朱名宸中西医结合治疗堕胎案1例
增强出版Professor ZHU Mingchen's Case of Integrated Traditional Chinese and Western Medicine in the Treatment of Embryo Abortion
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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
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张芽梦, 朱名宸. 朱名宸中西医结合治疗堕胎案1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34745882&Fpath=home&index=0
ZHANG Yameng, ZHU Mingchen. Professor ZHU Mingchen's Case of Integrated Traditional Chinese and Western Medicine in the Treatment of Embryo Abortion[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34745882&Fpath=home&index=0
张芽梦, 朱名宸. 朱名宸中西医结合治疗堕胎案1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34745882&Fpath=home&index=0 DOI:
ZHANG Yameng, ZHU Mingchen. Professor ZHU Mingchen's Case of Integrated Traditional Chinese and Western Medicine in the Treatment of Embryo Abortion[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34745882&Fpath=home&index=0 DOI:
病史摘要,2,患者邢某某,女,31岁,2021年12月25日因“人工流产术后腰腹不适10天余”就诊。患者2021年12月14日孕10周+孕检行B超检查发现胎儿停止发育,西医诊断为胚胎停育,次日行药流+清宫术,16日起开始口服优思明,近10余天自觉少腹胀痛、头晕耳鸣、腰骶部酸痛,带下量多色黄质稠,味腥臭,外阴瘙痒不适,大便干结。为求中医治疗,遂来十堰市中医医院知名专家中心中医妇科门诊就诊。起病以来,患者神清,精神可,夜寐欠安,大便干结,小便正常。舌质淡,苔薄黄,脉沉细数。中医诊断 堕胎,肾虚湿热证;带下过多,肾虚湿热证。西医诊断 胚胎停育;外阴阴道假丝酵母菌病干预措施 中医立滋阴养血,填精益髓之法,方选归肾丸加减,配合乌鸡白凤丸同服,外用百安洗液以清热解毒,燥湿止带。西医继续予以口服优思明以调节激素分泌,调理月经周期,防止宫腔粘连,外用克霉唑阴道片以抗念珠菌感染。中西医结合治疗,取得良好效果。疗效评定 好转。
Summary of case history, The patient Xing, a 31 year old female, visited the doctor on December 25, 2021 because of "waist and abdomen discomfort after artificial abortion for more than 10 days". On December 14, 2021, the patient was pregnant for 10 weeks and underwent B-ultrasound examination. It was found that the fetus had stopped developing. Western medicine diagnosed it as "embryo suspension". On the next day, she underwent medical abortion and curettage. On December 16, she began to take yasmin orally. For more than 10 days, she felt less abdominal distension, dizziness and tinnitus, lumbosacral pain. The amount she took was multicolored, yellow and thick, smelly, pruritus and discomfort in the vulva, and dry stool. In order to seek Chinese medicine treatment, she came to the famous expert center of Shiyan traditional Chinese medicine hospital for treatment. Since the onset of the disease, the patient has a clear mind, a healthy spirit, sleepless nights, dry stool and normal urination. The tongue is light, the moss is thin and yellow, and the pulse is deep,thin and fast.,TCM diagnosis ,early abortion (kidney deficiency damp heat type),Western medicine diagnosis, embryo damage,Therapeutic methods, Traditional Chinese Medicine is based on the method of nourishing yin and blood and filling the marrow. The recipe is to add and subtract Guishen Pill, take it together with Wuji Baifeng pill, and externally use Bai'an lotion to clear away heat and detoxify, and dry and damp. Western medicine continued to give oral yasmin to regulate hormone secretion, regulate menstrual cycle, prevent uterine cavity adhesion, and external use of clotrimazole vaginal tablets to resist fungal infection. The combination of Chinese and Western medicine has achieved good results.The curative effect was improved.,Clinical outcomes ,improved
堕胎胚胎停育中西医结合疗法肾虚
early abortionembryo suspensionintegrated Chinese and western medicine therapykidney deficiency
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