知地龟甲汤治疗小儿性早熟验案一则
增强出版A Case of
Zhidi Guijia Decoction in Treatment of Precocious Puberty in Children
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1.云南中医药大学,云南昆明 650500
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王博, 贺喜盈, 杨航, 等. 知地龟甲汤治疗小儿性早熟验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31454389&Fpath=home&index=0
WANG Bo, HE Xiying, YANG Hang, et al. A Case of
王博, 贺喜盈, 杨航, 等. 知地龟甲汤治疗小儿性早熟验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31454389&Fpath=home&index=0 DOI:
WANG Bo, HE Xiying, YANG Hang, et al. A Case of
病史摘要,2,患者,女,7岁,因“发现双侧乳房发育6月余”就诊。2019年7月20日于昆明某医院行子宫及附件彩超示:双侧卵巢内可见卵泡声像,直径均大于0.4 cm。2019年9月22日性激素六项示:促黄体生成素:0.1 IU/L;促卵泡生成素:5.55 IU/L;泌乳素:135.3 mIU/L;雌二醇:18.4 pmol/L;孕酮0.738 nmol/L;睾酮0.09 nmol/L。中医诊断 性早熟(阴虚火旺证)西医诊断 性早熟干预措施 给予自拟方知地龟甲汤加减,并嘱患儿适当增加运动,保证充足睡眠,不吃蜂蜜、豆浆、油炸食品,不滥用补益之品。疗效转归 3个月后电话随访,患儿乳房未见增大。
Summary of case history ,The female patient, 7 years old, arrived at our hospital due to "bilateral breast development for more than 6 months". Examination of color Doppler ultrasound of uterus and appendages was performed in a hospital in Kunming on July 20, 2019, and the results showed that the images of follicles were seen in both ovaries, and the diameters were more than 0.4 cm. The level of six sex hormones were examined on September 22, 2019, and the results showed that, luteinizing hormone: 0.1 IU/L; Follicle-stimulating hormone (FSH): 5.55 IU/L; Prolactin: 135.3 mIU/L; Estradiol: 18.4 pmol/L; Progesterone 0.738 nmol/L; Testosterone 0.09 nmol/L.,TCM diagnosis, Precocious puberty (syndrome of yin deficiency with effulgent fire),Western medicine diagnosis, Precocious puberty,Diagnostic methods ,The diagnosis was made according to the main symptoms of the patient and the results of auxiliary examination of color Doppler ultrasound of uterus and appendages and the level of six sex hormones.,Therapeutic methods ,The patient was given the ,Zhidi Guijia, decoction orally, and she was instructed to increase exercise appropriately and control her diet, including not eating honey, soybean milk, fried food, and not abusing tonic things.,Clinical outcomes ,After three months of telephone follow-up, the patient's breasts did not enlarge.
性早熟乳房早发育知地龟甲汤滋阴降火熊磊
Precocious pubertyEarly breast developmentZhidi Guijia decoctionEnriching yin and downbearing fireXiong Lei
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