BA Yuanming Examined a Case of Sjogren's Syndrome
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1.Clinical School of Traditional Chinese Medicine, Hubei University of Traditional Chinese Medicine, Wuhan, Hubei 430061,China
2.Affiliated Hospital of Hubei University of Traditional Chinese Medicine/Department of Nephrology, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430061, China
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LIU Fuli, BA Yuanming. BA Yuanming Examined a Case of Sjogren's Syndrome[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615951&Fpath=home&index=0
病史摘要,2,患者,许某某,女,74岁,因“口干、咽干、全身皮肤干燥,眼睑浮肿一年余”就诊。患者一年前无明显诱因出现口干、咽干、全身皮肤干燥,眼睑浮肿,于当地医院住院查肾功能示血肌酐轻微升高(具体不详),唾液腺同位素检查(+),经医师诊断为干燥综合征肾损害;予以中成药口服治疗后好转,近一年来规律复查肾功能示血肌酐持续波动在110 μmol/L 左右,患者为求进一步中医诊治,遂于2021年3月2日来我院门诊就诊。四诊信息 形体消瘦,倦怠乏力,头晕,眼睑轻微浮肿伴发胀,唇红,口干,全身皮肤干燥,咽干,胃脘部灼热感,胃胀、嗳气,小便有泡沫,颜色浑浊,夜尿2次,纳一般、食欲欠佳,眠可,大便2次/天、质可。舌红,苔白,脉细。中医病症 慢肾风,气阴两虚、肾精不固证中医治法 滋阴益气,固精封髓西医诊断 干燥综合征肾损害干预措施 方选《卫生宝鉴》之三才封髓丹加减联合西药药用炭片吸附血肌酐治疗。疗效转归 患者诸症消失,仅遗留口干、目胀两症,24小时尿蛋白定量、血肌酐两项指标均恢复正常。
Summary of case history , The patient, Xu XX, female, 74 years old, because of "dry mouth, dry throat, dry whole body skin, eyelid edema for more than a year" to visit. One year ago, the patient had dry mouth, dry throat, dry skin, swollen eyelids, local hospital slightly increased blood creatinine (specific unknown), salivary gland isotope examination (+), diagnosed by doctors as Sjogren's syndrome renal damage; after oral treatment, regular review of renal function blood creatinine fluctuated around 110 μmol/L, the patient came to our clinic on March 02, 2021.,Symptoms and signs ,Body wasting, burnout, fatigue, dizziness, a slight eyelid swelling with swelling, red lips, dry mouth, dry skin, dry throat, burning stomach, stomach distension, belching, urine foam, color turbidity, nocturia twice, general, poor appetite, sleep, stool 2 times/day, quality. Red tongue, white moss, fine veins.,TCM disease and syndrome , slow kidney wind qi yin two deficiency, kidney essence is not solid evidence,TCM treatment ,nourish yin and qi, consolidate essence and seal pulp,Western medicine diagnosis s,jogren's syndrome causes renal damage,Diagnostic methods, Fang selected "health treasure Ji'an" three to seal pulp Dan plus and subtract combined with western medicine medicinal carbon tablet adsorption blood creatinine treatment.,Clinical outcomes ,The patient disappeared, leaving only dry mouth and eye distension. The 24-hour urine protein quantification and blood creatinine indexes all returned to normal.
干燥综合征肾损害三才封髓丹名医经验巴元明
sjogren's syndrome kidney damagethree pulp sealmedical experienceBa Yuanming
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