A Case of Professor XU Chunjun's Diagnosis and Treatment of Tympanites
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1.Department of Hepatology, Beijing Hospital of traditional Chinese Medicine, Capital Medical University, Beijing, 100010, China
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YAN Yu, XU Chunjun, WU Xuan, et al. A Case of Professor XU Chunjun's Diagnosis and Treatment of Tympanites[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28254619&Fpath=home&index=0
DOI:
YAN Yu, XU Chunjun, WU Xuan, et al. A Case of Professor XU Chunjun's Diagnosis and Treatment of Tympanites[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28254619&Fpath=home&index=0DOI:
A Case of Professor XU Chunjun's Diagnosis and Treatment of Tympanites增强出版
Summary of case history ,LU, male, 67 years old, went to our hospital on December 16,th, 2020 for "abdominal distention and edema of lower limbs for 1 month". He had a medical history of hypertension, diabetes, hyperuricemia, gallstone, and long-term alcohol consumption. He developed abdominal distension, leg swelling with oliguria, asthenia and low fever 1 month ago. He was diagnosed with "alcoholic cirrhosis, portal hypertension, esophagogastric varices, splenomegaly, ascites and pleural effusion" by a local hospital, and was treated with infusion of human albumin, aspiration of abdominal fluid, taking diuretics and prevention of gastrointestinal bleeding. However, his abdominal distension and other symptoms were not significantly relieved, thus he came here for further treatment.,Symptoms and signs ,The patient had a problem of abdominal distension, vague pain in the hypochondrium, chest tightness and shortness of breath, speaking low, fatigue, leg swelling, low fever. He had poor appetite and couldn't sleep well. He also had less urine in deep yellow and diarrhea. His tongue was dark with yellow and thick and greasy fur on it, and his pulse was thin and weak.,TCM treatment ,The treating method is to tonify Qi, promote blood flow, clear heat and remove dampness using Fangji Huangqitang and Wulingsan.,TCM disease and syndrome ,He was diagnosed as tympanites, Qi deficiency and blood stasis, damp-heat syndrome.,Western medicine diagnosis ,He was diagnosed with alcoholic cirrhosis, portal hypertension, esophagogastric varices, splenomegaly, ascites and pleural effusion.,Clinical outcomes ,After treatment, his symptoms were significantly relieved, ascites decreased, the bilirubin and albumin returned to normal level. He still drinks a little. We followed up for 6 months and found out he was in stable condition.
关键词
肝硬化腹水臌胀经验徐春军【适合阅读专业】 中医内科学中西医结合医学
Keywords
hepatic ascitestympanitesexperienceXU Chunjun【Suitable majors】 medical department of traditional Chinese medicine(TCM)combination of TCM with western medicine