resolve jaundice,
prescription using Yin Chen Hao Tang. Cold-dampness stagnation is characterized by
yellow skin color of the face and eyes, dull color, depression, lack of warmth of
extremities, dullness and loose stools, and a pale tongue with white greasy coating. It
treats with warm the stomach, eliminate dampness and resolve jaundice, prescription
using Yin Chen Li Zhong Tang. Qi stagnation and blood stasis is characterized by
yellowing of the face and skin, dullness, hardness of the right hypochondrium,
swelling of the belly and abdomen, bruises, petechiae on the tongue. It treats with
regulate qi, resolve stasis and masses, prescription using Xue Fu Zhu Yu Tang. Fetal
jaundice with syndrome of wind stirring is rapid aggravation of jaundice, drowsiness,
dizziness and convulsions. It treats with calm the liver to stop endogenous wind and
resolve jaundice, using Yin Chen Hao Tang with Ling Jiao Gou Teng Tang. Fetal
yellow deficiency is characterized by rapid aggravation of jaundice, pale yellow face,
shortness of breath and edema, unconsciousness and cold limbs. It treats with warm
yang, tonifying qi to consolidate depletion, prescription using Shen Fu Tang with
Sheng Mai San.
 3.肺炎喘嗽应与哪些疾病相鉴别？请列表说明。What diseases should be
distinguished from pneumonia? Please describe the different with the list.

鉴别点 肺炎喘嗽 咳嗽 哮喘
Identification points Pneumonia Cough Asthma

病因 正气不足，感受外邪 外 邪 犯 肺 、 痰 浊 内 肺脾肾不足，痰饮内
生、脏腑失调 伏，外邪引发
Etiology Insufficient vital energy,
feeling external evil External evil attacks the Insufficient lung,
lungs, phlegm is spleen and kidney,
generated internally, the phlegm and fluids
internal organs are inside, triggered by
imbalanced external evil

主症 发热、咳嗽、痰壅、气 咳嗽频繁，可见发热 哮鸣、气喘、咳嗽为

促、鼻扇 主，多无发热
Main symptoms Frequent cough, visible
Fever, cough, phlegm fever Wheezing, shortness of
accumulate, shortness of breath, cough are the
breath, main symptoms,
mostly without fever

喘 气急、气促 无气促
Pant of breath Shortness of breath No Shortness of breath

咳喘 咳嗽、气喘、无哮鸣 以咳症为主 喘症为主，常有喉中

哮鸣音，伴见咳嗽
Cough and pant of Cough, shortness of Mainly in cough
breath breath, no wheezing Mainly in asthma,
often with a wheezing
sound in the throat,
accompanied by cough

肺部体征 中细湿啰音 干啰 音或不固定 的粗 以呼气相为主的哮鸣

湿 啰 音 Dry rales or 音 Wheezing sounds
Lung signs Medium-fine rales
irregular thick wet rales mainly in the
expiratory phase

X 线检查 肺可见小片状、斑片状 肺纹 理增粗模糊 、肺 可见肺纹理增多或透

阴影。或见不均匀的大 门阴影增深 亮度增加
X-ray examination
片状阴影
Thickening and blurring Increased lung texture
Small, patchy shadows of lung texture, or increased
are seen in the lungs. Or deepening of hilar translucency may be
large, uneven, patchy shadow seen
shadows may be seen
反复发作 否 No 是 Yes
Recurrent attacks

过敏史 一般无 多有
History of allergic Normally not

4.如何理解反复呼吸道感染的含义及其判断条件？How to understand the meaning

and judgment conditions of recurrent respiratory infection?
反复呼吸道感染是指一年内发生呼吸感染次数过于频繁，超过一定的范围。根
据部位可分为反复上呼吸道感染和反复下呼吸道感染。
Recurrent respiratory infections are respiratory infections that occur too frequently in
a year and exceed a certain range. It can be divided into recurrent upper respiratory
infections and recurrent lower respiratory infections according to the location.

反复下呼吸道感染（次/年）
反复上呼吸道感染
Recurrent lower respiratory infection
（次/年）
年龄（岁） (Times/year)
Recurrent upper
Age (years old) 反复气管支气管炎 反复肺炎
respiratory infection
(Times/year) Recurrent Recurrent
tracheobronchitis pneumonia
0-2 7 3 2
2+-5 6 2 2
5+-14 5 2 2

