应用“体质辨证思想”治疗梅尼埃病验案一则
增强出版Treatment of Meniere's Disease with Thought of Constitution Syndrome Differentiation: A Case Report
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1.北京中医药大学东直门医院脑病科,北京 101100
2.北京中医药大学东直门医院睡眠心理门诊,北京 101100
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黄丽贤, 李红艳. 应用“体质辨证思想”治疗梅尼埃病验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31454320&Fpath=home&index=0
HUANG Lixian, LI Hongyan. Treatment of Meniere's Disease with Thought of Constitution Syndrome Differentiation: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31454320&Fpath=home&index=0
黄丽贤, 李红艳. 应用“体质辨证思想”治疗梅尼埃病验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31454320&Fpath=home&index=0 DOI:
HUANG Lixian, LI Hongyan. Treatment of Meniere's Disease with Thought of Constitution Syndrome Differentiation: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31454320&Fpath=home&index=0 DOI:
病史摘要,2,患者王某某,男性,48岁,2019年12月8日因“发作性眩晕伴右耳听力下降3年,加重1个月”就诊。3年来患者经常在情绪激动、劳累后诱发眩晕,每次持续时20 min至数小时不等,视物晃动,伴有右耳鸣耳闷耳堵。近1个月发作频繁。患者曾多次在外院就诊,头颅核磁等检查未见异常,可除外其他疾病,诊断为“梅尼埃病”,予敏史朗、激素等药物治疗无效。患者拒绝手术治疗,遂来我院门诊寻求中医诊治。四诊信息:右耳鸣,腰酸乏力,畏寒喜热,无口苦口干,不喜饮水,记忆力减退,胃脘痞塞,胃怕凉,大便不成形,小便可。舌质暗淡、中有裂纹,苔白腻,脉沉细。中医诊断 眩晕(寒水上泛证)。西医诊断 梅尼埃病。干预措施 中医以补脾益肾、温阳利水为法,予济生肾气丸合苓桂术甘汤加减方治疗,同时配合控盐、保持情绪舒畅、晚上热水泡足。疗效转归 患者服药后眩晕未发作,耳鸣减轻,右耳听力尚可。
Summary of case history, The patient Wang, male, 48 years old, went to a doctor on December 8, 2019 due to "paroxysmal vertigo with hearing loss in the right ear for 3 years, aggravating for 1 month". In the past 3 years, patients often induce dizziness after emotional excitement and tiredness, which lasts for 20 minutes to several hours each time. The vision is shaking, accompanied by right tinnitus and ear congestion. Frequent attacks in the last month. The patient had seen doctors in other hospitals for many times, and no abnormality was found in the head MRI and other examinations. Other diseases could be excluded, and the patient was diagnosed as "Meniere's disease", which was invalid after treatment with drugs such as Minsch Lang and hormone. The patient refused the surgical treatment, so he came to our outpatient clinic to seek TCM diagnosis and treatment.Symptoms and signs:Right tinnitus, lumbago and fatigue, fear of cold and heat, dry mouth without bitterness, do not like drinking water, memory loss, stomach congestion, stomach fear of cold, stool does not take shape, urinate. The tongue is dull with cracks in it, the fur is white and greasy, and the pulse is fine.,TCM diagnosis, vertigo (Cold water flooding).,Western medicine diagnosis ,Meniere's disease.,Therapeutic methods ,In traditional Chinese medicine, the method of tonifying the spleen and kidney, warming yang and promoting diuresis is used to treat it with Jishengqi Pill and Linggui Shugan Decoction plus a reduced formula. At the same time, it is used to control salt, maintain emotional comfort, and soak feet in hot water at night.,Clinical outcomes ,The patient did not have dizziness after taking the medicine, the tinnitus was reduced, and the right ear hearing was fair.
眩晕梅尼埃病体质辨证
VertigoMeniere's diseasephysical syndrome differentiation
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