Treatment of Postpartum Lochia by Ding Lixian: A Case Report
扫 描 看 全 文
1.The First Clinical Medical College of Guizhou University of Traditional Chinese Medicine, Guiyang 550002, China
2.Department of Gynecology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang 550001, China
扫 描 看 全 文
XU Ziqiu, DING Lixian. Treatment of Postpartum Lochia by Ding Lixian: A Case Report[DB/OL].(2023-09-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41363527&Fpath=home&index=0
病史摘要,2,患者郭某,女性,32岁,2020年12月2日因“人流术后阴道流血13天”就诊。26天前患者行人流术。13天前术后阴道流血不止,外院诊断“宫腔中度粘连”,建议手术治疗,患者拒绝,遂就诊于我院门诊,寻求中医治疗。四诊信息:患者阴道流血,量多、色淡质稀,无明显腹痛。精神萎靡,疲劳乏力,腰膝酸软,纳呆食少,小腹坠胀,眠差,便溏,小便可。舌淡、苔薄白,脉细弱。中医诊断 产后恶露不绝(脾肾气虚,冲任不固证)。西医诊断 人流术后阴道流血。干预措施 初诊予固冲汤加减补肾益气,固冲止血,后续予归脾汤加味补益心脾,固冲调经。疗效转归 患者阴道流血止,月经周期恢复。
Summary of case history, Patient Guo, a 32-year-old female, visited the hospital on December 2, 2020 due to "13 days of vaginal bleeding after abortion". Patient underwent pedestrian flow surgery 26 days ago. Thirteen days ago, there was continuous vaginal bleeding after surgery, and the diagnosis of "moderate adhesions in the uterine cavity" was made in an external hospital. Surgical treatment was recommended, but the patient refused. Therefore, they sought medical attention from our outpatient department and sought treatment with traditional Chinese medicine. Symptoms and signs: The patient has vaginal bleeding, with a large amount, light color, and sparse texture, and no obvious abdominal pain. Mental exhaustion, fatigue and fatigue, weak waist and knees, lack of appetite, bloated lower abdomen, poor sleep, loose stools, and urination. The tongue is pale, the coating is thin and white, and the veins are thin and weak.,TCM diagnosis, Prolonged postpartum lochia (spleen and kidney qi deficiency, incomplete retention of Chongren syndrome).,Western medicine diagnosis, Vaginal bleeding after abortion.,Therapeutic methods, At the initial diagnosis, Gu Chong Tang was added to tonify the kidney and Qi, Gu Chong stopped bleeding, and later Gui Pi Tang was added to tonify the heart and spleen, and Gu Chong regulated menstruation.,Clinical outcomes, The patient's vaginal bleeding stopped and menstrual cycle resumed.
产后恶露不绝产后恶露不止恶露不绝恶露不净
Postpartum lochia endlesspostpartum lochia more thanevil dew endlessevil dew is not clean
谈勇.中医妇科学[M].北京:中国中医药出版社,2016:519;19.
项志明,赵慧.产后恶露不绝756例治疗观察[J].中国当代医药,2009,16(4):141.
何静,田小英.益气活血方联合西药治疗剖宫产后恶露不绝临床研究[J].新中医,2022,54(2):94-97..
薛玲玉. 补阳还五汤加减治疗气虚血瘀型产后恶露不绝的临床研究[D].山东中医药大学,2020.
0
Views
1
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution