One Case of Unexplained Fever Treated with Sweet dew Toxin-Removing Elixir
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1.Department of Rheumatism, Traditional Chinese Medicine Hospital of QuanZhou, QuanZhou 362000,China
2.Department of Ophthalmology and Otorhinolaryngology, Traditional Chinese Medicine Hospital of QuanZhou, QuanZhou 362000,China
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YE Yanpo, WANG Xiaoxian. One Case of Unexplained Fever Treated with Sweet dew Toxin-Removing Elixir[DB/OL].(2022-12-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32926859&Fpath=home&index=0
病史摘要,2,柯某,女,64岁,反复高热8个月。8月余前无明显诱因开始出现畏冷寒战,得衣被无法缓解,恶寒严重时常大口喘气,发热,体温最高常超过39.0℃,每日发作1-4次不等,可自行退至正常,易出汗。多次就诊市、省三甲综合性大医院,经各种感染相关检查、肿瘤筛查、免疫学筛查、骨髓穿刺及各部位彩超、CT和MRI平扫+增强扫描、PET-CT全身扫描,除了脾大、贫血、血沉高、CRP高,余均未见明显异常,诊断发热待查。至就诊时,患者生活已无法自理,吃饭、二便均需有人扶送,身体极度虚弱。刻下症:精神萎靡,倦怠乏力,无力自行行走,懒言,每日先恶寒、后发热,汗多,每日需更换5~6次衣服,偶有腹痛,视物重影,纳呆,寐欠安,小便黄,大便正常,舌淡苔黄厚腻,脉弱。中医诊断 内伤发热,痰湿郁热证(湿热并重)西医诊断 发热原因待查干预措施 单用中药方甘露消毒丹加减治疗。疗效转归 患者口服10剂中药后热退,之后未再发热、寒战。后再经口服10剂中药后恢复正常。随访1年,未复发。
Summary of case history ,Ke Mou, female, 64 years old, has recurrent high fever for 8 months. More than 8 months ago, there was no obvious inducement to start shivering, and wearing more clothes cannot be alleviated., even asthma in severe cases.Accompanied by fever, the highest body temperature often exceeded 39.0 ℃. It occurred 1-4 times a day, and it could retreat to normal by itself, and it was easy to sweat. After many visits to the municipal and provincial Class 3A general hospitals, after various infection related examinations, tumor screening, immunological screening, bone marrow puncture and color Doppler ultrasound of various parts, CT and MRI plain scan + enhanced scan, PET-CT whole-body scan, except for splenomegaly, anemia, high ESR and high CRP, no obvious abnormalities were found, and the diagnosis of fever is pending. At the time of seeing a doctor, the patient was unable to take care of herself. He needed to be helped to eat and defecate, and his body was extremely weak. Symptoms: listlessness, fatigue, inability to walk by oneself, no strength to talk, cold aversion first and then fever every day, sweat so much that she need to change her clothes 5-6 times a day, occasional abdominal pain, double vision, poor appetite, poor sleep, yellow urine, normal stool, light tongue, yellow and greasy fur, weak pulse.,TCM diagnosis i,nternal injury fever-phlegm dampness stagnation heat syndrome (both dampness and heat),Western medicine diagnosis t,he cause of fever remains to be investigated,Therapeutic methods ,Treatment with Traditional Chinese medicine prescription about Sweet Dew Toxin-Removing Elixir alone.,Clinical outcomes ,After taking 10 doses of traditional Chinese medicine orally, the patient's fever subsided, and then there was no fever and shivering. After oral 10 doses of traditional Chinese medicine again, it returned to normal. Follow up for 1 year, no recurrence.
甘露消毒丹不明原因发热
sweet dew toxin-removing elixirfever of unknown origin
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