疏肝运脾治疗抑郁症伴厌食1例
增强出版A Case of Depression with Anorexia Treated by Soothing Liver and Activating Spleen
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1.北京中医药大学东直门医院儿科,北京 100700
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李园, 王俊宏. 疏肝运脾治疗抑郁症伴厌食1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31893308&Fpath=home&index=0
LI Yuan, WANG Junhong. A Case of Depression with Anorexia Treated by Soothing Liver and Activating Spleen[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31893308&Fpath=home&index=0
李园, 王俊宏. 疏肝运脾治疗抑郁症伴厌食1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31893308&Fpath=home&index=0 DOI:
LI Yuan, WANG Junhong. A Case of Depression with Anorexia Treated by Soothing Liver and Activating Spleen[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31893308&Fpath=home&index=0 DOI:
病史摘要,2,患儿,男,14岁,主因“情绪低落、纳差、体重减轻1月余”就诊。患儿1个月前情绪低落、兴趣减退,于进食大量米饭后出现纳差,致体重减轻15斤,多方治疗效果不佳。后就诊于安定医院,HAMD评分18分,诊断为“抑郁症”,服用西药后出现全腹不适,遂自行停药。今晨出现全身乏力、突然晕倒,无意识丧失,休息后缓解。为求中医治疗,就诊于我处。四诊信息:纳差,情绪低落,乏力,晨起头晕倒地,腹胀,大便干。神清,精神尚可,拄拐杖步行。面色少华,形体偏瘦,语声低,舌质淡红,苔薄黄腻,脉弦细。中医诊断 郁证,肝郁脾虚证。西医诊断 抑郁症。干预措施 中药口服及情绪疏导。中医治以疏肝运脾,消积开胃,首诊予保和丸合逍遥丸加减,二诊、三诊、四诊辨证加减。疗效转归 中医治疗后纳食恢复,体重缓慢增加,情绪好转。随访1年,患儿体重已恢复正常,病情未反复,取得较好疗效。
Summary of case history ,The patient, male, 14 years old, was hospitalized for "depression, poor appetite and weight loss for more than 1 month". One month ago, the child was in a state of low mood and decreased interest. After eating a lot of rice, he suffered from anorexia, lost 7.5 kg of weight, and the treatments' effect were poor. He was scored 18 points on the HAMD in Anding Hospital, and was diagnosed as "Depression". After taking western medicine, the patient had serious adverse reactions, so he stopped taking medicine. In this morning, he suddenly felt weak and fainted, without loss of consciousness, and got better after rest. In order to seek TCM treatment, he came to our hospital.,Symptoms and signs, Poor appetite, low mood, fatigue, dizziness in the morning, abdominal distension and dry stool. Clear mind, fair spirit, walking with crutch. Pale face, thin body, low voice, light red tongue, thin and yellowish fur, thin and taut pulse.,TCM diagnosis ,Depression, liver-Qi stagnancy and spleen-deficiency type.,Western medicine diagnosis ,Depression.,Therapeutic methods ,Internal administration of Chinese medicine and emotional relief. Traditional Chinese medicine was used to soothe the liver and activate the spleen, remove food retention and promote appetite. Baohe Pill and Xiaoyao Pill were taken orally for the first visit, at the second, third and fourth diagnosis, we discriminated and adjusted the medicine.,Clinical outcomes ,After TCM treatment, the appetite recovered, the weight was slowly increased and the mood were improved. After 1 year follow-up, the weight of the child has returned to normal, the disease has not recurred, and good efficacy was achieved.
名医经验抑郁症厌食保和丸逍遥散
DepressionAnorexiaBaohe PillXiaoyao Powder
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