张吉金治疗子宫内膜单纯性增生异常子宫出血验案一则
Zhang Jijin's Experience in Treatment of Simple Endometrial Cystohyperplasia with Abnormal Uterine Bleeding: A Case Report
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1.天津中医药大学第一附属医院&国家中医针灸临床医学研究中心,天津 300381
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闫颖, 张晗, 张吉金. 张吉金治疗子宫内膜单纯性增生异常子宫出血验案一则[DB/OL].(2023-04-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35868853&Fpath=home&index=0
YAN Ying, ZHANG Han, ZHAN Jijin. Zhang Jijin's Experience in Treatment of Simple Endometrial Cystohyperplasia with Abnormal Uterine Bleeding: A Case Report[DB/OL].(2023-04-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35868853&Fpath=home&index=0
闫颖, 张晗, 张吉金. 张吉金治疗子宫内膜单纯性增生异常子宫出血验案一则[DB/OL].(2023-04-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35868853&Fpath=home&index=0 DOI:
YAN Ying, ZHANG Han, ZHAN Jijin. Zhang Jijin's Experience in Treatment of Simple Endometrial Cystohyperplasia with Abnormal Uterine Bleeding: A Case Report[DB/OL].(2023-04-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35868853&Fpath=home&index=0 DOI:
病史摘要,2,患者张某,女性,47岁,1990年3月9日因“阴道出血20天,量多7天”就诊。2年前患者无明显诱因出现月经周期紊乱,量多伴血块,外院诊断为“子宫内膜单纯性增生”,经多种治疗无效,特来就诊。四诊信息:患者月经量多,色鲜红有血块,平素情志抑郁,两乳胀痛,腰痛,大便干结。舌红、苔黄腻,脉沉弦。中医诊断 崩漏(血瘀夹热证)。西医诊断 子宫内膜单纯性增生异常子宫出血。干预措施 中医治以活血化瘀,益肾软坚为法,予二甲丸加减治疗。疗效转归 治疗后患者月经周期及经量均恢复正常,随访1年余无复发。
Summary of case history, The patient Zhang, a 47-year-old female, visited the hospital on March 9, 1990 for "20 days of vaginal bleeding, 7 days more". Two years ago, the patient had no obvious inducement to have menstrual cycle disorder, most of which were accompanied by blood clots, and was diagnosed as "simple hyperplasia of endometrium" in other hospitals. After many kinds of treatment, it is invalid, so she come to see a doctor. Symptoms and signs: The patient has a large amount of menstruation, bright red and blood clots, normal emotional depression, pain in both breasts, low back pain, and dry stool. The tongue is red, the fur is yellow and greasy, and the pulse is deep and stringy.,TCM diagnosis, Metrorrhagia and metrostaxis(heat and blood stagnated syndrome).,Western medicine diagnosis, Uterine bleeding due to simple hyperplasia of endometrium .,Therapeutic methods, The treatment of traditional Chinese medicine is to promote blood circulation and remove blood stasis, strengthen the kidney and soften the hardness, Modified Erjia Pill is used for treatment.,Clinical outcomes, After treatment, the menstrual cycle and menstrual volume of the patient returned to normal, and there was no recurrence after a follow-up of more than 1 year.
崩漏癥瘕子宫内膜单纯性增生异常子宫出血哈氏流派【适合阅读专业】 中医学中医妇科学
Metrorrhagia and metrostaxisAbdominal massSimple endometrial hyperplasiaabnormal uterine bleedingHa's fynecology【Suitable majors】 Traditional Chinese Medicine(TCM)TCM Gynecology
哈荔田.哈荔田妇科医案医话选[M].天津:天津科学技术出版社,1982.
吴林玲,闫颖,李军,等. 二甲丸对大鼠增生型子宫内膜中ER、PR及BFGF、VEGF的影响[J]. 湖南中医杂志,2016,32(7):170-173.
闫颖,吴林玲,李军,等. 二甲丸对大鼠增生型子宫内膜雌、孕激素受体及bcl-2、bax表达的影响[J]. 现代中西医结合杂志,2015,24(35):3884-3886.
张吉金, 益肾软坚法治疗子宫内膜囊腺型增生性功血疗效机理研究. 天津市,天津中医学院第一附属医院,2002-01-01.
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