YUAN Fang Treated A Case of Laolin Used Modified Wulingsan
增强出版
扫 描 看 全 文
1.Department of Nephrology, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine (TCM), Shenyang 110032, China
2.Affiliated Hospital of Liaoning University of TCM, Shenyang 110032, China
扫 描 看 全 文
YUAN Fang, ZHAO Wanchao, LUO Xi. YUAN Fang Treated A Case of Laolin Used Modified Wulingsan[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31690297&Fpath=home&index=0
病史摘要,2,时某某,男,53岁。初诊:2021年11月22日,周一,小雪,门诊病例号6811596。因小便频急7个月来诊。患者于7个月前因着急上火出现小便频数,伴尿急症状,每日排尿12次左右,时有小腹及尿道不适,于某医院做尿常规、肾功能、双肾膀胱超声检查未见异常,曾口服抗生素治疗无效。后经膀胱镜和CT检查确诊“腺性膀胱炎”,慕名来辽宁中医药大学附属医院中医肾病门诊求治。既往有高血压病史5年,服用苯磺酸氨氯地平片5 mg/日,血压控制良好。化验结果示:尿常规红细胞(RBC)4~6/HP,略高于正常值。刻下症:小便频急淋漓,日排尿12次左右,劳累加重,伴周身乏力,畏寒,晨起有眼眵,夜尿2~3次,纳可,大便正常。颜面无浮肿,双下肢无压痕。舌质红,苔薄白,脉沉。中医诊断 劳淋(膀胱蓄水证)。西医诊断 腺性膀胱炎。干预措施 五苓散加味。处方:泽泻20 g、白术15 g、猪苓10 g、茯苓15 g、桂枝6 g、乌药10 g、菊花9 g、白茅根20 g、萹蓄10 g、升麻5 g、柴胡10 g、瞿麦10 g、灯心草10 g。7剂,每日一剂,水煎300 mL,早中晚各100 mL温服。疗效转归 二诊(11月29日):药后7日复诊,尿频症状明显改善,每日8次左右,仍有尿急,舌脉同前,守方7剂续服。三诊(12月6日):患者述药后尿急症状进一步减轻,仍有周身乏力、畏寒症状,舌质红,舌苔白,脉滑。上方加盐补骨脂15 g、枸杞子15 g、金樱子肉15 g温肾祛寒,守方加减治疗2个月后,临床症状缓解,排尿恢复正常。
Summary of case history Mr. ,SHI, male, 53 years old. Initial diagnosis: Monday, November 22, 2021, Xiaoxue, outpatient case number: 6811596. She came to see a doctor for 7 months due to frequent urination. Seven months ago, the patient had frequent urination due to anxiety and anger, accompanied by urgent urination symptoms, urinated about 12 times a day, and sometimes had abdominal and urethral discomfort. Routine urination, renal function, double kidney bladder ultrasound examination in the local hospital showed no abnormalities, and oral antibiotic treatment was ineffective. After cystoscopy and CT examination, he was diagnosed as "glandular cystitis", and came to ,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, to seek treatment in the nephrology clinic of traditional Chinese medicine. Having a history of hypertension for 5 years, taking amlodipine besylate tablets 5 mg/ day, the blood pressure was well controlled. The test results showed that the urine routine RBC 4-6/HP was slightly higher than the normal value. Symptoms: frequent and rapid urination, urination about 12 times a day, increased fatigue, fatigue, chills, eyes in the morning, urination 2-3 times at night, Naco, normal stool. There is no edema on the face and no indentation on both lower limbs. The tongue is red, the moss is thin and white, and the pulse is heavy.,TCM diagnosis ,Laolin (bladder impounding syndrome).,Western medicine diagnosis ,Cystitis glandularis.,Therapeutic methods ,Wuling powder flavored. Prescription: Alismatis Rhizoma 20 g, Atractylodis Macrocephalae Rhizoma 15 g, Polyporus 10 g, Poria 15 g, Cinnamomi Ramulus 6 g, Linderae Radix 10 g, Chrysanthemi Flos 9 g, Imperatae Rhizoma20 g, Polygoni Avicularis Herba 10 g, Cimicifugae Rhizoma 5 g, Bupleuri Radix 10 g, Dianthi Herba 10 g, Junci Medulla 10 g. 7 doses, one dose per day, 300 mL in water, 100 mL in the morning, 100 mL in the afternoon and 100ml in the evening.,Clinical outcomes ,Second diagnosis (November 29): after 7 days of treatment, the symptoms of frequent urination were significantly improved, about 8 times a day, there was still urgency of urination, the tongue and pulse were the same as before, and 7 doses of conservative prescription were continued.Three diagnosis (December 6): the patient's symptoms of urgent urination were further reduced after the drug was described, and he still had symptoms of fatigue and chills, with red tongue, white tongue coating and slippery pulse. Add salt Psoraleae Fructus15 g, Lycii Fructus15 g and Rosae Laevigatae Fructus 15 g above to warm the kidney and dispel the cold. After 2 months of treatment, the clinical symptoms were relieved and urination returned to normal.
劳淋尿频五苓散
LaolinFrequent urinationWulingsan
张保.«腺性膀胱炎临床诊断和治疗中国专家共识»解读[J].泌尿外科杂志(电子版),2021,13(4):28-31.
闫丽君,潘和长.«诸病源候论»淋证相关理论浅析[J].湖北中医杂志,2022,44(3):38-41.
韦婷婷,黄雪霞,孟立锋,等.五苓散加减治疗糖尿病肾病研究概况[J].中医学报,2022,37(2):311-315.
0
Views
7
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution