刘建华治疗梅尼埃病1例
A Case Report of Professor Liu Jianhua Treating Meniere's Disease
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1.北京中医药大学东直门医院耳鼻喉科,北京 100700
2.北京中医药大学东直门医院中医耳鼻咽喉头颈研究所,北京 100700
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张琳婧, 刘建华. 刘建华治疗梅尼埃病1例[DB/OL].(2022-07-23)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28614950&Fpath=home&index=0
Linjing ZHANG, Jianhua LIU. A Case Report of Professor Liu Jianhua Treating Meniere's Disease[DB/OL].(2022-07-23)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28614950&Fpath=home&index=0
张琳婧, 刘建华. 刘建华治疗梅尼埃病1例[DB/OL].(2022-07-23)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28614950&Fpath=home&index=0 DOI:
Linjing ZHANG, Jianhua LIU. A Case Report of Professor Liu Jianhua Treating Meniere's Disease[DB/OL].(2022-07-23)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28614950&Fpath=home&index=0 DOI:
病史摘要,2,本例为纯中医药治疗的老年男性梅尼埃病患者,主因“眩晕反复发作伴左耳听力下降3月”就诊,曾于外院行相关西医治疗,未见明显好转,后就诊于我院,查听力显示双耳感音神经性耳聋,左耳全频重度下降,以低中频为主,中医四诊合参辨证为脾气虚弱、水气内停,治法为健脾益气、温阳利水,方药以苓桂术甘汤加减为主。患者在中药口服期间,未口服其他药物及使用其他治疗手段,中药口服1月后患者眩晕未再发作,左耳听力下降等症状较前明显缓解,3个月后随访患者未再发作眩晕,查听力示左耳低中频轻度下降,较前提高30-40 dB HL。四诊信息 患者神清,精神一般,发育正常,形体正常,面色偏黄,呼吸均匀,未闻及特殊气味,舌淡红、苔白,脉弦滑。中医诊断 耳眩晕病 (脾气虚弱、水气内停)中医治法 健脾益气、温阳利水西医诊断 1.梅尼埃病 2.感音神经性聋(双)干预措施 中药口服治疗1月余疗效转归 患者眩晕未再发作,左耳听力下降等症状较前明显缓解,查听力示左耳低中频轻度下降,较前提高30-40 dB HL。
Summary of case history, This example is a pure Chinese medicine treatment of speech to his patients, older men, cause "vertigo companions of recurrent ear hearing loss" in March, in the outer court line related to western medicine treatment, did not see obvious improvement, see a doctor in the hospital, after the check listening ears sensorineural deafness, left ear all frequency severe decline, with low frequency is given priority to, or four diagnosis in traditional Chinese medicine and syndrome differentiation to temper weak, water stop,Treatment for the spleen and replenishing qi, WenYangLi water, the formulas is given priority to with three guangxi art f tonga subtraction, patients during the period of oral medicine, not use the other oral drugs and other treatments, patients with vertigo after 1 month of oral medicine not to attack, the left ear hearing loss and other symptoms eased significantly earlier, after 3 months follow-up of patients have been no attacks of vertigo, check low intermediate frequency mild decline in hearing in the left ear,30-40 dB HL higher than before.,Symptoms and signs, The patient's facial expression, spirit, normal development, normal body, yellow face, even breathing, no smell of special smell, pale red tongue, moss white, pulse string smooth.,TCM diagnosis, Dizziness of the ears, weakness of temper, and stagnation of moisture,TCM treatment, Tonify the spleen, benefit qi, warm Yang and benefit water,Western medicine diagnosis, 1.Meniere's disease 2. Sensorineural deafness (double),Therapeutic methods, Oral treatment with Traditional Chinese medicine lasted for more than 1 month,Clinical outcomes, The vertigo of the patient did not recur, and the symptoms of hearing loss in the left ear were significantly relieved. Hearing examination showed a slight decrease in low and middle frequency in the left ear, which was 30-40 dB higher than before.
梅尼埃病耳眩晕苓桂术甘汤中医药治疗病例报告
Meniere's diseaseEar vertigoLinggui shu Gan TangChinese medicine treatmentCase report
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