中药治疗儿童不明原因反复高热案例1例
One Case of Fever of Unknow Origin in Children Treated by Traditional Chinese Medicine
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1.成都中医药大学附属医院儿科,成都 610072
2.四川省骨科医院内科,成都 610041
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周江, 胡天成, 孙香娟, 等. 中药治疗儿童不明原因反复高热案例1例[DB/OL].(2022-09-06)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640650&Fpath=home&index=0
Jiang ZHOU, Tiancheng HU, Xiangjuan SUN, et al. One Case of Fever of Unknow Origin in Children Treated by Traditional Chinese Medicine[DB/OL].(2022-09-06)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640650&Fpath=home&index=0
周江, 胡天成, 孙香娟, 等. 中药治疗儿童不明原因反复高热案例1例[DB/OL].(2022-09-06)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640650&Fpath=home&index=0 DOI:
Jiang ZHOU, Tiancheng HU, Xiangjuan SUN, et al. One Case of Fever of Unknow Origin in Children Treated by Traditional Chinese Medicine[DB/OL].(2022-09-06)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640650&Fpath=home&index=0 DOI:
病史摘要,2,患儿陈某某,男,14岁,2021年3月15日因“反复不明原因发热1年”到胡天成教授门诊就诊。患儿从2020年4月起,不明原因反复发热,最高体温达41℃,先后多次在四川大学华西第二医院、四川大学华西医院、遂宁市中心医院住院,历经华西医院及北京协和医院多科室专家会诊,仍未能明确诊断,西医治疗无效。四诊信息:发热时汗多湿衣黏手,头身疼痛,热退时下肢厥冷,心慌心悸,烦躁不安,大便正常,小便黄,舌质淡红,苔黄腻,脉滑数。中医诊断 湿温,湿聚热蒸,痹阻经络证。西医诊断 不明原因发热。干预措施 卫气营血辨证、三焦辨证与六经辨证相结合,采用清热利湿、调和营卫、和解少阳、通络止痛等法,先后予黄芩滑石汤、桂枝汤、小柴胡汤、中焦宣痹汤等方随症加减治疗。疗效转归 中药治疗10个月后未再发热,诸症悉除,随访4月无反复。
Summary of medical history, The patient, Chen, male, 14 years old, went to Professor hutiancheng's outpatient clinic on March 15, 2021 due to "repeated fever of unknown causes for one year". Since April, 2020, the child has had fever repeatedly for unknown reasons, with a maximum temperature of 41℃. He has been hospitalized in West China Second Hospital of Sichuan University, West China Hospital of Sichuan University and Suining Central Hospital for many times. After consultation with experts from West China Hospital and Beijing Union Medical College hospital, the diagnosis is still not clear, and Western medicine treatment is ineffective. Diagnostic information: sweating, wet clothes and sticky hands during fever, head and body pain, lower limb chills, palpitations, irritability, normal stool, yellow urine, light red tongue, yellow and greasy fur, and slippery pulse.,TCM diagnosis, Damp Fever, Dampness Gathering and Heat Steaming, Accumulate in Meridians and Collaterals.,Western medicine diagnosis ,Fever of Unknown Origin.,Therapeutic methods, The combination of Wei Qi Yin Xue syndrome differentiation and three jiao differentiation with six syndromes differentiation was performed using the methods of clearing heat and promoting dampness, reconciling Ying Wei, resolving Shaoyang and Tongluo pain relief, and then the formula including Huangqin Huashi Decoction, Guizhi Decoction, Xiaochaihu Decoction and Zhongjiao Xuanbi Decoction was sequentially administered with the addition and reduction of symptoms.,Clinical outcomes, After 10 months of traditional Chinese medicine treatment, there was no fever, all symptoms were eliminated, and there was no recurrence after 4 months of follow-up.
中医儿童不明原因发热湿温反复高热
Traditional Chinese MedicineChildrenFever of Unknow OriginDamp FeverRecurrent High Fever
Robine A,Hot A,Maucort B D,et al.Fever of unknown origin in the 2000s: evaluation of 103 cases over eleven years[J].Presse Med,2014,43(9):233-240.
李源杰,朱卫国,王玉,等.北京协和医院普通内科不明原因发热出院患者长期随诊分析[J].中华内科杂志,2015,54(10):851-854.
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