张喜奎教授治疗营养不良性水肿病例报告1例
增强出版Professor Zhang Xikui's Treatment of Malnutritional Edema: a Case Report
扫 描 看 全 文
1.福建中医药大学附属第二人民医院中医内科,福州 350003
2.福建中医药大学研究生院,福州 350122
3.福建中医药大学中医学院,福州 350122
扫 描 看 全 文
张喜奎, 林帅, 吴起浩, 等. 张喜奎教授治疗营养不良性水肿病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29501232&Fpath=home&index=0
ZHANG Xikui, LIN Shuai, WU Qihao, et al. Professor Zhang Xikui's Treatment of Malnutritional Edema: a Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29501232&Fpath=home&index=0
张喜奎, 林帅, 吴起浩, 等. 张喜奎教授治疗营养不良性水肿病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29501232&Fpath=home&index=0 DOI:
ZHANG Xikui, LIN Shuai, WU Qihao, et al. Professor Zhang Xikui's Treatment of Malnutritional Edema: a Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29501232&Fpath=home&index=0 DOI:
病史摘要,2,刘某某,男,83岁,反复双下肢水肿8月余。患者8月前无明显诱因出现双下肢水肿,呈持续性,就诊于福建省立医院,查生化全套示:白蛋白30 g/L,诊断为低白蛋白血症,予人血白蛋白、呋塞米片等治疗后症状改善出院。出院后双下肢水肿仍反复发作,症状同前。2021年7月6日,张喜奎教授接诊后,本案辨证为肝郁脾虚、水湿停聚,治以疏肝健脾、利水消肿,方选四逆散合五苓散加减治疗,药后水肿得消且不再复作,复查白蛋白亦转正常。四诊信息 双下肢水肿,身困,不思饮食,夜寐尚可,夜尿多,大便尚调,舌质淡红苔白稍厚,脉沉稍弦。中医病证 水肿;肝郁脾虚、水湿停聚证中医治法 疏肝健脾、利水消肿西医诊断 营养不良性水肿干预措施 四逆散合五苓散加减疗效转归 水肿已愈并未再复发,血浆白蛋白转正常
Summary of case history, Liu, male, 83, repeated lower limb edema 8 months. Before August, the patient had no obvious cause for edema of both lower limbs, which was persistent. The patient was treated in Fujian Provincial Hospital. The biochemical examination showed that albumin: 30 g/L, which was diagnosed as hypoalbuminemia. After treatment with human serum albumin and furosemide tablets, the symptoms were improved and discharged. After discharge, edema of both lower limbs still recurred, the same as before. After receiving treatment on July 6, 2021, Professor Zhang Xikui identified this case as stagnation of liver qi and spleen deficiency and stagnation of water-dampness. The treatment was soothing liver and invigorating spleen, promoting diuresis and detumescence. The prescription was modified Chaishao Liujunzi Decoction Sini Powder and Wuling Powder. After treatment, the edema was relieved and no longer repeated, and the albumin was also normal.,Symptoms and signs ,Lower limbs edema, sleepy, do not think about diet, sleepy, nocturnal urine, stool still tone, pale red tongue moss slightly thick, pulse sink and slightly string.,TCM disease and syndrome ,edema(Syndrome of stagnation of liver qi and spleen deficiency and stagnation of dampness),TCM treatment ,Methods of soothing liver and invigorating spleen, promoting diuresis and eliminating swelling.,Western medicine diagnosis ,nutritional edema.,Diagnostic methods ,Blood albumin examination, Measurement results of human edema.,Therapeutic methods ,Modified Sini Powder .,Clinical outcomes ,The edema has not recurred again, Plasma albumin turned to normal.
营养不良性水肿疏肝健脾利水消肿四逆散五苓散
nutritional edemasoothing liver and invigorating spleenpromoting diuresis and eliminating swellingpowder for regulating liver and spleenpowder of five drugs containing poria
胡品津, 谢灿茂.内科疾病鉴别诊断学[M].北京:人民卫生出版社, 2014: 238.
0
浏览量
9
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构