Treatment of Senile Vaginitis by Ding Qihou: A Case Report
扫 描 看 全 文
1.Department of Gynecology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang 550001, China
2.Department of Pharmacy, Guiyang College of Traditional Chinese Medicine, Guiyang 550002, China
扫 描 看 全 文
DING Lixian, DING Qihou. Treatment of Senile Vaginitis by Ding Qihou: A Case Report[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43052842&Fpath=home&index=0
病史摘要,2,患者石某某,女性,56岁,1998年2月15日因“反复出现阴部灼热疼痛,带下黄臭,带少夹血丝1年”就诊。患者绝经5年,绝经约1年后常出现阴部灼热疼痛,曾就诊多家西医院,诊断为“老年性阴道炎”,治疗后症状暂时缓解,复发频繁,故来我院就诊。四诊信息:患者阴部灼热疼痛,带下黄臭,量少夹血丝。手足心热,皮肤干燥,眼睛干涩,潮热出汗,小便黄少,时尿频尿痛,口干心烦,头晕耳鸣,腰膝酸软,睡眠不实。舌红、苔薄黄少津,脉沉细数。中医诊断 带下病(肝肾阴虚证)。西医诊断 老年性阴道炎。干预措施 中医治疗以滋养肝肾,止带止血为法,初期予三甲复脉汤加味内服,并予药渣煎水外洗,症状控制后予知柏地黄丸善后治本。疗效转归 患者阴部灼热疼痛、带下黄臭等症状好转,停药3月后随访未复发。
Summary of case history, Patient Shi, a 56-year-old female, sought medical attention on February 15, 1998 due to "repeated burning and pain in the genitals, yellow odor, and blood streaks for 1 year". The patient has been postmenopausal for 5 years, and often experiences burning and pain in the vagina about 1 year after menopause. He has visited multiple Western hospitals and was diagnosed with "senile vaginitis". After treatment, the symptoms temporarily improved and recurred frequently, so he came to our hospital for treatment. Symptoms and signs: The patient's genitals are burning and painful, with a yellow odor and a small amount of blood. Hot hands and feet, dry skin, dry eyes, hot flashes and sweating, yellow and little urine, frequent and painful urination, dry mouth and restlessness, dizziness and tinnitus, weak waist and knees, and poor sleep. The tongue is red, the fur is thin, and there is yellow Shaojin. The pulse is heavy and thin.,TCM diagnosis, leukorrheal(liver-kidney yin deficiency syndrome),Western medicine diagnosis, senile vaginitis,Therapeutic methods, traditional Chinese medicine treatment is based on nourishing the liver and kidneys, stopping bleeding and bleeding. Initially, Sanjia Fumai decoction is taken orally with added flavor, and the medicine residue is boiled in water and washed externally. After symptoms are controlled, Zhibai Dihuang Wan is given to treat the root cause.,Clinical outcomes, the patient's symptoms such as burning pain in the genital area and yellow odor under the belt improved, and there was no recurrence after stopping the medication for 3 months.
老年性阴道炎萎缩性阴道炎带下病三甲复脉汤
senile vaginitisatrophic vaginitisbelonging diseasesanjia fumai decoction
李艳,谷继爽,陈忱,等.保妇康栓治疗妇科恶性肿瘤术后并发老年性阴道炎的临床疗效及对患者生活质量和安全性的影响[J].中国妇幼保健,2017,32(21):5360-5362.
胡志英.激素替代联合局部用药在围绝经期萎缩性阴道炎患者中的疗效及对阴道局部环境的影响研究[J].中国性科学,2018,27(9):84-87.
王肖莉,储继军.加减补肾固冲汤治疗脾肾两虚型老年性阴道炎临床疗效观察[J].中医药临床杂志,2021,33(3):522-525.
许永芳.保妇康栓与雌激素联合治疗老年性阴道炎的疗效观察[J].实用妇科内分泌电子杂志,2015,2(7):136-138.
刘建革,于海霞.滋肾止带汤联合耳穴埋籽治疗老年性阴道炎的临床效果[J].河南医学研究,2022,31(1):149-152.
梁洁源,张帆,王文娜.基于"肾阴不足"探讨老年性阴道炎的发病机制及治疗思路[J].环球中医药,2021,14(8):1442-1445.
毕丽娟.易黄汤加味治疗老年性阴道炎探析[J].山西中医,2022,38(5):69-70.
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution