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实热下利与厥阴热利如何区分?

问答题
2021-12-29 01:04
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正确答案

二者均属热利,前者为阳明燥热结滞,热结旁流,下清稀臭秽之粪水,必有谵语,腹满而胀痛,以及舌苔黄燥等阳明热盛之象,治疗当通因通用,用小承气汤泻下里实;而厥阴热利则属于肝经湿热,下迫大肠,多便下脓血,且伴有里急后重,以及舌红、苔黄等热性症状,治疗当用白头翁汤凉肝解毒、清热燥湿。


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