叶玲从脾虚不固论治肛门失禁验案一则
增强出版Treatment of Anal Incontinence from Spleen Deficiency by Ye Ling: a Case Report
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1.福建中医药大学附属第二人民医院肛肠科,福州 350003
2.福建省立医院痔疮科,福州 350001
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黄晓捷, 吴才贤, 高献明, 等. 叶玲从脾虚不固论治肛门失禁验案一则[DB/OL].(2023-05-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601670&Fpath=home&index=0
HUANG XiaoJie, WU Caixian, GAO Xianming, et al. Treatment of Anal Incontinence from Spleen Deficiency by Ye Ling: a Case Report[DB/OL].(2023-05-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601670&Fpath=home&index=0
黄晓捷, 吴才贤, 高献明, 等. 叶玲从脾虚不固论治肛门失禁验案一则[DB/OL].(2023-05-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601670&Fpath=home&index=0 DOI:
HUANG XiaoJie, WU Caixian, GAO Xianming, et al. Treatment of Anal Incontinence from Spleen Deficiency by Ye Ling: a Case Report[DB/OL].(2023-05-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601670&Fpath=home&index=0 DOI:
病史摘要,2,患者杨某某,女性,73岁,2019年9月9日因“肛门不自主排出粪渣6个月”就诊。患者近5年来无明显诱因反复出现便后肛内肿物脱出,可自行还纳。6个月前发现肛门不自主排出粪渣,间断反复发作,未见好转,遂来我院就诊。四诊信息:患者肛门不自主排出粪渣,并伴有肛门坠胀、排便不尽感,便溏、2~3次/日,无黏液脓血便,无消瘦,无心慌胸闷,无腹痛腹泻等。患者神疲乏力,纳欠佳,夜寐安,小便利。舌质淡、苔白,脉缓。中医诊断 肛门失禁(脾虚不固证)西医诊断 大便失禁干预措施 中医以益气健脾、升提固托为法,予加味补中益气汤口服联合固脱苦参洗剂坐浴治疗。疗效转归 临床治愈,随访未再复发。
Summary of case history, The patient Yang, a 73 year old female, went to hospital on September 9, 2019 due to "involuntary discharge of fecal residue from anus for 6 months". In the past 5 years, the patient has no obvious inducement to repeatedly have the mass in the anus prolapse after defecation, and can return it by himself. Six months ago, he found that the anus was involuntarily discharging fecal residue, which broke out repeatedly and did not improve, so he came to our hospital for treatment. Symptoms and signs: the patient's anus involuntarily discharges fecal residue, accompanied by anal distension, incomplete defecation, loose stools, 2-3 times per day, no mucus, pus, blood stool, weight loss, chest distress, abdominal pain, diarrhea, etc. The patient is tired, poor in reception, and has a good night's sleep, which is convenient. The tongue is light, the fur is white, and the pulse is slow.,TCM diagnosis, Anal incontinence (spleen deficiency syndrome).,Western medicine diagnosis, Fecal incontinence.,Therapeutic methods, In traditional Chinese medicine, Jiawei Buzhong Yiqi Decoction and Gutuo Sophora flavescens Lotion were taken orally for sitz bath treatment with the method of invigorating qi and spleen, and lifting and strengthening the retention.,Clinical outcomes, clinically cured and did not recur after follow-up.
肛门失禁脾虚不固补中益气汤固脱苦参洗剂
anal incontinencespleen astheniaspleen astheniaGutuo Kushen Lotion
刘连杰,喻德洪.肛门失禁的诊断与治疗[J].中华普通外科杂志,2000,15(11):50-51.
肛门失禁的诊断依据、证候分类、疗效评定——中华人民共和国中医药行业标准«中医内科病证诊断疗效标准»(ZY/T001.1-94)[J].辽宁中医药大学学报,2018,20(1):25.
黄晓捷,高献明,吴才贤,等.叶玲运用中医药治疗脱肛病经验[J].中医药通报,2020,19(4):26-27,43.
吴才贤,高献明,陈啸,等.固脱苦参洗剂外用坐浴治疗小儿脱肛的临床疗效观察[J].北方药学,2021,18(4):46-48.
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