化痰活血法治疗先兆流产病例
增强出版Treatment of Threatened Abortion Cases by the Method of Resolving Phlegm and Activating Blood
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1.北京市通州区北苑街道社区卫生服务中心中医科,北京 101100
2.北京中医药大学中医学院,北京 100029
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鲁周南, 孙晓光. 化痰活血法治疗先兆流产病例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28231729&Fpath=home&index=0
LU Zhounan, SUN Xiaoguang. Treatment of Threatened Abortion Cases by the Method of Resolving Phlegm and Activating Blood[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28231729&Fpath=home&index=0
鲁周南, 孙晓光. 化痰活血法治疗先兆流产病例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28231729&Fpath=home&index=0 DOI:
LU Zhounan, SUN Xiaoguang. Treatment of Threatened Abortion Cases by the Method of Resolving Phlegm and Activating Blood[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28231729&Fpath=home&index=0 DOI:
病史摘要,2,患者18岁月经初潮,自初潮起1年一行。2014年自然流产1次,2016年、2017年各胎停育(左侧宫角妊娠)1次。2017年因求子于门诊口服汤药治疗至今。1 d前尿妊娠试验阳性,现停经42 d,腰酸1 d,为保胎门诊求诊。既往多囊卵巢综合征、盆腔粘连、双侧输卵管炎、子宫内膜异位症、2型糖尿病病史。四诊信息 育龄期女性。末次月经时间:2018年4月1日。G4P0。患者身形强壮,唇周色黄,腹部切诊肌肉紧张度偏高,按之不痛。现症见:精神佳,偶有腰酸,无腹痛、阴道流血。舌淡暗,边有齿痕,苔白微腻,脉偏弦,尺脉沉弱。中医病证 1.胎动不安;2.滑胎 脾肾亏虚,痰瘀互阻证。中医治法 化痰活血,培补脾肾。西医诊断 首诊诊断:1.停经腰酸原因待查:先兆流产?稽留流产?异位妊娠?2.复发性流产;3.2型糖尿病明确诊断:1.先兆流产;2.复发性流产;3.2型糖尿病干预措施 中药汤药治疗。以柴芩升降散、少腹逐瘀汤(去温燥中药)、寿胎丸为主方,配合清热化痰之品加减。调畅气机的同时活血化瘀,培补肾气。疗效转归 足月顺产一健康男婴,现已上幼儿园。
Summary of case history ,The patient had menstruation at 18 years old and once a year since menarche. The patient had a spontaneous abortion in 2014, and the pregnancy of fetus (left cornual pregnancy) was stopped in 2016 and 2017. Since 2017, she has been taking oral Chinese medicine decoction in the outpatient clinic for pregnancy and tested positive urine pregnancy test one day ago. She has been suspended for 42 days accompany lumbar acid for 1 day and is seeking treatment for the fetal protection clinic. The patient had history of polycystic ovary syndrome, pelvic adhesions, bilateral salpingitis, endometriosis and type 2 diabetes.,Symptoms and signs ,Women of childbearing age. Time of last menstruation: April 1, 2018. History of pregnancy and childbirth:G4P0. The patient has a strong body, yellow lip color, abdominal palpation muscle tension is high, no pain. Current symptoms: The patient is in good spirits, occasional backache, no abdominal pain and vaginal bleeding.The tongue is light and dark, the moss is white and slightly greasy, the pulse is skewed, and the ulnar pulse is heavy and weak.,TCM disease and syndrome, 1.Unstable fetal movement. 2.Fetal slippery fetus. The syndrome differentiation is deficiency of spleen and kidney and mutual obstruction of phlegm and blood stasis.,TCM treatment ,Resolving phlegm and activating blood circulation, nourishing spleen and kidney.,Western medicine diagnosis ,First diagnosis 1. The cause of amenorrhea and lumbar acid remains to be investigated: threatened abortion?fetal arrest? eccyesis? 2. Recurrent abortion;3 Type 2 diabetes mellitus.Clear diagnosis 1.Threatened abortion;2 . Recurrent abortion; 3 Type 2 diabetes mellitus.,Therapeutic methods, Chai Qin Sheng Jiang San,Shao Fu Zhu Yu Tang(excepting warm elements) and Shou Tai Wan are the main Traditional Chinese medicine prescritions, combined with heat clearing and phlegm resolving elements. Regulating Qi, promoting blood circulation and removing blood stasis, nourish kidney Qi.,Clinical outcomes ,The patient gave birth to a healthy baby boy at full term and is now in kindergarten.
化痰活血法先兆流产中医妇科胎产病
method of resolving phlegm and activating bloodthreatened abortionTCM gynecologyfetal birth related diseases
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