中医外治法治疗小儿急性尿潴留个案
A Case of Acute Urinary Retention in Children Treated by External Therapy of Traditional Chinese Medicine
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1.长春中医药大学中医学院,长春13117
2.长春中医药大学附属医院儿科,长春130021
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赵育玮, 冯晓纯. 中医外治法治疗小儿急性尿潴留个案[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640620&Fpath=home&index=0
ZHAO Yuwei, FENG Xiaochun. A Case of Acute Urinary Retention in Children Treated by External Therapy of Traditional Chinese Medicine[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640620&Fpath=home&index=0
赵育玮, 冯晓纯. 中医外治法治疗小儿急性尿潴留个案[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640620&Fpath=home&index=0 DOI:
ZHAO Yuwei, FENG Xiaochun. A Case of Acute Urinary Retention in Children Treated by External Therapy of Traditional Chinese Medicine[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640620&Fpath=home&index=0 DOI:
病史摘要,2,患儿柏某,女,3岁,因“尿液潴留11小时”于2021年9月11日至我院儿科门诊就诊。患儿神清,下腹部可见胀满膨隆,按之如囊,触之拒按啼哭,叩诊下腹部呈浊音,肾区无叩击痛,皮肤无水肿、皮疹、出血,巩膜无黄染,外阴无红肿破溃,心肺听诊正常,咽不红,扁桃体未肿大,舌红少苔脉数。中医诊断 癃闭,膀胱湿热证。西医诊断 急性尿潴留。干预措施 搓热双手后叩诊出膀胱大致范围,全手掌轻柔推按下腹部,后用中指按法点按患儿关元穴、中极穴、双侧箕门穴,针灸针针刺三阴交穴。疗效转归 点按、针刺后,患儿随即自行排尿,腹部肿胀减退,痛减。
Summary of case history ,Bai, female, 3 years old, visited the pediatric outpatient clinic of our hospital on September 11, 2021 due to "urine retention for 11 hours". The child is clear, the lower abdomen is full and bulging, refuses to press, cry, the lower abdomen is dull to percussion, there is no percussion pain in the kidney area, no skin edema, rash and bleeding, no yellowing of the sclera, and vulva without swelling and ulceration, swelling and ulceration were normal, the heart and lung auscultation was normal, the pharynx was not red, the tonsils were not large, the tongue was red with little coating, and the pulse was rapid.,TCM diagnosis ,retention of urine, damp-heat betting syndrome.,Western medicine diagnosis, acute urinary retention,Therapeutic methods ,after rubbing the hands, percussion on the bladder in the approximate area, pressing the abdomen with the whole palm, then using the middle finger to press Guanyuan, Zhongji, and Jimen points on both sides, and acupuncture needles at Sanyinjiao.,Clinical outcomes ,after pressing the acupuncture point, the child immediately urinated on his own, and the abdominal swelling and pain were reduced.
急性尿潴留外治法小儿急症
Acute Urinary RetentionExternal TherapyPediatric Emergency
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