中医治疗小儿积滞证验案一则
One Case of Chinese Medicine Treatment of Infantile Stagnation Syndrome
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1.成都中医药大学附属医院儿科,四川成都 610032
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易爽, 常克. 中医治疗小儿积滞证验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29999573&Fpath=home&index=0
YI Shuang, CHANG Ke. One Case of Chinese Medicine Treatment of Infantile Stagnation Syndrome[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29999573&Fpath=home&index=0
易爽, 常克. 中医治疗小儿积滞证验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29999573&Fpath=home&index=0 DOI:
YI Shuang, CHANG Ke. One Case of Chinese Medicine Treatment of Infantile Stagnation Syndrome[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29999573&Fpath=home&index=0 DOI:
病史摘要,2,患儿李某,女,9月4天,主因“食少6+月,呕吐半月”于2022年3月10日至我科门诊就诊。患儿因先天性尿路畸形,尿路回流致反复尿路感染,长期口服抗生素治疗后致食少,纳差,呕吐。四诊信息:患儿神清,精神尚可,不思乳食,呕吐酸腐,脘腹胀满,夜寐不安,易哭闹,小便黄,大便稍干,舌红,苔白腻微黄,指纹紫。中医诊断 积滞(脾胃气虚、湿热内阻证)。西医诊断 功能性消化不良。干预措施 采用消乳化食、清热化湿、健脾助运的治疗方法,佐以饮食调护指导。疗效转归 患儿纳食好转,未再呕吐,夜寐安,诸证皆除。
Summary of case history ,The child Li Mou, female, 4 days in September, came to our outpatient department on March 10, 2022 due to "eating less for 6+ months and vomiting for half a month". Repeated urinary tract infections were caused by congenital urinary tract malformation and urinary tract reflux, and oligophagia, poor appetite and vomiting were caused by long-term oral antibiotic treatment. Four diagnosis information: children shenqing, spirit is still, do not think milk food, vomiting acid, abdominal distention, sleepless, easy to cry, urine yellow, stool slightly dry, red tongue, white greasy yellowish moss, purple fingerprint.,TCM diagnosis, Accumulation of stagnation-spleen and stomach qi deficiency, dampness-heat internal resistance syndrome.,Western diagnosis, Functional dyspepsia.,Therapeutic methods, adopt the treatment methods of deemulsifying food, clearing heat and dampness, strengthening spleen and helping transport, accompanied by dietary nursing guidance.,Curative effect ,children eat better, no vomiting, sleepless Ann, all the syndromes are in addition.
中医治疗小儿积滞
TCM treatmentPediatric stagnant
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许春娣.中国儿童功能性消化不良诊断和治疗共识[J].中华儿科杂志,2012(6):423-424.
Yamawaki H, Futagami S, Wakabayashi M, et al. Management of functional dyspepsia:state of the art and emerging therapies[J]. Ther Adv Chronic Dis,2018,9(1):23-32.
杨晓寰.抗生素致湿阻的中医病机探讨[J].河北中医,2010,32(4):585-586.
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