刘大新论治鼻聋验案
Professor Liu Daxin's Case Study on the Treatment of Nasal Deafness
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1.北京中医药大学东方医院耳鼻喉科,北京 100078
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魏然, 刘大新. 刘大新论治鼻聋验案[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536909&Fpath=home&index=0
WEI Ran, LIU Daxin. Professor Liu Daxin's Case Study on the Treatment of Nasal Deafness[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536909&Fpath=home&index=0
魏然, 刘大新. 刘大新论治鼻聋验案[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536909&Fpath=home&index=0 DOI:
WEI Ran, LIU Daxin. Professor Liu Daxin's Case Study on the Treatment of Nasal Deafness[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536909&Fpath=home&index=0 DOI:
病史摘要,2,主诉:鼻聋2年,加重1年。患者于3年前秋冬季节交替时受凉,随即出现鼻塞、喷嚏、鼻流清涕、头疼,无发热及嗅觉异常。自行前往药店购买感冒清热颗粒,每日2次,每次1袋,水冲服。治疗一周后自觉鼻塞、流涕、喷嚏等症状消失而停药。2年来患者感觉嗅觉逐渐减退,香臭难辨。近1年进行性加重,仅闻及酒精等刺激性气味,甚则嗅觉丧失,偶有鼻塞流涕,味觉减退,无发热恶寒、无头痛头晕,未到医院进行系统性诊治。现为求治疗就诊于刘大新老师门诊。刻下症:嗅觉丧失,鼻塞鼻干,口苦咽干,无头痛,乏力,纳呆,眠欠安,二便调畅。查:鼻黏膜色淡红,双下鼻甲稍肿,鼻中隔居中,中鼻道及嗅裂洁。咽部慢性充血,扁桃体2度,无脓;双耳外耳道畅,鼓膜完整,标志清。舌质淡暗边见齿痕、舌尖红,苔白,舌下脉青紫、曲张,脉弦细。鼻内镜及鼻窦CT检查均无明显异常。T&T嗅觉计测试嗅觉功能检测结果为 :> 5.6(完全丧失)。平素工作劳累,生活不规律,怕冷畏寒,易紧张焦虑。无药物过敏及家族遗传史。中医诊断 鼻聋 肝郁脾虚、瘀血阻窍证。西医诊断 嗅觉障碍干预措施 中药颗粒冲服,日两次;针刺迎香、印堂、鼻通、风池、合谷、足三里、血海、太冲,隔日一次;生理盐水冲洗鼻腔,日2次。疗效转归 嗅觉检测4.0度,可辨香臭。
Summary of case history, Chief Complaint: Nasal deafness for 2 years, aggravated for 1 year. The patient caught cold when the autumn and winter seasons alternated three years ago, and then developed nasal congestion, sneezing, runny nose, headache, and no fever and abnormal sense of smell. Go to the pharmacy by yourself to buy Ganmao Qingre Granules, 2 times a day, 1 bag each time, take with water. After one week of treatment, the symptoms of nasal congestion, runny nose and sneezing disappeared and the drug was discontinued. Over the past 2 years, the patient's sense of smell has gradually diminished, and the smell is difficult to distinguish. In the past 1 year, it has been progressively worsening, only smelling irritating odors such as alcohol, even loss of smell, occasional nasal congestion and runny nose, loss of taste, no fever, aversion to cold, headache, dizziness, and no systematic diagnosis and treatment in the hospital. Now for treatment, he is in the outpatient clinic of Mr. Liu Daxin. Engraved syndrome: loss of sense of smell, stuffy nose and dry nose, bitter mouth and dry throat, no headache, fatigue, poor appetite, poor sleep, and smooth bowel movements. Check: The nasal mucosa is light red, the inferior turbinates are slightly swollen, the nasal septum is centered, and the middle meatus and olfactory cleft are clean. Chronic hyperemia of the pharynx, 2 degrees of tonsils, no pus; smooth external auditory canals, intact tympanic membranes, and clear signs. Dark tongue with tooth marks, red tongue tip, white coating, bruised, varicose sublingual pulse with thin string. There were no obvious abnormalities in nasal endoscopy and sinus CT examination. T,&,T Olfactory Test olfactory function test result: ,>, 5.6 (complete loss). Usually tired from work, irregular life, afraid of cold, easy to be nervous and anxious. No drug allergy or family history.,TCM diagnosis, Nasal deafness Liver stagnation and spleen deficiency, blood stasis blocking orifices syndrome.,Western medicine diagnosis, Olfactory disorder,Therapeutic methods, Chinese medicine granules, take twice a day;Acupuncturing Yingxiang, Yintang, Bitong, Fengchi, Hegu, Zusanli, Xuehai, Taichong, etc. every other day;Rinse nasal cavity with normal saline, twice a day.,Clinical outcomes, Smell detection 4.0 degrees, can distinguish fragrance and odor.
鼻聋嗅觉障碍肝郁脾虚心神瘀血
Nasal deafnessOlfactory disorderLiver stagnation and spleen deficiencymindBlood stasis
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