一是两次感染间隔时间至少 7 天以上。二是若上呼吸道感染次数不够，可以将
上、下呼吸道感染次数相加，反之则不能。但若反复感染是以下呼吸道感染为
主则应定义为反复下呼吸道感染。三是确定次数需连续观察 1 年。四是反复肺
炎是指 1 年内反复患肺炎 2 次，肺炎需由肺部体征和影像学证实，两次肺炎诊
断期间肺炎体征和影像学改变应完全消失。
First, the interval between two infections is at least 7 days. Second, if the number of
upper respiratory tract infections is not enough, the number of upper and lower
respiratory tract infections can be added together, and not the other way around.
However, if the recurrent infections are mainly lower respiratory tract infections
should be defined as recurrent lower respiratory tract infections. Third, the number of
determinations needs to be continuously observed for 1 year. Fourth, recurrent
pneumonia is defined as having pneumonia repeatedly 2 times in 1 year. Pneumonia
needs to be confirmed by pulmonary signs and imaging, and pneumonia signs and
imaging changes should completely disappear during the two pneumonia diagnoses.
5. 小儿呕吐各型的特点是什么？What is the characteristic of each pattern of
children vomit?
寒邪犯胃以突发呕吐，吐物清冷，伴发热恶寒，鼻塞流涕为辨证要点。乳食积
滞是以有伤乳伤食病史，吐物为乳块或不消化物，吐后得舒，苔厚腻为辨证要
点。胃热气逆以呕吐频繁，食入即吐，呕吐物热臭气秽为辨证要点。脾胃虚寒
以食后良久方吐，吐物不化，清稀而不臭，舌淡苔白为辨证要点。肝气犯胃以
嗳气吐酸，遇情志刺激加重，舌边红，苔薄腻，脉弦为辨证要点。
Cold attack to the stomach is characterized by sudden onset of vomiting, cold vomit,
accompanied by fever and aversion to cold, stuffy nose and runny nose. Stagnation of
milk and food is characterized by a history of injury to milk and food, vomiting of
milk lumps or indigestible material, relief after vomiting, and thick and greasy coating.
Stomach heat and gas rebellion is characterized by frequent vomiting, vomiting
immediately after eating, and hot, smelly and obscene vomitus. Deficiency cold of the
spleen and stomach is characterized by vomiting for a long time after eating, vomiting
without digest food, thin and not smelly, and a pale tongue with white coating. Liver
qi attacking the stomach is characterized by belching and vomiting, aggravated by
emotional stimulation, red tongue, thin and greasy coating, and string pulse.
6.小儿腹痛各型的特点是什么？What is the characteristic of each pattern of
children abdominal pain?
腹部中寒以腹痛较剧，痛处喜暖，得温则舒，遇寒痛甚，舌淡，苔白滑为辨证
要点。乳食积滞以脘腹疼痛拒按，不思乳食，嗳腐吞酸，大便秽臭，舌苔厚腻
为辨证要点。肠胃积热以腹痛胀满，疼痛拒按，大便秘结，舌苔黄燥为辨证要
点。脾胃虚寒以腹痛绵绵，喜按喜温，大便稀溏，舌淡苔白为辨证要点。气滞
血瘀是以痛有定处，痛如锥刺，拒按或腹部癥块，舌紫黯有瘀点，脉涩为辨证
要点。
Cold attack the abdomen is characterized by severe abdominal pain, warmth in the
painful area, warmth makes the abdomen comfortable, severe pain when cold, the
pale tongue, white and slippery coating. Stagnation of milk and food is characterized
by pain in the epigastrium and abdomen refusing to press, not thinking about milk and
food, belching and swallowing acid, foul-smelling stools, and thick and greasy tongue
coating. Heat accumulation in the stomach and intestines is characterized by
abdominal pain and fullness, pain and refuse to press, constipation, and yellow and
dry tongue coating. Deficiency cold in the spleen and stomach is characterized by
prolonged abdominal pain, preferring warmth and press, loose stools, and a pale
tongue with white coating. Qi stagnation and blood stasis are characterized by pain in
a fixed location, pain like a prick, refusing to press or abdominal mass, purple tongue
with petechiae, and astringent pulse.
 7.小儿湿热泻、风寒泻、伤食泻、脾虚泻如何辨证施治？How to treat damp-heat
diarrhea, wind-cold diarrhea, food damage diarrhea and spleen deficiency diarrhea by
pattern differentiation of syndrome?
湿热泻以泻下急迫，量多次频，气味秽臭，舌质红，苔黄腻为辨证要点，治以
清肠泄热，化湿止泻，方用葛根黄芩黄连汤。风寒泻以大便清稀有泡沫，臭味
不甚，肠鸣腹痛为辨证要点，治以疏风散寒，化湿和中，方用藿香正气散。伤
食泻以便稀夹不消化物，气味酸臭，脘腹胀痛，泻后痛减，舌苔厚腻为辨证要
点，治以消食化滞，运脾和胃，方用保和丸。脾虚泻以反复发作，病程较长，
大便稀溏，色淡不臭，食后作泻，以及全身脾虚征象为特征，治以健脾益气，
助运止泻，方用参苓白术散。
Damp-heat diarrhea is characterized by urgent diarrhea, frequent, foul odor, red
tongue, yellowish greasy coating, and is treated with clearing heat from the intestines,
resolving dampness and stopping diarrhea, using Ge Gen Huang Qin Huang Lian
Tang. Wind-cold diarrhea is characterized by clear and rare foamy stools, with little
odor and abdominal pain from intestinal tinnitus, and is treated by dispersing wind
and cold, resolving dampness and harmonizing the middle, using Huo Xiang Zheng
Qi San. Injury diarrhea is characterized by dilute and indigestible material, sour odor,
distension and pain in the abdomen, pain decreases after diarrhea, and thick and
greasy tongue coating, using Bao He Wan. Spleen deficiency diarrhea is characterized
by recurrent attacks, long duration of illness, loose stools, pale color and no odor,
diarrhea after eating, and generalized signs of spleen deficiency, using Shen Ling Bai
Zhu San.
8.小儿厌食、积滞与疳证的关系是什么？What is the concern of infantile anorexia,
food accumulation and malnutrition in children (Gan Zheng)?

厌食 积滞 疳证
Anorexia Food accumulation Infantile malnutrition

病因病机 喂养不当 内伤乳食，积聚不消 脾胃虚损，气血津液

耗伤
Etiology and Improper feeding Internal injury to the
pathogenesis milk and food, Deficiency of the
accumulation does not spleen and stomach,
resolve exhaustion of Qi,
blood and fluid

病位 脾胃 脾胃 主在脾胃，常及他脏
Location of disease Spleen and stomach Spleen and stomach Mainly in the spleen
and stomach, often
affecting other organs

病程 较长 较长 长
Disease duration Longer Longer Long
主症 长期食欲不振，食 不 思 乳 食 ， 食 而 不 形 体 消 瘦 ， 面 黄 发
量减少，厌恶进食 化，脘腹胀满，嗳吐 枯，饮食异常，大便
Main symptoms
腐酸，大便酸臭，或 不调
Long-term loss of
appetite, reduced 溏或秘 Emaciation, yellow
food intake, No desire for milk, complexion and hairs,
aversion to eating food that does not abnormal diet,
dissolve, distention irregular stools
and fullness of the
abdomen, belching
and vomiting, sour and
foul-smelling stools,
or loose or
constipation

兼症 精神尚好 烦躁不安，夜间哭闹 精神萎靡或烦躁易

怒，揉眉挖鼻，吮指
Accompanied Still in good spirits Restlessness, crying at
symptom night 磨牙
Mental depression or
irritability, rubbing
eyebrows and picking
nose, sucking fingers
and grinding teeth

治则 运脾开胃 消积化滞 健运脾胃

Treatment Activate the spleen Eliminate stagnation Strengthening the
principle and stimulate the and relieve dyspepsia spleen and stomach
stomach

预后 一般良好 积久不消可成疳 较差，影响生长发育

Prognosis Generally good If not eliminated for a Poorer, affecting
long time, it can growth and
become malnutrition. development

9.病毒性心肌炎如何诊断？How is viral myocarditis diagnosed?

