疏肝补肾法治疗高泌乳素血症月经过少一例

施佑瑾; 黄圣惠; 张婷婷

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疏肝补肾法治疗高泌乳素血症月经过少一例

中国中医药临床案例成果库 | 病例报告

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疏肝补肾法治疗高泌乳素血症月经过少一例
A Case of Hypomenorrhea with Hyperprolactinemia Treated by the Method of Soothing Liver and Tonifying Kidney
1.上海中医药大学附属岳阳中西医结合医院，上海 200437
DOI：

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施佑瑾, 黄圣惠, 张婷婷. 疏肝补肾法治疗高泌乳素血症月经过少一例[DB/OL].（2023-03-03）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35101753&Fpath=home&index=0

SHI Youjin, HUANG Shenghui, ZHANG Tingting. A Case of Hypomenorrhea with Hyperprolactinemia Treated by the Method of Soothing Liver and Tonifying Kidney[DB/OL].（2023-03-03）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35101753&Fpath=home&index=0
施佑瑾, 黄圣惠, 张婷婷. 疏肝补肾法治疗高泌乳素血症月经过少一例[DB/OL].（2023-03-03）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35101753&Fpath=home&index=0 DOI：

SHI Youjin, HUANG Shenghui, ZHANG Tingting. A Case of Hypomenorrhea with Hyperprolactinemia Treated by the Method of Soothing Liver and Tonifying Kidney[DB/OL].（2023-03-03）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35101753&Fpath=home&index=0 DOI：

摘要

病史摘要,2,患者杜某，女，35岁，因“月经量少3年”就诊。症见经行量少，夹血块，腰酸，乳胀，头痛。刻下烦躁易怒，目赤红肿，面部痤疮，夜寐欠安，入睡困难，大便质黏，胃纳可。苔薄质红，脉细弦。辅助检查示血外周血泌乳素（PRL） 921.00 mIU/L↑。中医诊断　月经过少，肝郁肾虚证。西医诊断　高泌乳素血症。干预措施　疏肝补肾法中医药治疗。疗效转归　经治疗5月后，患者血PRL降至正常，经量增多。

Abstract

Summary of case history,　Patient, female, 35 years old, chief complaint: less menstruation for 3 years". Symptoms include less menstruation, blood clots, waist soreness, breast distension, and headache. The patient suffers from irritability, red and swollen eyes, facial acne, insomnia, sticky stool, and appetite, with red tongue, thin moss and stringy pulse. Auxiliary examination showed blood PRL 921.00 mIU/L. TCM diagnosis Menorrhagia, liver depression and kidney deficiency syndrome.,Western medicine diagnosis,　Hyperprolactinemia.,Therapeutic methods,　Traditional Chinese medicine treatment of soothing the liver and tonifying the kidney.,Clinical outcomes,　After 5 months of treatment, the blood PRL of the patient decreased to normal and the volume of menstruation increased.

关键词

高泌乳素血症月经过少肝郁肾虚

Keywords

HyperprolactinemiaHypomenorrheaLiver depression and kidney deficiency syndrome

references

郭昭兴, 肖富瑶, 程沛迪, 等. 中药联合溴隐亭治疗女性高泌乳素血症的meta分析[J]. 中国现代医生, 2022,60(01):32-37.

牟新霞, 施艳秋. 基于文献分析的高泌乳素血症中医辨治规律研究[J]. 江苏中医药, 2016,48(11):72-74.

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