运脾生发汤治疗儿童斑秃1例
增强出版A Case of Pediatric Alopecia Areata Treated with Yunpi Shengfa Decoction
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1.上海中医药大学附属市中医医院儿科,上海 200071
2.上海中医药大学研究生院,上海 201203
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沈世平, 薛征. 运脾生发汤治疗儿童斑秃1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636988&Fpath=home&index=0
SHEN Shiping, XUE Zheng. A Case of Pediatric Alopecia Areata Treated with Yunpi Shengfa Decoction[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636988&Fpath=home&index=0
沈世平, 薛征. 运脾生发汤治疗儿童斑秃1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636988&Fpath=home&index=0 DOI:
SHEN Shiping, XUE Zheng. A Case of Pediatric Alopecia Areata Treated with Yunpi Shengfa Decoction[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29636988&Fpath=home&index=0 DOI:
病史摘要,2,患者肖某某,男,9岁,头发呈斑片状脱落2月余,外院诊断为斑秃,予以口服药物(具体不详)及局部外用糖皮质激素治疗,效果不佳。为求彻底治疗,于2021年11月27日求诊于薛征教授。四诊信息:患儿颞、枕部多处脱发斑,占头皮面积近40%,伴鼻塞流涕,纳差,多汗盗汗,二便调,舌淡红,苔白厚腻,脉细。中医诊断 油风,脾失健运、血虚夹风证。西医诊断 弥漫型斑秃。干预措施 运脾和胃,理气燥湿,祛风养血生发;自拟运脾生发汤联合生姜片涂抹患处。疗效转归 经治疗3个月后长出新发,恢复正常。
Summary of case history ,The patient Xiao Moumou,a 9-year-old male with patchy hair loss for more than 2 months, was diagnosed as alopecia areata in the external hospital and was treated with oral drugs (details unknown) and topical glucocorticoids, but it doesn't work well. In order to seek complete treatment, he consulted Professor Xue Zheng on November 27, 2021. The child had a history of allergic rhinitis with nasal congestion and runny nose, poor appetite, excessive sweating and night sweating, and a regulated bowel movement, with a light red tongue, white and thick coating, and a thin pulse.,TCM diagnosis ,oil wind, spleen loss of healthy movement,blood deficiency with wind syndrome.,Western medicine diagnosis ,diffuse alopecia areata.,Therapeutic methods ,transporting the spleen and harmonizing the stomach, regulating qi and drying dampness, expelling wind and nourishing blood, and smearing the affected area with the self-made"Yunpi Shengfa Decoction"combined with ginger.,Clinical outcomes ,new hair grew and returned to normal after 3 months of treatment.
小儿斑秃运脾化湿养血生发
pediatric alopecia areatatransporting the spleen and drying dampnessnourishing blood and regenerating hair
SINCLAIR R D. Alopecia areata and suicide of children.[J]. Med J Aust, 2014,200(3): 145.
GOLDBERG L J, CASTELO-SOCCIO L A. Alopecia: Kids are not just little people[J]. Clin Dermatol, 2015,33(6): 622-630.
HORDINSKY M, JUNQUEIRA A L. Alopecia areata update[J]. Semin Cutan Med Surg, 2015,34(2): 72-75.
苏婷, 钟江. 儿童斑秃的中西医治疗进展[J]. 广西中医药大学学报, 2017,20(4): 63-65.
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