发病前有感冒、泄泻、出疹的病史。临床表现是表现轻重不一，取决于年龄和
感染的急性或慢性过程。部分患者起病隐匿，有乏力、活动受限、心悸、胸痛
等症状，少数重症患者可发生心力衰竭并发严重心律失常、心源性休克，死亡
率高。部分患者呈慢性进程，演变为扩张型心肌病。新生儿患病时病情进展快，
常见高热、反应低下、呼吸困难和发绀，常有神经、肺和肝的并发症。体征方
面，心脏有轻度扩大，伴心动过速、心音低钝及奔马律。反复心力衰竭者，心
脏明显扩大，肺部出现湿啰音，肝、脾大，呼吸急促和发绀，重症患者可突然
发生心源性休克，脉搏细弱，血压下降。
 辅助检查包括心肌损害的血生化指标磷酸激酶（CPK）、X 线检查、心电图、
超声心电图、病毒学诊断、心肌活体组织检查。
The onset of the disease is associated with a history of common cold, diarrhea, and
rash. The clinical manifestations are of varying severity depending on age and the
acute or chronic course of the infection. Some patients have an insidious onset, with
symptoms such as weakness, limitation of activity, palpitations, and chest pain, and a
few severe patients may develop heart failure complicated by severe arrhythmias,
cardiogenic shock, and high mortality. Some patients have a chronic process, evolving
into dilated cardiomyopathy. The disease progresses rapidly in neonates, with high
fever, hyporesponsiveness, dyspnea and cyanosis, and often with neurological,
pulmonary and hepatic complications. Signs include a mildly enlarged heart with
tachycardia, low heart sounds and gallop rhythm. In recurrent heart failure, the heart
is significantly enlarged, with wet rales in the lungs, enlarged liver and spleen,
shortness of breath and cyanosis. In severe cases, cardiogenic shock may occur
suddenly, with a weak pulse and decreased blood pressure.
Auxiliary tests include blood biochemical indicators of myocardial damage
phosphokinase (CPK), X-ray, electrocardiogram, echocardiogram, virological
diagnosis, and myocardial biopsy.
10.儿童注意缺乏多动障碍与抽动障碍如何鉴别？How to distinguish attention
deficit hyperactivity disorder and tic disorder in children?

鉴别点 注意缺陷多动障碍 抽动障碍

Identification points Attention deficit hyperactivity disorder Tic disorder

病因 先天禀赋不足，后天失于护养，教育 多 由 先 天 禀 赋 不 足 、 感 受 外
不当，环境影响，外伤瘀滞，情志失 邪、情志失调、饮食所伤、疾
Etiology
调等引起 病影响等引起
Insufficient congenital deficiency, Mostly caused by congenital
acquired loss of care, improper education, deficiency of endowment,
environmental influences, trauma and external pathogens, emotional
stagnation, emotional and mental disorders, dietary injuries,
disorders disease

相似症状 除活动过多、注意力不集中，部分病 身体抽动，不自主发声

人伴有轻度不自主抽动
Similar symptoms Body jerks, involuntary
In addition to hyperactivity and vocalizations
inattention, some patients have mild
involuntary jerking

不同症状 有情绪不稳、冲动任性、学习困难， 症状不能长时间自控

但智力正常或接近正常的特征。患儿
Different symptoms 反复发作，有迅速、突发、刻
除注意力不集中、多动外，可伴有品
板的特点，呈多发性、慢性、
行障碍、精神障碍等病史及家族史，
 或有铅中毒、锌缺乏等病史 波动性
There are characteristics of emotional Symptoms cannot be self-
instability, impulsive capriciousness, controlled for long periods of
learning difficulties, but normal or near time
normal intelligence. In addition to
Recurrent attacks, with rapid,
inattentiveness and hyperactivity, the
sudden, stereotyped
child may have a history of behavior
characteristics, multiple, chronic,
disorders, mental disorders and family
swinging
history, or a history of lead poisoning or
zinc deficiency.

辅助、体格检查 翻手试验、对指试验、指鼻试验、指 耶 鲁 综 合 抽 动 严 重 程 度 量 表
指试验可呈阳性，注意力测试常呈阳 (YGTSS) 、多发性抽动综合量
Auxiliary, physical
examination 性，脑电图正常或轻度非特异性异常 表 (TSGS) 等检测可了解抽动
病情轻重
Hand-over-hand test, finger-to-finger test,
finger-nose test, finger-finger test may be Yale Global Tic Severity Scale
positive, attention test is often positive, (YGTSS), Tourette Syndrome
EEG is normal or mildly non-specific Global Scale (TSGS) and other
abnormal tests can help to understand the
severity of tics

11.小儿癫痫的病因病机要点是什么？What is the etiology and pathogenesis of

children epilepsy?
癫痫病因包括先天因素、后天因素及诱发因素。病位在心肝脾肾，病机关键为
痰气逆乱，蒙蔽心窍爱哦，引动肝风。

先天因素主要责之于胎禀不足、胎产损伤和胎中受惊。如父母体弱多病或素有
痫疾，或孕期调护失宜，或早产难产等胎产损伤，或母惊于外，胎感于内，均
可致胎儿受损，肾精不足，若有所见，则气机逆乱，引发癫痫。

