A Case of Papillomavirus Infection in a Witness with Damp-heat Infusion Treated with the Addition of Ermiao Formula
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1.Jiangsu Province Hospital of Chinese Medicine, Nanjing University of Chinese Medicine, Nanjing 210004, China
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WU Die, REN Qingling. A Case of Papillomavirus Infection in a Witness with Damp-heat Infusion Treated with the Addition of Ermiao Formula[DB/OL].(2023-03-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34837144&Fpath=home&index=0
病史摘要,2,患者穆某,女,34岁,2022年1月6日初诊。主诉:“带下量多半年余”。现病史:患者半年前无明显诱因出现带下过多、色黄、水样,伴有异味、阴痒。2021年12月2日患者于本院行宫颈癌前筛查示:TCT:LSIL,HPVE6/E7mRNA:14种高危型HPV(E6/E7 mRNA)阳性,建议阴道镜活检。2021年12月15日行白带常规检测示:脓细胞>30,并行阴道镜活检,病理示:慢性宫颈炎伴鳞状上皮增生、化生,局部见挖空细胞,部分区见高度上皮内病变(HSIL,CINⅡ级)。2021年12月27日行宫颈锥切术,组织病理示:慢性宫颈炎,低级别鳞状上皮病变(LSIL,CINⅠ级)。患者为求进一步治疗于我院妇科门诊就诊。患者已婚,1-0-2-1月经正常,否认其他既往史。就诊时患者带下量多、色黄、水样,伴有异味、阴痒,无腹痛,无恶寒发热,纳寐可,二便调,舌质红,苔黄腻,脉细弦。中医诊断 带下病,湿热下注证。西医诊断 宫颈低度鳞状上皮内病变(LSIL)。干预措施 加味二妙方加减。疗效转归 至2022年8月复查,相关检测指标好转,患者病情基本痊愈,带下不适症状完全消失。
Summary of case history, Summary of medical history Patient Mu, female, 34 years old, was first seen on January 6, 2022. Complaint: "Excessive discharge for more than six months". Current medical history: The patient had excessive, yellow and watery discharge with odor and itchy vagina six months ago with no obvious cause. 2 December 2021, the patient underwent cervical pre-cancer screening in our hospital: TCT: LSIL, positive for HPVE6/E7 mRNA: 14 high-risk HPV types (E6/E7 mRNA), colposcopic biopsy was recommended. 15 December 2021, routine leukocyte test On December 27, 2021, a cervical conization was performed and histopathology showed chronic cervicitis with low-grade squamous epithelial lesions (LSIL, CIN grade I). The patient attended our gynecology outpatient clinic for further treatment. The patient was married, 1-0-2-1, with normal menstruation and denied any other past history.Now,the patient has excessive, yellow, watery discharge with odor and itching, no abdominal pain, no chills and fever, acceptable sleep and sleep, regulated bowel movements, light red tongue, yellowish greasy coating, fine string pulse.,TCM diagnosis, The diagnosis of TCM includes the diagnosis of the symptoms of the disease of banding, and the evidence of damp-heat infusion.,Western medicine diagnosis ,Low-grade squamous intraepithelial lesion of the cervix (LSIL).,Therapeutic methods, Addition of Ermiao Formula.,Clinical outcomes, The patient's condition was basically cured and the symptoms of discomfort under the belt disappeared completely.
加味二妙方湿热下注证带下病人乳头瘤病毒感染
addition of ermiao formuladamp-heat influx evidencehypochondriasishuman papilloma virus infection
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