刘启泉运用风药治疗肠易激综合征病案一则
增强出版LIU Qiquan Treats Irritable Bowel Syndrome with Wind Medicine: A Case Report
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1.河北中医学院第一附属医院脾胃病科,石家庄 050000
2.河北省中医院脾胃病科,石家庄 050000
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薛田雨, 刘启泉. 刘启泉运用风药治疗肠易激综合征病案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31317478&Fpath=home&index=0
XUE Tianyu, LIU Qiquan. LIU Qiquan Treats Irritable Bowel Syndrome with Wind Medicine: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31317478&Fpath=home&index=0
薛田雨, 刘启泉. 刘启泉运用风药治疗肠易激综合征病案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31317478&Fpath=home&index=0 DOI:
XUE Tianyu, LIU Qiquan. LIU Qiquan Treats Irritable Bowel Syndrome with Wind Medicine: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31317478&Fpath=home&index=0 DOI:
病史摘要,2,患者焦某,男性,43岁,因“间断腹泻伴腹痛1年余,加重3天”于2021年7月15日就诊。患者1年前因情志焦虑而出现腹泻、腹痛、泻后痛减等症状,未予重视。此后后上述症状间断出现,2月余前于赞皇县中医院查电子结肠镜示:结、直肠黏膜未见明显异常,体格检查亦未见明显异常。3天前患者因家庭变故受到情志刺激而导致腹泻、腹胀痛加重,遂来我院就诊。四诊信息:腹泻,3~4次/日,腹胀痛、泻后痛减,受情绪刺激后加重,右肋胀满,嗳气,纳少,平素喜爱肉食,口苦,干呕,恶心,焦虑,寐差。舌质暗、苔薄白,脉弦细。中医诊断 泄泻(肝郁脾虚证)西医诊断 肠易激综合征干预措施 中药治疗以疏肝健脾、和胃止泻为法,予中药汤剂口服;清淡饮食;调控情志疗效转归 患者大便成形,1~2次/日,自述无明显不适,情志舒畅,纳寐馨香。停药后电话随访3个月,患者上述症状未复发,治疗有效。
Summary of case history ,The patient Jiao, male, 43 years old, visited the outpatient department of our hospital on July 15, 2021 because of "intermittent diarrhea and abdominal pain for more than 1 year, which worsened for 3 days". The patient developed symptoms such as diarrhea, abdominal pain, and post-diarrheal pain reduction due to emotional anxiety one year ago, which was ignored. Since then, the above symptoms have appeared intermittently, and an electronic colonoscopy was performed in Zanhuang County Hospital of Traditional Chinese Medicine more than two months ago. Three days ago, the patient was emotionally stimulated due to a family accident, resulting in aggravation of diarrhea, abdominal distension and pain, so he came to our hospital for treatment..Symptoms and signs: diarrhea, 3-4 times/day, abdominal distention and pain relief after diarrhea, bitterness in the mouth, fullness of the right flank, belching, poor appetite, usually fond of meat, retching, nausea, anxiety, poor sleep sound, dark tongue, thin coating White, thin pulse.,TCM disease and syndrome ,Diarrhea (Syndrome of liver depression and spleen deficiency),Western medicine diagnosis, Irritable bowel syndrome,Therapeutic methods ,Traditional Chinese medicine treats the disease by soothing the liver, strengthening the spleen, and stomach to stop diarrhea, and taking traditional Chinese medicine decoction orally; Light diet; Regulate emotions,Clinical outcomes ,The patient's stool is formed, 1-2 times/day, and he reports that he has no obvious discomfort, a comfortable mood, and a sweet smell. The patient was followed up by telephone for 3 months after drug withdrawal. The above symptoms did not recur, and the treatment was effective.
泄泻肠易激综合征风药肝郁脾虚
DiarrheaIrritable Bowel SyndromeThe Medicine of WindSyndrome of Liver Depression and Spleen DeficiencyTCM spleen and stomach diseases
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