One Medical Case: Traditional Chinese Medicine in the Treatment of Pediatric Indirect Inguinal Hernia
1.The Third Clinical Medical College of Zhejiang University of Chinese Medicine, Hangzhou 310053, China
2.Department of Paediatrics, Ningbo Hospital of Traditional Chinese Medicine, Ningbo 315010, China
DOI:
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ZHANG Xue, DONG Youqi. One Medical Case: Traditional Chinese Medicine in the Treatment of Pediatric Indirect Inguinal Hernia[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30423437&Fpath=home&index=0
DOI:
ZHANG Xue, DONG Youqi. One Medical Case: Traditional Chinese Medicine in the Treatment of Pediatric Indirect Inguinal Hernia[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30423437&Fpath=home&index=0DOI:
One Medical Case: Traditional Chinese Medicine in the Treatment of Pediatric Indirect Inguinal Hernia
病史摘要,2,患儿徐某,女,3岁,因“发现左侧腹股沟可复性肿块1年余”于2021年11月25日至外院就诊,诊断为“腹股沟斜疝”。家长欲寻求中医治疗,于11月29日至宁波市中医院门诊就诊。四诊信息:神清,精神可,情志急躁,腹稍满,左腹股沟可及一肿块,哭闹时加重,痛引小腹,约2 cm ×2 cm大小,表面光滑,边界清,肿块按之可回纳,无压痛,透光实验(-),局部皮肤无明显红肿,对侧腹股沟未及明显肿块,纳谷一般,二便尚调,舌根薄腻,脉弦。中医诊断 狐瘕(气结肝郁证)。西医诊断 腹股沟斜疝。干预措施 中药汤剂治疗。疗效转归 初诊时予天台乌药散加减以理气散结;7剂后疝坠仍发,痛引小腹,结滞不舒,此气结肝郁日久,病情顽固所致,故二诊处方增疏肝理气、行气止痛之力;三诊时患儿疝坠偶注,腹痛少发,收效初显,处方以原意巩固。四诊患儿疝坠次减,左侧腹股沟肿块减小,脉已缓,此肝气畅也,调整处方予异功散加减以调和肝脾,少佐理气散结之品。后再以上方增损调治十余剂,疝未下坠,随访2个月,患儿未诉小腹结滞不舒或疼痛,左侧腹股沟未及可复性肿块。
Abstract
Summary of case history, The child Xu, female, 3 years old, was diagnosed as "indirectinguinal hernia" on November 25, 2021, because "the left inguinal recoverability lump was found for more than 1 year". Her parents decided to seek the treatment of traditional Chinese medicine, so they came to Ningbo hospital of traditional Chinese medicine for outpatient treatment on November 29. Diagnostic information: clear spirit-mind, irritable temper, slightly full of belly, the left inguinal lump will be clear when she is crying, and her underbelly was painful. The lump was about 2 cm × 2cm size, with smooth surface, clear boundary, and could be returned, no tenderness, transparent experiment (-), local skin without obvious redness. No significant mass was found in the contralateral inguin. General eating, normal urination and defecation, greasy coating tongue root, two stringlike pulse.,TCM diagnosis ,fox lump; syndrome of liver depression and qi stagnation.,Western medicine diagnosis ,indirect inguinal hernia.,Therapeutic methods , Traditional Chinese medicine decoction treatment.,Clinical outcomes ,hernia drop decreased and left inguinal lump decreased. Later, the above prescription was adjusted for more than ten times, and the hernia didn't fall. After 2 months, no recurrence was seen.
关键词
中医治疗名医经验小儿疝气辨证施治
Keywords
Traditional Chinese medicine treatmentfamous doctor experiencepediatric herniasyndrome differentiation treatment
Erdoğan D, Karaman I, Aslan M K, et al. Analysis of 3776 pediatric inguinal hernia and hydrocele cases in a tertiary center[J]. Journal of Pediatric Surgery,2013,48(8):1767-1772.
Burgmeier C, Dreyhaupt J, Schier F. Comparison of inguinal hernia and asymptomatic patent processus vaginalis in term and preterm infants[J]. Journal of Pediatric Surgery,2014,49(9):1416-1418.
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