后天因素包括痰浊内伏、惊风频发、暴受惊恐、瘀血阻络。发热、疲劳、睡眠
不足、过度换气、精神刺激、心理压力过大、饮食不当、视听觉刺激、玩电子
游戏等诱因可致气机逆乱，触动伏痰，痰随气逆，发为癫痫。若癫痫反复发作，
病程迁延或失治误治，易致脏腑虚损。脾虚则痰伏难祛，阻滞气机，蒙蔽清窍，
日久不愈，并见纳呆神疲等症。肾虚则精亏髓空，脑失所养，可引起记忆力、
智力、学习能力下降等认知障碍表现。
The causes of epilepsy include congenital factors, acquired factors and precipitating
factors. The location of the disease is in the heart, liver, spleen and kidney, and the
main pathogenesis is the reversal of phlegm and Qi, which blocks the heart orifice and
attracts liver wind.
The congenital factors are mainly attributed to the lack of fetal endowment, fetal birth
injury and fetal shock. If the parents are weak and sickly or have epilepsy, or if the
pregnancy is not properly regulated, or if the fetus is premature and difficult to deliver,
or if the mother is frightened outside and the fetus feels inside, it can lead to fetal
damage and kidney essence deficiency.
Acquired factors include internal phlegm, frequent frightening wind, violent fright,
and blood stasis. Fever, fatigue, lack of sleep, hyperventilation, mental stimulation,
excessive psychological stress, improper diet, audio-visual stimulation, playing video
games, and other triggers can lead to Qi disturbance, touching the phlegm, and the
phlegm will be reversed with the Qi, resulting in epilepsy. If epilepsy is repeatedly
occurring, the disease is prolonged or mismanaged, it is easy to cause internal organs
deficiency. If the spleen deficiency, the phlegm will be difficult to dispel, blocking the
qi flow and obstructing the clear orifices, which will not heal over time, and will lead
to dullness and fatigue. Kidney deficiency leads to deficiency of essence and marrow
and loss of brain nourishment, which can cause cognitive impairment such as memory,
intelligence and learning ability.
12.如何鉴别肾病综合征和急性肾小球肾炎？How to distinguish nephritic
syndrome from acute glomerulonephritis？

鉴别点 肾病综合征 急性肾小球肾炎

Identification points Nephritic syndrome Acute glomerulonephritis

病因 禀赋不足，久病体虚，外邪 外感风邪、湿热、疮毒，导
入里，致肺、脾、肾三脏亏 致肺、脾、肾三脏功能失调
Etiology
虚
Dysfunction of the lungs,
Deficiency of endowment, spleen and kidneys due to
deficiency of the body due to external wind, dampness and
prolonged illness, and heat, sores and toxins
deficiency of the lungs,
spleen and kidneys due to
external pathogen entering
the body

主症 大量蛋白尿、低蛋白血症、 前驱感染（多为链球菌）、
高胆固醇血症、水肿 血尿、少尿、水肿、高血压
Main manifestation
Massive proteinuria, Precursor infection (mostly
hypoproteinemia, streptococcus), hematuria,
hypercholesterolemia, edema oliguria, edema, hypertension

水肿 指凹性 非指凹性
Edema Finger concavity Non-finger concavity

尿液检查 以 大 量 蛋 白 尿 （ +++ ~ 镜下血尿或肉眼血尿，尿蛋

++++）为主，肾炎型可见 白一般为（+ ~ ++），特殊
Urine test
血尿 类型除外
 The main focus is on large Microscopic hematuria or
amounts of proteinuria (++++ visual hematuria, urine
~ ++++), and hematuria can protein is usually (+ ~ ++),
be seen in nephritis type except for special types

反复发作 是 Yes 否 No
Recurrent attacks

13.如何鉴别遗尿与神经性尿频、尿失禁？How to distinguish enuresis, nerve

frequent urination and urine incontinence?

鉴别点 遗尿 神经性尿频 尿失禁

Identification Enuresis Nerve frequent urination Urine incontinence
points

病史 多有睡前多饮史 多发生在婴幼儿时期，常有精
神紧张、生活改变等不良精神
Medical Most have a history
history of drinking more 刺激
before bedtime Most often occurs in infants and
young children, often with
mental tension, life changes and
other adverse mental stimulation

主要症状 睡眠中不自主排尿 白天尿意频繁，但入睡后消失 尿液自遗而无论昼夜，

不分寐寤，出而不禁
Main Involuntary Frequent desire to urinate
symptoms urination during during the day, but disappears Urine is lost day and
sleep after going to sleep night, regardless of sleep
and wakefulness, and
cannot be stopped

辅助检查 尿常规、尿细菌培养均无异常
Auxiliary No abnormalities in urine routine and urine bacterial culture
examination

14.举例说明银翘散在时行疾病中的应用。Illustrate the application of Yin Qiao

San in current diseases.
银翘散用于感冒的风热感冒证，治以辛凉解表。用于肺炎喘嗽的风热闭肺证，
治以辛凉宣肺，降逆化痰。用于口疮的风热乘脾证，治以疏风散火，清热解毒。
用于病毒性心肌炎的风热犯心证，治以疏风清热，解毒护心。用于抽动障碍的
外风引动证，治以疏风解表，息风止动。用于急惊风的外感风热证，治以疏风
清热，息风镇惊。用于肾病综合征的外感风热，治以辛凉宣肺祛风。用于麻疹
 的邪犯肺卫，治以辛凉透表，清宣肺卫。用于风疹的邪犯肺卫，治以疏风解热
透邪。用于猩红热的邪侵肺卫，治以辛凉宣透，清热利咽。用于水痘的邪伤肺
卫，治以疏风清热，利湿解毒。用于发热的外感风热证，治以辛凉解表。
Yin Qiao San used for wind-heat common cold, treat with relieving the exterior
syndrome with drugs pungent in flavor and cool in property. For lung blocked due to
wind heat syndrome of pneumonia, treat to promote the lung by pungent and cooling
the lung, descend and eliminate the phlegm. For syndrome of wind and heat
subjugating the spleen of oral sore, treat to disperse wind and fire, clear heat and toxic.
In wind-heat attack the heart of viral myocarditis, treat to disperse wind and clear heat,
remove toxic and protect the heart. For exogenous wind induced motion of tic
disorder, treat to expel wind and relieve the exterior, restrain wind and stop movement.
For the exogenous wind-heat syndrome in acute convulsions, treat to disperse wind,
calm wind and resolve convulsions. For exogenous wind-heat syndrome of nephritic
syndrome, treat to expel wind by promoting the lung with pungent cooling. For
measles with syndrome of pathogen invading lung-defense phase, treat to clear the
and promote the lung by cooling the surface. For rubella with syndrome of pathogen
invading lung-defense phase, treat to expel wind and heat to dispel pathogens. For
scarlet fever with pathogen attacking the lung syndrome, treat to clear the heat and
throat by clearing the heat and promoting the lung. For pathogen attacking the lung
syndrome of chicken pox, treat to expel wind and clear heat, eliminate dampness and
remove toxic. For external wind-heat syndrome of pyrexia, treat with pungent-cooling
and relieving the exterior.
15.如何区分水痘、手足口病、脓疱疮和带状疱疹？How to distinguish
chickenpox, hand, foot and mouth disease, impetigo and herpes zoster?

