参苓白术散治疗变应性鼻炎医案报告1例
One Case Report on Treatment of Allergic Rhinitis with Shenling Baizhu Powder
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1.成都中医药大学临床医学院 成都 610072
2.成都中医药大学附属医院耳鼻喉科 成都 610075
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王智巧, 张勤修. 参苓白术散治疗变应性鼻炎医案报告1例[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601955&Fpath=home&index=0
WANG Zhiqiao, ZHANG Qinxiu. One Case Report on Treatment of Allergic Rhinitis with Shenling Baizhu Powder[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601955&Fpath=home&index=0
王智巧, 张勤修. 参苓白术散治疗变应性鼻炎医案报告1例[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601955&Fpath=home&index=0 DOI:
WANG Zhiqiao, ZHANG Qinxiu. One Case Report on Treatment of Allergic Rhinitis with Shenling Baizhu Powder[DB/OL].(2023-03-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35601955&Fpath=home&index=0 DOI:
病史摘要,2,患者陈某,男性,31岁。初诊时间:2022年5月26日。以反复喷嚏、流清涕、鼻塞十余年,复发加重两周为主诉。十余年前患者受凉后出现打喷嚏、流清涕、交替性鼻塞,伴眼睛、鼻部及外耳道痒,于彭州市中医院诊断为变应性鼻炎,先后服用中药、中成药,外用鼻喷激素及滴鼻液缓解症状。来诊时喷嚏频频,晨起尤甚,流清涕,交替性鼻塞,眼睛、鼻子及外耳道痒,嗅觉减退,头目昏沉,隐隐头痛。舌淡胖,边有齿痕,苔白滑,脉弦缓。中医诊断 鼻鼽(脾虚湿盛证)。西医诊断 变应性鼻炎。干预措施 中医治以健脾益气、利湿通窍,中药处方予参苓白术散加减。未使用西医治疗方法。疗效转归 服用中药21天后症状基本消失,随访三个月无复发。
Summary of case history, Patient Chen (outpatient No.: 1820532), male, 31 years old. Initial diagnosis time: May 26th, 2022. The main complaint was repeated sneezing, runny nose, nasal obstruction for more than ten years, and recurrence and aggravation for two weeks. More than 10 years ago, the patient suffered from sneezing, runny nose, alternating nasal obstruction, accompanied by itching of eyes, nose and external auditory meatus caused by coldness. He was diagnosed as "allergic rhinitis" in "Pengzhou Hospital of traditional Chinese medicine". He took Chinese medicine, Chinese patent medicine, and nasal hormones and nasal drops for external use to relieve symptoms. He sneezed frequently when he came to the clinic, especially in the morning, with clear nose, alternating nasal obstruction, itching of eyes, nose and external auditory canal, hyposmia, dizziness and faint headache. The tongue is a little bit round and fat with light colour and serrated edge, the coating on the tongue is hoar and smoothy.,TCM diagnosis, Biqiu (spleen qi deficiency with dampness syndrome).,Western medicine diagnosis, allergic rhinitis.,Therapeutic methods, Invigorating the spleen and Qi, clearing dam and relieving stuffy orifices. Traditional Chinese medicine prescription is Shenling Baizhu powder. Western medical treatment was not used.,Clinical outcomes, The symptoms basically disappeared after 21 days of taking traditional Chinese medicine, and there was no recurrence after three months of follow-up.
鼻鼽变应性鼻炎参苓白术散
rhinorrheaallergic rhinitisshenling baizhu powder
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