基于“脾肾亏虚、肝郁邪阻”辨治多系统萎缩验案一则
增强出版Treatment of Multiple System Atrophy from "Deficiency of Spleen and Kidney, Stagnation of Liver-Qi and Blockage of Evil-Qi": A Case Report
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1.北京中医药大学研究生学院,北京 100029
2.中国中医科学院西苑医院脑病科,北京 100091
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刘红喜, 石静资, 梁晓, 等. 基于“脾肾亏虚、肝郁邪阻”辨治多系统萎缩验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615245&Fpath=home&index=0
LIU Hongxi, SHI Jingzi, LIANG Xiao, et al. Treatment of Multiple System Atrophy from "Deficiency of Spleen and Kidney, Stagnation of Liver-Qi and Blockage of Evil-Qi": A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615245&Fpath=home&index=0
刘红喜, 石静资, 梁晓, 等. 基于“脾肾亏虚、肝郁邪阻”辨治多系统萎缩验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615245&Fpath=home&index=0 DOI:
LIU Hongxi, SHI Jingzi, LIANG Xiao, et al. Treatment of Multiple System Atrophy from "Deficiency of Spleen and Kidney, Stagnation of Liver-Qi and Blockage of Evil-Qi": A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615245&Fpath=home&index=0 DOI:
病史摘要,2,患者常某某,女,58岁,因“动作迟缓伴行走不稳1年半余,加重3个月”于2021年8月10日就诊我院脑病科门诊。患者1年半前因动作迟缓伴行走不稳,面部表情减少,书写困难,精细动作速度减慢,于北京某专科医院诊断为“多系统萎缩”,予西医常规治疗,症状稍有改善,但仍有行走不稳和言语欠清。近3个月患者自觉上述症状明显加重,为延缓病情进展,改善症状,特来我院就诊。四诊信息:患者走路不稳伴动作迟缓,双下肢活动欠灵活,以右侧为著,走路时左足至髋关节酸痛,语音欠流利、吐字不清、语调减低,头晕,心烦,情绪易焦虑,入睡困难,睡眠质量较差,偶有咳喘,时有小便失禁,尿频尿急,夜尿颇多,每夜5~6次,大便偏干难解,2~3日一行。舌质淡暗、苔白腻,脉沉,尺脉沉取无力、寸脉关脉略弦涩。中医诊断 喑痱(脾肾亏虚、肝郁邪阻)。西医诊断 多系统萎缩。干预措施 中药治疗以补肾填精、健脾益气、疏肝解郁、祛邪通络为法,予自拟固本复平汤治疗;西药治疗同前。疗效转归 患者自诉身体状态较轻前改善明显,言语表达较前有所提高,肢体酸痛等不适感缓解,病情控制较前平稳,生活质量较前明显改善。
Summary of case history ,Patient Chang, female, 58 years old, admitted to the Department of Encephalopathy of our hospital on August 10, 2021 due to 'slow movement accompanied by unstable walking for more than one and a half years and aggravated for three months'. One and a half years ago, the patient was treated in a specialized hospital in Beijing because of slow movement, unstable walking, decreased facial expression, which was diagnosed as "Multiple System Atrophy", the patient was given conventional treatment of Western medicine. The symptoms were slightly improved, but there was still unstable walking with unclear speech. In the past three months, the patient felt that the above symptoms were obviously aggravated, in order to delay the progress of the disease and improve the symptoms, he come to our hospital. Symptoms and signs: unstable walking with slow movements, lack of flexibility in the movement of both lower limbs, especially on the right side, pain from the left foot to the hip joint when walking, the speech was not fluent, the pronunciation was unclear, the intonation was reduced, dizziness, upset, emotional anxiety, difficulty in falling asleep, poor sleep quality, occasional cough and asthma, occasional urinary incontinence, frequent urination, urgent urination, a lot of nocturia, 5-6 times a night, dry stool, one line every 2-3 days. the tongue is pale and dark, the tongue coating is white and greasy, the pulse is deep, the ulnar pulse is deep and weak, and the cun pulse is slightly wiry and astringent.,TCM disease and syndrome ,Yinfei Syndrome (Deficiency of Spleen and Kidney, Stagnation of Liver-qi and Blockage of Evil-qi).,Western medicine diagnosis, Multiple System Atrophy.,Therapeutic methods, Traditional Chinese medicine treats the disease by tonifying kidney essence, invigorating spleen and replenishing qi, soothing liver and relieving depression, eliminating evil and dredging collaterals; western medicine treatment with the previous.,Clinical outcomes ,The patient reported that his physical condition improved significantly, his verbal expression improved, his body aches and other discomforts were relieved, his condition was more stable than before, and his quality of life was significantly improved.
多系统萎缩中医药脾肾亏虚肝郁邪阻固本复平汤
Multiple System AtrophyTraditional Chinese MedicineDeficiency of Spleen and KidneyStagnation of Liver-qi and Blockage of Evil-qiGuben Fuping DecoctionTCM encephalopathyTCM neurology
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