鉴别点 水痘 手足口病 脓疱疮 带状疱疹

Identification Chickenpox Hand, foot and Impetigo Herpes zoster
points mouth disease

病因 水 痘 时 邪 - 带 柯 萨 奇病毒 及肠 暑湿热毒 带状疱疹病毒

状疱疹病毒 道 病 毒 EV17 多
Etiology Summer heat Herpes zoster virus
见 and dampness
Varicella -
Herpes zoster Coxsackievirus
virus and enterovirus
EV17 are common

发病季节 四 季均发 ， 冬 四 季 均发， 夏秋 夏季 春秋季多见

春较多 多见
Season of Summer Most common in
onset Occurs in all Occurs in all spring and autumn
seasons, more seasons, more
often in winter common in
and spring summer and
autumn
发病年龄 6-9 岁多见 好 发 于 学 龄 儿 儿童多见 成人多见
童，3 岁以下多
Age of onset Prevalent in Prevalent in 儿童时有发生
children 6-9 见 children
years of age Prevalent in adults
Prevalent in
school-age Occurs in children
children, under 3
years of age

皮疹部位 皮 疹呈向 心 性 口 腔 疱 疹 以 硬 头面、颈项、 沿一侧肋间成条

分布，躯干 腭、颊部、齿 四肢等暴露部 状排列
Rash area
多、四肢少 龈 、 舌部为 多， 位多见，躯干
Aligned in strips
疱疹手足部多 少 along one side of
The rash has a
见 ， 呈离心 性分
centripetal Head, face, the intercostal
distribution, 布 ， 躯干及 颜面 neck, limbs and space
with more on 极少 other exposed
the trunk and areas are more
Oral herpes is
less on the common, trunk
more common on
extremities less
the hard palate,
cheeks, gums, and
tongue, and herpes
is more common
on the hands and
feet, with an
eccentric
distribution, and
very rarely on the
trunk and face

皮损特点 分 批出现 ，此 破 溃 后形成 小溃 红斑丘疹-水 起病即见红斑、

起 彼落， 在 同 疡 ， 1~2 天 后 皮 疱，疱浆混浊 丘疹、疱疹，疱
Skin lesion
features 一 时期， 斑 丘 肤 出 现斑丘 疹， 或脓疱，根盘 壁薄、紧张发
疹 、疱疹 、 干 很 快 变为疱 疹， 红晕显著，壁 亮，周围红晕，
痂并见 疱 疹 为圆形 或椭 薄易破，脓液 疱疹密集成簇，
圆 形 ，如米 粒至 干涸可成黄绿 或融合成片，或
The papules,
herpes and dry 豌 豆 大小不 等， 色厚痂，痂落 累累如串珠样，
crusts appear in 壁 厚 较硬， 不易 后不留疤 局部皮肤刺痛及
batches, one 破 溃 ，疱浆 少而
Erythematous
痒感；疱疹间皮
after the other, 混 浊 ，周围 有红 papules - 肤颜色正常
at the same 晕 blisters, cloudy Erythema, papules
time pulp or pustules, and herpes with
After rupture, a
small ulcer is significant thin, tense and
formed, and 1~2 redness of the shiny walls,
days later a root plate, thin surrounded by a
 macular rash walls and easy red halo, dense
appears on the to break, drying clusters of herpes,
skin, which soon of pus can or fused into
turns into a herpes, become a thick patches, or tired as
round or oval, yellow-green beads, local skin
ranging from rice scab, scabs do tingling and
to pea size, with not leave scars itching; skin color
thick and hard after between herpes is
walls, not easy to normal
rupture, little pulp
and cloudy,
surrounded by a
red zone

16.如何区分病毒性脑炎、细菌性脑炎和结核性脑炎？How do you distinguish

between viral, bacterial and tuberculous encephalitis ？

鉴别点 病毒性脑炎 细菌性脑炎 结核性脑炎

Identification Viral encephalitis Bacterial encephalitis Tuberculous
points encephalitis

发病年龄 任何年龄均可发病 任何年龄均可发病，5 岁以内 多见于 1-3 岁的婴幼儿

多见
Age of onset Can develop at any age Most often seen in
It can develop at any age, but is infants and children
more common up to 5 years old aged 1-3 years

流行病学 有 有 有 结核 病 接 触 史 或 有
脑外结核史
Epidemiology Have Have
History of exposure to
tuberculosis or history
of extracerebral
tuberculosis

起病情况 较急 较急 较缓慢
Condition of More urgent More urgent More slow
disease onset

病因 病毒 感染，以肠 道病 细菌感染，如脑膜炎双球菌、 结核杆菌感染

毒居多 肺炎链球菌等
Etiology Mycobacterium
Viral infections, mostly Bacterial infections such as S. tuberculosis infection
enteroviruses meningitidis, Streptococcus
pneumoniae
主要症状 发热 、头痛、呕 吐、 发 热 、 头 痛 、 呕 吐 、 意 识 障 发 热、 头 痛 、 情 绪 淡
惊厥 、意识及运 动障 碍、惊厥 漠、烦躁、精神不
Main
symptoms 碍 振、抽搐
Fever, headache, vomiting,
Fever, headache, impaired consciousness, Fever, headache,
vomiting, convulsions, convulsions apathy, irritability,
consciousness and depression, convulsions
motor disturbances

