National famous Chinese medicine Ding Lixian treating intractable body pain after abortion
1.Graduate student of Guizhou University of Chinese Medicine in 2015, Guiyang 550002, China
2.Graduate student of Guizhou University of Chinese Medicine in 2021, Guiyang 550002
3.The First Affiliated Hospital of Guizhou University of Chinese Medicine, Guiyang 550001, China
DOI:
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XIONG Yuyao, ZHANG Qiongying, DING Lixian. National famous Chinese medicine Ding Lixian treating intractable body pain after abortion[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053384&Fpath=home&index=0
DOI:
XIONG Yuyao, ZHANG Qiongying, DING Lixian. National famous Chinese medicine Ding Lixian treating intractable body pain after abortion[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053384&Fpath=home&index=0DOI:
National famous Chinese medicine Ding Lixian treating intractable body pain after abortion
病史摘要,2,患者李某,女,52岁,已婚,因人流术后关节肌肉疼痛 7余年,于2017年8月2日初诊。自诉7余年前行人流术后,出现关节肌肉疼痛、麻胀感明显,恶寒喜暖,遇寒则痛甚,得热痛缓,常手足冰冷,长期穿长衣长裤。七年间,患者曾先后就诊于多家医院治疗,口服中药、止痛药及激素等,上述症状稍有好转,但停药后常复发,病情缠绵难愈。自述曾行血象、血沉、抗“Ο”、类风湿因子及 X 线等检查均未发现特殊。就诊时患者上述症状均存在,见其神情焦虑不安,疲乏倦怠,面色黯然,口唇干燥,皮肤粗糙,体型偏瘦,诉说病情时翛然泪下,常手心烦热,因疼痛而影响睡眠,舌暗红,苔薄白,脉细而涩。平素月经周期、经期正常,经量尚可,色暗有块,经来腹痛可忍。患者双手皮肤及关节欠温,关节活动正常。末次月经:2017年7月27日。中医诊断 堕胎后身痛 气血亏虚,寒凝血瘀证西医诊断 人流术后身痛干预措施 治疗上以中药汤剂内服为主,以“益气养血,温经散寒,祛瘀止痛”为法,方选“金匮温经汤加味”,重视配合身心同治。预后转归 经过3个月的中药汤剂内服调理,及精神情绪的鼓励疏导,患者症状好转,停药3个月后随访,患者关节肌肉疼痛症状未再复发。
Abstract
Summary of case history, The patient, surnamed Li, a married 52-year-old female, was first diagnosed on August 2, 2017 for seven years of intractable bodily pain after an artificial abortion operation. After abortion more than 7 years ago, the appearance of joint muscle pain, numbness swelling sensation was obvious, the symptoms got worse if near the cold, and can be relieved by heat. The hands and feet were always cold, so she needed to wear thick clothes. Over the course of seven years, the patient was treated in a number of hospitals, oral Chinese medicine, painkillers and hormones, but the above symptoms improved slightly, and it often recurs after discontinuation. The patient had some tests such as blood routine examination, sedimentation test, anti streptolysin, rheumatoid factors and X-ray but found no problem. She came to the clinic with the symptoms described above, anxiety, tired, looking gloomy, feeling thirst and tongue scorched, palm hot, pachylosis, emaciated. When complaining of her illness, she fell into tears, often affected sleep by pain, dark red tongue, thin white moss, thin and astringent pulse. Her menstrual cycle and menstrual period was normal withdark color blood andabdominal pain which can be endured. The skin and joints of the patient's hands were cold, and the joint movement was normal. Last menstrual period: July 27, 2017.,TCM diagnosis, Pain after abortion Qi and blood deficiency, cold coagulation and blood stasis,Western medicine diagnosis, Pain after artificial abortion operation,Therapeutic methods, Traditional Chinese medicine is mainly taken for treatment. With the method of nourishing qi and blood, dispersing cold through warm meridian, removing blood stasis and relieving pain,Jin Gui Wen Jing, decoction was administrated.. both physical and mental treatments were applied.,Clinical outcomes, After 3 months of internal administration of traditional Chinese medicine decoction and moral support, the patient recovered from symptoms. After 3 months of drug withdrawal, we tracked that her symptoms have not recurred.