Summary of case history, Patient Yu, female, 77 years old, sought medical attention on January 19, 2021 due to "sudden adverse right limb movement for one month". The patient experienced sudden weakness in their right limb one month ago and was diagnosed with "pontine infarction" in an external hospital. After symptomatic treatment, they improved and were discharged. On January 2, 2021, he was hospitalized again and underwent head CT scan to show multiple lacunar cerebral infarction in the pontine and bilateral basal ganglia areas, as well as in the coronal radiation. However, the symptomatic treatment effect was not satisfactory, and he was transferred from another hospital to our department for treatment. Symptoms and signs: The patient is unable to stand and walk, and is pushed into the ward with the help of a wheelchair. They have clear consciousness, poor mental state, stiff neck, dizziness, headache, and fatigue. The right nasolabial groove becomes shallow, the tongue is extended to the right, the abdomen is full, the stool has not been resolved for 3 days, urination is not good, gross hematuria, and sleep is not good. The tongue is purple and dark, the fur is muddy and slightly yellow, and the veins are thick and thin.,TCM diagnosis, Stroke (liver and kidney deficiency, phlegm and blood stasis syndrome).,western medicine diagnosi, sischemic stroke(Pons infarction).,Therapeutic methods, Traditional Chinese medicine uses the methods of tonifying qi, activating blood circulation, and unblocking collaterals, as well as soothing the liver, tonifying the kidney, and resolving blood stasis. It is orally administered with the formula for soothing the liver and tonifying the kidney, combined with deer melon peptide injection, gastrodin injection, and bone setting and tendon regulating techniques for treatment.,clinical outcomes, The patient's right limb muscle strength returned to normal, and she could walk normally. The right nasolabial fold became deep, and the extended tongue was centered. There was no response after 2 months of follow-up.
关键词
缺血性脑卒中脑桥梗死中医药中医正骨
Keywords
Ischemic strokePontine infarctionTraditional Chinese MedicineTraditional Chinese Medicine Bone Setting