主要体征 轻者 无阳性体征 ，重 颈抵抗，脑膜刺激征、锥体束 脑膜刺激征阳性

者可 出现脑膜刺 激征 征阳性，颅内压增高
Main Signs Positive meningeal
阳性 ，局限性神 经系
Cervical resistance, positive stimulation sign
统体征 meningeal irritation sign, cone
No positive signs in bundle sign, increased
mild cases, positive intracranial pressure
meningeal irritation
signs in severe cases,
limited neurological
signs

脑脊液检查 脑脊 液外观多清 亮， 脑脊液外观混浊、压力增高， 脑 脊液 检 查 白 细 胞 总

白细 胞总数正常 或偏 白细胞增多以中性粒细胞为 数 中度 增 高 ， 分 类 单
Cerebrospinal
fluid 高， 分类以淋巴 细胞 主，糖含量降低，蛋白含量增 核 细胞 为 主 ， 糖 及 氯
examination 为主 ，蛋白可轻 度增 高 化 物降 低 ， 蛋 白 含 量
加，糖及氯化物正常 增 高， 涂 片 抗 酸 染 色
Cerebrospinal fluid is cloudy in
The appearance of appearance, with increased 可找到结核杆菌
cerebrospinal fluid is pressure, increased white blood Cerebrospinal fluid
mostly clear, the total cells, mainly neutrophils, examination is
number of white blood decreased sugar content, and moderately high in total
cells is normal or high, increased protein content. white blood cells,
the classification is mainly mononuclear
mainly lymphocytes, cells, decreased sugar
protein may be mildly and chloride, increased
increased, sugar and protein content, and
chloride are normal. antacid staining of
smear can find
Mycobacterium
tuberculosis

其他检查 外周 血白细胞总 数正 外周血白细胞总数升高，以中 结 核菌 纯 蛋 白 衍 化 物

常或 偏低，分类 淋巴 性粒细胞为主。细菌学检查、 (PPD) 试验阳性及血沉
Other
examinations 细胞 为主。病毒 学检 血培养、脑脊液涂片找菌及细 增快
查： 从脑脊液、 脑组 菌培养常阳性
Positive purified protein
织中 分离出病毒 ，具
Total peripheral blood leukocyte derivative tuberculin
 有确诊价值 count is elevated, with (PPD) test and
predominantly neutrophils. increased blood
Total peripheral blood Bacteriological examination, sedimentation
leukocyte count was blood culture, cerebrospinal fluid
normal or low, with smear for bacteria and bacterial
mainly classified culture are often positive
lymphocytes.
Virological
examination: isolation
of virus from
cerebrospinal fluid and
brain tissue is of
confirmatory value

17.如何区别百日咳、肺炎喘嗽与外感咳嗽？How to distinguish pertussis from

pneumonia cough and exogenous cough?

鉴别点 百日咳 肺炎喘嗽 外感咳嗽

Identification points Pertussis Pneumonia Exogenous cough

病史 有 百 日 咳 患 者 和 潜 有 感 冒 、 咳 嗽 ， 或 麻 好发于冬春二季，常因
在感染者接触史 疹、水痘等病史 气候变化而发病，病前
Medical history
多有感冒病史
History of contact History of colds, coughs,
with pertussis patients measles, chickenpox Prevalent in winter and
and potentially spring, often due to
infected persons climate change, with a
history of colds prior to
the onset of the disease

临床特点 阵发性痉挛性咳 肺炎者伴痰壅、气促、 以咳嗽为主症，可有咯

嗽，咳毕伴有特殊 鼻扇，无鸡鸣样吸气性 痰。
Clinical Features
的鸡鸣样吸气性吼 吼声，常伴发热，肺部
肺部听诊两肺呼吸音粗
声 听诊可有干湿啰音
糙，可闻及干啰音或不
Paroxysmal Pneumonia with sputum 固定的粗湿啰音
convulsive cough congestion, shortness of
with a special cock- breath, nasal flapping, no Cough is the main
like inspiratory roar roar of inspiration like a symptom, and sputum
after coughing chicken, often may be present.
accompanied by fever, On lung auscultation, the
lung auscultation may breath sounds of both
have dry and wet rales lungs are rough, and dry
rales or irregular coarse
wet rales can be heard.
辅助检查 病原学检查可明确 胸部 X 光片有炎症改变 胸片显示肺纹理增粗模
糊，肺门阴影增深
Auxiliary Pathogenic Chest radiograph with
examinations examination may be inflammatory changes Chest radiograph shows
clear thickened and blurred
lung texture and darkened
hilar shadow

18.如何理解蛲虫病的预防比治疗更重要？How to understand the prevention of

pinworm disease is more important than treatment?
加强卫生宣教，普及预防蛲虫感染的知识，改善环境卫生，切断传播途径。注
意个人卫生，养成良好卫生习惯，不用手抓取食物，不吮吸手指，勤剪指甲，
饭前、便后洗手。患儿床单及内衣应勤洗换，并用开水煮沸消毒，以杀死虫卵。
患儿每天早晨清洗肛门。防止小儿用手搔抓肛门。治疗期间应配合清洁环境和
衣被、食物、玩具的消毒，0.5%碘液可用于消毒玩具等其他物品。
Strengthen health education, popularize the knowledge of pinworm infection
prevention, improve environmental hygiene, and cut off the transmission route. Pay
attention to personal hygiene, develop good hygienic habits, do not grab food with
your hands, do not suck your fingers, cut your nails regularly, and wash your hands
before meals and after stools. Children should wash and change their bed sheets and
underwear regularly, and disinfect them by boiling water to kill the eggs. Wash the
anus of the child every morning. Prevent children from scratching their anus with
their hands. During the treatment period, clean environment and disinfection of
clothes, food and toys should be coordinated. 0.5% iodine solution can be used to
disinfect other items such as toys.
 Case Study
病案分析

