刘应科治疗小儿功能性便秘验案一则
LIU Yingke's Treatment of Functional Constipation in Children: A Case Report
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1.北京市和平里医院儿科,北京 100013
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王秋莉, 刘应科. 刘应科治疗小儿功能性便秘验案一则[DB/OL].(2023-03-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615935&Fpath=home&index=0
WANG Qiuli, LIU Yingke. LIU Yingke's Treatment of Functional Constipation in Children: A Case Report[DB/OL].(2023-03-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615935&Fpath=home&index=0
王秋莉, 刘应科. 刘应科治疗小儿功能性便秘验案一则[DB/OL].(2023-03-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615935&Fpath=home&index=0 DOI:
WANG Qiuli, LIU Yingke. LIU Yingke's Treatment of Functional Constipation in Children: A Case Report[DB/OL].(2023-03-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615935&Fpath=home&index=0 DOI:
病史摘要,2,患儿吴某某,女,2岁3个月,因“排便费力1年半,加重1月”于2021年12月18日至我院门诊就诊。患儿于8个月龄时出现排便费时费力,便头质干、便体质软,3~4日一行,未予重视和治疗。此后患儿偏食米面精细食物,不喜摄入蔬菜水果,病情逐渐加重,排便时间逐渐延长至6~7日一行。1个月前,患儿排便时见肛周出血后因恐惧而拒绝排便,每需家长使用开塞露后方可排便,故来求诊。四诊信息:患儿面色萎黄,消瘦,语声低弱,排便费力,需借助开塞露方可通便,便头质硬如羊粪、便体质软量稀少,6~7日一行。小便黄,平素纳一般,偏食米面类、不喜肉食、较少摄入蔬菜、水果,腹稍胀,眠欠安,易醒,流涎。舌淡、苔白厚,脉细滑,指纹淡滞。中医诊断 便秘(脾虚肠燥证)。西医诊断 儿童功能性便秘。干预措施 中医以行气健脾、润肠通便为法,予自拟小儿通便方口服,同时配合使用通便贴外敷。疗效转归 痊愈。
Summary of case history ,patient Wu, female, 2 years and 3 months old, visited the outpatient clinic of our hospital on December 18, 2021 due to "one and a half years of defecation labor, which was aggravated by one month" At the age of 8 months, the child gradually developed difficulty in defecation, prolonged defecation time, dry stool head, soft stool, and the stool was once every 3~4 days. Without attention and treatment, since then, the child ate rice and flour fine food, did not like to eat vegetables and fruits, the condition gradually worsened, and the defecation time was gradually extended to 6~7 days. 1 month ago, children defecation see perianal hemorrhage after fear and refused to defecate, parents need to use Kaiselu before defecation, so to seek treatment. Symptoms and signs: children with sallow complexion, emaciation, low voice, defecation laborious, need to use Kaisailu to purge, stool hard as sheep manure, stool soft quantity rare, 6~7 days stool once. Yellow urine, plain sodium in general, partial to rice and flour, do not like meat, less intake of vegetables, fruits, abdominal slightly swollen, sleep less safe, easy to wake up, salivation. Light tongue, white thick tongue coating, thready and slippery pulse, fingerprint light stagnation.,TCM disease and syndrome ,Constipation (Spleen deficiency and intestinal dryness syndrome,).Western medicine diagnosis ,Functional constipation in children,.Therapeutic methods ,Traditional Chinese medicine treats the disease bypromoting the circulation of qi,invigorating spleen and loosening bowel to relieve constipation and taking self-made children laxatives oral together with external application of laxative paste,Clinical outcomes ,Cure.
儿童功能性便秘小儿便秘生白术
functional constipation in childrenpediatric constipationlargehead atractylodes rhizomeTCM pediatrics
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