从肝论治鼻鼽验案1例
增强出版One Case of Experience on Treating Bi Qiu from the Liver
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1.北京中医药大学东直门医院耳鼻喉科,北京 100700
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矫璐璐, 李洵. 从肝论治鼻鼽验案1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640768&Fpath=home&index=0
JIAO Lulu, LI Xun. One Case of Experience on Treating Bi Qiu from the Liver[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640768&Fpath=home&index=0
矫璐璐, 李洵. 从肝论治鼻鼽验案1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640768&Fpath=home&index=0 DOI:
JIAO Lulu, LI Xun. One Case of Experience on Treating Bi Qiu from the Liver[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29640768&Fpath=home&index=0 DOI:
病史摘要,2,患者王某,男,36岁,主因“春季反复发作性鼻痒、喷嚏、流涕、鼻塞4年,加重5日”就诊。患者4年前于春分时争执激动后,出现阵发性鼻痒、喷嚏、流涕、鼻塞,至谷雨缓解。之后每年春季发作,此次亦为争执激动后发作。发作期间断服用西药抗过敏药及益气固表、散寒通窍中药,疗效欠佳,我院就诊后根据其病机症状前后变化,先后从肝气郁滞、肝阳亏虚诊治,药到病除。中医诊断 中医诊断:鼻鼽。一诊证候诊断:肝气郁滞;二诊证候诊断:肝阳亏虚。西医诊断 过敏性鼻炎干预措施 初诊治疗:方选柴胡疏肝散加截敏汤加减以疏肝理肺;配合鼻内针灸(平补平泻法)内迎香穴。二诊治疗:方选桂枝加桂汤加味以温肝益气。疗效转归 服药后鼻部症状基本全部缓解及全身怕冷,倦怠懒言,少气懒言等症状也缓解。
Summary of case history, Patient Wang, male, 36 years old, suffered from "recurrent itchy nose, sneezing, runny nose, and nasal obstruction for the spring of nearly four years, which aggravated for five days." Four years ago, the patient developed paroxysmal nasal itching, sneezing, runny nose and nasal congestion after arguing in the spring equinox, which was relieved by grain rain. After that, it's happened every year at the same time. This time was also a dispute after the attack. He went to see several doctors for western anti-allergic drugs and traditional Chinese medicine, which had poor curative effect. When all the symptoms broke out, the diagnosis and treatment in the outer hospital was ineffective. After the right treatment in our hospital, which according to the changes of pathogenesis and symptoms before and after. The diagnosis and treatment was aim at liver-qi stagnation and liver-yang deficiency. Quickly, the disease were successively carried out.,TCM diagnosis ,Bi Qiu.,Western medicine diagnosis, Allergic rhinitis.,Therapeutic methods ,First diagnosis and treatment: Chaihushugan Powder plus with Jiemin Decoction; In the meantime, intranasal acupuncture (flat tonifying and flat diarrhea method) choose Neiyingxiang acupoint. Second diagnosis and treatment: the prescription of Guizhi and gui Decoction to warm and improve the liver qi.,Clinical outcomes ,The curative effect is that nasal symptoms, the fear of cold, laziness, lack of qi and weakness are relieved after taking the treatment.
过敏性鼻炎鼻鼽肝气郁滞肝阳亏虚
Allergic rhinitisBi QiuLiver depressionLiver yang deficiencyCase report
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