案一 Case 1

周某某，女，2 岁半。
Zhou. Female. 2.5years
患儿于麻疹后半个月开始发热。达 38℃-40.5℃，为持续性高热 30 余天，发热
时自汗，口渴。大便干燥，小便正常。无咳喘，精神食欲尚可。曾在外院用过
卡那霉素肌内注射及红霉素等口服，治疗无效。于 1975 年 6 月 13 日住院。
The patient had fever began half a month after measles. Her body temperature was
38℃-40.5℃. Persistent high fever for more than 30 days. She was spontaneous
sweating, thirst when fever. The stool is dry and the urine is normal. No cough and
asthma, spirit and appetite fair. In other hospitals, she used kanamycin intramuscular
injection and erythromycin oral treatment, but the treatment was ineffective. SHe was
hospitalized on 13 June 1975.
检查：咽微红，左侧扁桃腺Ⅰ度肥大，无分泌物。面赤，喜饮水，出汗多。心肺
未闻异常。腹软，肝脾未触及。舌质正常，无舌苔，脉洪大而数。两下肢有婴
儿瘫后遗症。
Examination: reddish pharynx, Ⅰ degree hypertrophy of left tonsil, no secretions. Red
face, like drinking water, sweating. No abnormality of heart and lung was detected.
Abdomen is soft, liver and spleen are not touched. The tongue was normal, without
coating, and the pulse was large and rapid. Two lower limbs have infant paralysis
sequelae.
入院印象：发热待查。
Impression of admission: Fever to be checked.
入院后检查：胸片（-），O.T.（-），血培养（-）。肥达反应（-）。血沉：第
一小时 110mm，第二小时 127mm。白细胞总数 4.4x109/L。大小便常规（-）。
咽培养：甲型溶血链球菌、卡他尔球菌。
Post-admission examination: Chest radiograph (-), O.T. (-), blood culture (-). Vidal
reaction (-). Sedimentation rate: 110mm in the first hour, 127mm in the second hour.
The total number of WBC was 4.4x109/L. Routine (-). Pharyngeal culture: A
hemolytic streptococcus, catarrh.
中医病名：乳蛾
Disease name of TCM: Tonsillitis
中医诊断：风热犯咽证
Diagnosis of TCM: Wind-heat attacking the throat syndrome
病机分析：风热从口鼻而入，结于咽喉，气血壅滞，脉络受阻，肌膜受灼，而
发乳蛾。风热犯肺，肺卫失宣，则见发热。风热攻于咽喉，见咽微红，左侧扁
桃腺肥大。风热上于面部，见面赤，喜饮水，出汗多。舌质正常，无舌苔，脉
洪大而数为风热之象。
Pathogenesis analysis: Wind-heat enters through the mouth and nose, and is knotted
in the throat, causing congestion of qi and blood, obstruction of the meridians and
collaterals, and burning of the muscle membrane, resulting in tonsillitis. When wind-
heat attacks the lung, the lung guard is not promoted, resulting in fever. When wind-
heat attacks the throat, can seen slightly red of throat and the left tonsil is enlarged.
When wind-heat accumulated at the face, can see the face is red, with a tendency to
drink water and sweat a lot. The tongue is normal, without tongue coating, and the
large and rapid pulse are the sign of wind-heat.
治法：疏风清热，消肿散结
Treatment method: Disperse wind and clear heat, eliminate the mass and relieve
swelling
方药：银翘马勃散加减

金银花 9g 连翘 9g 马勃 6g 射干 6g 牛蒡子 9g 石膏 6g 黄芩 6g 桔梗 9g 麦冬 6g

共 5 剂，水煎服，每日 1 剂，早晚分服。
Prescription: Yin Qiao Ma Bo San modify
Jin Yin Hua 9g Lian Qiao 9g Ma Bo 6g She Gan 6g Niu Bang Zi 9g Shi Gao 6g
Huang Qin 6g Jie Geng 9g Mai Dong 6g
Total 5 doses, decoct with water, 1 dose per day, take decoction in day and night.
案二 Case 2

沈某，男，2 岁，1983 年 1 月 13 日初诊。

Shen. Male. 2 years old. First diagnosis on January 13, 1983.
发烧 2 天余，体温 39℃，咳嗽有痰，便稠，面目肿赤，咽红，苔白厚，脉细数。
He was fever for more than 2 days, temperature of 39℃, cough with sputum, thick
stool, swollen and red face, red throat. The tongue is thick white moss. The pulse was
thin and rapid.
中医病名：发热
Disease name of TCM: Pyrexia
中医诊断：外感风热证
Diagnosis of TCM: Exogenous wind-heat syndrome
病机分析：风热犯于肺卫，卫表失和，见发烧。风热犯肺，肺失宣肃，则见咳
嗽有痰。风热上攻咽喉，见面目肿赤，咽红。苔白厚，脉细数为外感风热之象。
Pathogenesis analysis: The wind-heat attacks the lung, the wei and exterior is not
harmonized, resulting in fever. The wind-heat attacks the lung, the lung fail to
function, resulting in cough with phlegm. Wind-heat attacking the throat, with
swelling and redness of the face and throat. The tongue is thick white coating and thin
and rapid pulse are present the external wind-heat.
治法：辛凉解表
Treatment method: Relieving the exterior with pungent in flavor and cool in property
方药：银翘散加减

金银花 9g 连翘 9g 荆芥 6g 大青叶 6g 石膏 3g 黄芩 6g 薄荷 6g 桔梗 6g 牛蒡子 6g

芦根 6g 玄参 6g 生甘草 6g

共 5 剂，水煎服，每日 1 剂，早晚分服。
Prescription: Yin Qiao San modify
Jin Yin Hua 9g Lian Qiao 9g Jing Jie 6g Da Qing Ye 6g Shi Gao 3g Huang Qin 6g
Bo He 6g Jie Geng 6g Niu Bang Zi 6g Lu Gen 6g Xuan Shen 6g Sheng Gan Cao 6g
Total 5 doses, decoct with water, 1 dose per day, take decoction in day and night.
案三 Case 3

