朱名宸中医内外同治浆细胞乳腺炎验案
增强出版Zhu Mingchen's Case of the Internal and External Combination of Traditional Chinese Medicine for Treatment of Plasma Cell Mastitis
扫 描 看 全 文
1.湖北中医药大学,湖北 武汉430065
2.十堰市中医医院妇科,湖北 十堰 442012
扫 描 看 全 文
范爱丽, 朱名宸. 朱名宸中医内外同治浆细胞乳腺炎验案[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34692018&Fpath=home&index=0
FAN Aili, ZHU Mingchen. Zhu Mingchen's Case of the Internal and External Combination of Traditional Chinese Medicine for Treatment of Plasma Cell Mastitis[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34692018&Fpath=home&index=0
范爱丽, 朱名宸. 朱名宸中医内外同治浆细胞乳腺炎验案[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34692018&Fpath=home&index=0 DOI:
FAN Aili, ZHU Mingchen. Zhu Mingchen's Case of the Internal and External Combination of Traditional Chinese Medicine for Treatment of Plasma Cell Mastitis[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34692018&Fpath=home&index=0 DOI:
病史摘要,2,患者陈某,女,30岁。2022年3月19日因“左侧乳腺脓肿切开引流术后12天,再发加重1周”就诊。患者行切开引流术后,左侧乳房红肿疼痛,疼痛以胀痛为主,切排口处时有黄色分泌物流出,现为求中医治疗,来十堰市中医医院名医堂妇科专家门诊就诊。中医病证:乳房查体见左侧乳房外上象限有结块,质硬,红肿较甚,可见左侧乳房上下各有一处切口,有黄色分泌物流出;右侧乳房触之有结块,质中,未见明显红肿热痛,两腋下未及肿大淋巴结。患者平素月经周期多延后,末次月经2月10日,量色质均可,无其他特殊不适,带下正常。患者自起病以来,情绪急躁易怒,饮食、睡眠尚可,小便黄,大便秘结约2~3日1排。四诊信息 神识清楚,精神一般,面色略红,形体肥胖;语声清晰,呼吸匀称,无异常气味闻及;舌质红,苔黄厚,脉数。中医诊断 乳痈 肝经热毒壅盛证。西医诊断 浆细胞性乳腺炎。干预措施 中医内治以清热解毒、通络消肿为法,方选仙方活命饮加减,外治以药渣用纱布块包好后趁热外敷,内外同治。疗效转归 显效。此后电话随访,患者诉左侧乳房切口处已收口,未再现分泌物,乳房处红肿热痛消退,未再出现溃疡、瘘管。
Summary of case history, The patient Chen,a 30 years old female. She visited the doctor because of "the recurrence of aggravation for a week after incision and drainage of left breast abscess". The left breast was red, swollen and painful, and there was yellow secretions flowing out from the incision and drainage. Now, in order to seek traditional Chinese medicine treatment, she came to Traditional Chinese Medicine Hospital in Shiyan. TCM Syndrome: Breast examination showed that there were lumps in the upper outer quadrant of the left breast, which were red and swollen. There were two incisions on the upper and lower sides of the left breast,with yellow secretions was flowing out. There was no obvious uncomfort of the right breast and armpits. The patient's menstrual cycle is usually delayed, and the last menstrual period was on February 10. The quantity, color, and quality were all acceptable,There was no other special discomfort. Other diagnosis information:general spirit, slightly red complexion, fat body, clear voice, well-proportioned breathing, no abnormal smell,red tongue, thin yellow coating, rapid pulse.,TCM diagnosis, Acute mastitis (Liver Meridian Heat and Toxin Congestion),Western medicine diagnosis, Plasma cell mastitis,Therapeutic methods, The internal and external combination of traditional Chinese medicine for treatment of Plasma cell mastitis is based on the method of clearing away heat and detoxification, dredging the collaterals and reducing swelling.,Clinical outcomes, improved
乳痈浆细胞性乳腺炎仙方活命饮加减肝经热毒壅盛证
Acute mastitisPlasma cell mastitisXianfanghuomingyinLiver Meridian Heat and Toxin Congestion
赵尚华. 中医外科学 [M]. 北京:人民卫生出版社, 2002:129.
陈红风. 中医外科学 [M]. 北京:中国中医药出版社, 2005:223.
周建华. 仙方活命饮加减治疗乳腺增生病临床疗效研究 [J]. 双足与保健, 2018, 27(03): 182-183.
田会萍, 董亚琳. 川牛膝的药学研究进展 [J]. 国际中医中药杂志, 2013, (3): 270-273.
张玉芹. 浆细胞性乳腺炎的超声诊断及临床鉴别价值 [J]. 当代临床医刊, 2022, 35(1): 40-41.
顾伯华. 实用中医外科学 [M]. 上海:上海科学技术出版社, 1985.
0
浏览量
8
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构