基于“主观病因”理论辨治情志相关性鼻鼽1例
增强出版Diagnosis and Treatment of Emotion-related Biqiu Based on the Theory of "Subjective etiology"
扫 描 看 全 文
1.苏州雷允上国药王鸿翥中医诊所,苏州 215005
2.北京中医药大学东方医院耳鼻喉科,北京 100078
扫 描 看 全 文
陈灼, 刘大新. 基于“主观病因”理论辨治情志相关性鼻鼽1例[DB/OL].(2023-03-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34837200&Fpath=home&index=0
CHEN Zhuo, LIU Daxin. Diagnosis and Treatment of Emotion-related Biqiu Based on the Theory of "Subjective etiology"[DB/OL].(2023-03-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34837200&Fpath=home&index=0
陈灼, 刘大新. 基于“主观病因”理论辨治情志相关性鼻鼽1例[DB/OL].(2023-03-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34837200&Fpath=home&index=0 DOI:
CHEN Zhuo, LIU Daxin. Diagnosis and Treatment of Emotion-related Biqiu Based on the Theory of "Subjective etiology"[DB/OL].(2023-03-01)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=34837200&Fpath=home&index=0 DOI:
病史摘要,2,患者经受巨大情感创伤后因感受风寒出现喷嚏、流清涕、鼻痒、鼻塞等症状,反复发作半年。于外院诊断为“过敏性鼻炎”,曾用抗过敏药、外用鼻喷激素治疗后症状有所缓解,每于情绪波动时发作。近半年来每月发作数次,自服抗过敏药、外用激素鼻喷剂,疗效欠佳。刻下症见:鼻痒、咽痒、流泪,喷嚏频作,晨起尤甚,大量清涕,头痛昏沉。伴气短懒言,神疲乏力,口淡不渴,不欲饮食,嗳气时作,大便溏薄,每日1至2行,小便清长。郁郁寡欢,两胁胀满,夜寐不安,失眠多梦。中医诊断 鼻鼽 肝气郁结,肺脾气虚证西医诊断 过敏性鼻炎干预措施 逍遥散合四君子汤加减治疗疗效转归 服药后,鼻部不适症状基本消失,随访一年未见复发。
Summary of case history, After suffering from huge emotional trauma, the patient developed symptoms such as sneezing, runny nose, nasal itching, and nasal congestion due to the feeling of wind and cold, which recurred for half a year. She was diagnosed with "allergic rhinitis" in a foreign hospital. The symptoms were relieved after treatment with anti-allergic drugs and topical nasal spray hormones, and they occurred whenever the mood fluctuated. In the past six months, she experienced several seizures per month. After using self-administered anti-allergic drugs and topical hormone nasal spray, the result was unsatisfactory. The current symptoms include itchy nose, itchy throat, watery eyes, frequent sneezing especially in the morning, a lot of runny noses, headache, and drowsiness, accompanied by shortness of breath and lazy speech, mental fatigue, weak mouth, no thirst, no desire to eat, belching, loose stools, once or twice a day, clear and long urination, depressed, full of flanks, restless at night, insomnia and dreamy.,TCM diagnosis, Biqiu Liver qi stagnation, lung and spleen deficiency syndrome,Western medicine diagnosis, Allergic Rhinitis.,Therapeutic methods, Xiaoyao San and Sijunzi Tang.,Clinical outcomes, After taking the medicine, the symptoms of nasal discomfort basically disappeared, and there was no recurrence after one year of follow-up.
鼻鼽过敏性鼻炎情志致病主观病因
biqiuallergic Rhinitisemotion pathogenysubjective etiology
中华中医药学会.中医耳鼻咽喉常见疾病诊疗指南[M].北京:中国中医药出版社,2012:17.
中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.中国变应性鼻炎诊断和治疗指南(2022年, 修订版)[J].中华耳鼻咽喉头颈外科杂志,2022,57(2):106-129.
0
浏览量
9
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构