李某，男，5 岁。初诊日期：1994 年 11 月 24 日。
Li. Male. 5 years old. Date of first diagnosis: 24 November 1994.
患儿于 3 天前“受凉”后始发热，体温最高达 39℃，伴有鼻塞流涕，喷嚏，家长
予服“小儿感冒冲剂”和“百服宁”等治疗，体温可降至正常，但每于午后体温复
升，夜间尤高，遂来院就诊。
The child was fever 3 days ago after catching a cold, with the highest temperature
reaching 39℃. He was accompanied by nasal congestion, runny nose and sneezing.
The parents took "Infantile cold granule" and "Baifuning" and other treatments. The
body temperature could be reduced to normal, but it rose again in the afternoon,
especially at night, so they came to the hospital for treatment.
刻下症：发热、鼻塞流涕、咽痛、轻咳、大便干燥、舌质红苔薄黄、脉浮数。
Symptoms: fever, nasal congestion and runny nose, sore throat, light cough, dry stool,
red tongue thin yellow moss, floating pulse.
中医病名：感冒
Disease name of TCM: Common cold
中医诊断：风热感冒证
Diagnosis of TCM: Wind-heat of common cold
病机分析：风热侵犯肺卫，卫表失和则发热。肺气失宣，则见鼻塞流涕，喷嚏。
风热上于咽喉则咽痛。舌质红苔薄黄、脉浮数为风热之象。
Pathogenesis analysis: Wind-heat invades the lung-wei, disharmony between the wei
and exterior leads to fever. Loss of air circulation of lung, can see nasal congestion
and runny nose, and sneezing. Sore throat present the wind-heat goes up to the throat.
Red tongue with thin yellow coating, floating and rapid pulse are signs of wind-heat.
治法：辛凉解表
Treatment method: Relieving the exterior with pungent in flavor and cool in property
方药：银翘散加减

金银花 9g 连翘 9g 淡竹叶 6g 薄荷 6g 桔梗 6g 牛蒡子 6g 芦根 6g 桑叶 6g 玄参 6g

枳实 3g 大青叶 6g

共 5 剂，水煎服，每日 1 剂，早晚分服。
Prescription: Yin Qiao San modify
Jin Yin Hua 9g Lian Qiao 9g Dan Zhu Ye 6g Bo He 6g Jie Geng 6g Niu Bnag Zi 6g
Lu Gen 6g Sang Ye 6g Xuan Shen 6g Zhi Shi 3g Da Qing Ye 6g
Total 5 doses, decoct with water, 1 dose per day, take decoction in day and night.
案四 Case 4

女，15 个月，初诊日期：8/17/1999
Female, age 15 months. Initial Visit: 8/17/1999
病史:手掌和脚底出现红色斑丘疹，持续 2 天。由于没有明确的诱因，出现烦热
和食欲不好的症状。她被诊断为急性上呼吸道感染，经静脉注射青霉素治疗无
效。两天前手脚出现了水泡。
History: red maculopapular eruptions on the palms and soles for 2 days. Without clear
predisposing causes, the girl developed a fever with vexation and a poor appetite. She
was diagnosed with an acute upper respiratory infection and treated by penicillin
intravenous infusion without any effect. Vesicular lesions had erupted on her hands
and feet over the previous two days.
查体:手掌及脚底边缘有米粒或黄豆大小的红色斑疹丘疹，部分病灶有小水泡。
口腔左侧颊粘膜表面有溃疡。患者还表现为乏力，纳差，不排便 3 天，尿黄。
舌淡红苔黄腻，脉细数。
Physical Examination: rice or soybean-sized red maculopapular eruptions distributed
on the edge of her palms and soles with vesicles on some of the lesions. There were
ulcerations on the surface of the left buccal mucosa. The patient also presented with
lassitude, poor appetite, no defecation for 3 days, and yellow urine. Her tongue was
slightly red with a greasy yellow coating; the pulse was thready and rapid.
中医病名：手足口病
Disease name of TCM: Hand-foot-mouth disease
中医诊断：风热外侵证
Diagnosis of TCM: External wind-heat invasion syndrome
病机分析：邪毒从肌表透发则见手掌及脚底边缘有红色斑疹丘疹，口腔左侧颊
粘膜表面有溃疡。邪盛正虚，邪毒内陷，则见乏力。舌淡红苔黄腻，脉细数为
风热之象。
Pathogenesis analysis: The evil toxin penetrates from the surface of the muscles, red
rashes and papules on the palms of the hands and the soles of the feet, and ulcers on
the mucous membrane surface of the left side of the mouth. The pathogen is strong
and the toxin is weak, then weakness is seen. Pale red tongue with yellowish greasy
coating, thin and rapid pulse present the wind-heat.
治法：宣肺解表，清热化湿
Treatment method: Facilitate the flow of the lung-qi and relieve exterior, clear heat
and eliminate dampness
方药：甘露消毒丹加减

黄芩 9g 薄荷 9g 连翘 9g 广藿香 6g 石菖蒲 6g 金银花 9g 板蓝根 6g 射干 6g

浙贝母 6g 滑石 6g 豆蔻 6g 荷叶 6g 桑叶 6g 菊花 6g

共 5 剂，水煎服，每日 1 剂，早晚分服。
Prescription: Gan Lu Xiao Du San modify
Huang Qin 9g Bo He 9g Lian Qiao 9g Guang Huo Xiang 6g Shi Chang Pu 6g
Jin Yin Hua 9g Bna Lan Gen 6g She Gan 6g Zhe Bei Mu 6g Dou Kou 6g He Ye 6g
Sang Ye 6g Ju Hua 6g
Total 5 doses, decoct with water, 1 dose per day, take decoction in day and night.