六经杂病辨证治疗胃痞病1例
增强出版Six Meridians Syndrome Differentiation Combined With Miscellaneous Diseases Syndrome Differentiation to Treat Stomach Ruffian Disease
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1.济宁市中医院疼痛科,山东 济宁 272000
2.济宁市中医院康复科,山东 济宁 272000
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岳文超, 陈凤菲. 六经杂病辨证治疗胃痞病1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32918907&Fpath=home&index=0
YUE Wenchao, CHEN Fengfei. Six Meridians Syndrome Differentiation Combined With Miscellaneous Diseases Syndrome Differentiation to Treat Stomach Ruffian Disease[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32918907&Fpath=home&index=0
岳文超, 陈凤菲. 六经杂病辨证治疗胃痞病1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32918907&Fpath=home&index=0 DOI:
YUE Wenchao, CHEN Fengfei. Six Meridians Syndrome Differentiation Combined With Miscellaneous Diseases Syndrome Differentiation to Treat Stomach Ruffian Disease[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32918907&Fpath=home&index=0 DOI:
病史摘要,2,患者因“胃中痞塞胀满感3年,加重半年”来门诊就诊。患者3年前曾在济宁市第一人民医院行冠状动脉支架植入术,近3年反复发作胃脘部痞塞胀满,伴头晕不清,每天饭后及下午加重,夏季尤为明显。口苦,上腹部偶有隐痛,肠鸣,偶有胸闷,下肢无力,怕热,梦多,耳鸣。曾多次就诊于济宁某医院,确诊为“慢性胃炎”,给予奥美拉唑肠溶胶囊及莫沙必利片等口服,疗效不明显。后于本院就诊,先后服用多种中药,服药有效,但停药后容易复发。中医诊断 胃痞病 阳明虚热、气阴不足兼有水饮证。西医诊断 慢性胃炎;冠状动脉粥样硬化性心脏病支架术后;脑萎缩干预措施 中药免煎颗粒10剂,水冲服。方选竹叶石膏汤以清阳明之热,清补气阴兼化饮降逆,合《金匮》木防己汤以清热补虚化饮。疗效转归 症状明显减轻,原方继续服用。半年后因饮食不慎复发,经过治疗后好转。至今已1年余未复发。
Summary of case history ,The patient came to the outpatient clinic for "feeling of fullness and fullness in the stomach for 3 years and aggravating for half a year". In the past 3 years, the patient had recurrent episodes of fullness and fullness in the stomach cavity, accompanied by dizziness, which worsened after meals and in the afternoon, especially in summer. I have a bitter mouth, occasional dull pain in the upper abdomen, tinnitus, occasional chest tightness, weakness in the lower limbs, fear of heat, more dreams, and tinnitus. He visited a hospital in Jining for many times and was diagnosed with "chronic gastritis". He was given omeprazole enteric coated capsules and Mosapride tablets orally, and the effect was not obvious. After seeing a doctor in our hospital, he took a variety of traditional Chinese medicine, which was effective, but it was easy to relapse after stopping the medicine. The previous history of coronary atherosclerotic heart disease after stenting was 3 years, and the history of chronic gastritis was 3 years.,TCM diagnosis ,stomach ruff disease. yang ming deficiency heat, qi yin deficiency and water drinking syndrome.,Western medicine diagnosis ,chronic gastritis; coronary heart disease after stenting;brain atrophy.,Therapeutic methods ,Traditional Chinese medicine granules for 10 days, take with water.Which based on clearing heat and Tonifying Qi and Yin, and the prescription is Lophatherum and Gypsum Decoction and Cocculus Trilobus Decoction.,Clinical outcomes ,The patient's symptoms were significantly reduced, and the original prescription was continued. After half a year, he relapsed due to careless diet and recovered after treatment. The patient has not relapsed for more than 1 year.
六经辨证胃痞病伤寒论
syndrome differentiation of six meridiansstomach ruff diseasetreatise on typhoid fever
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