阮岩辨治肺气虚寒型鼻鼽1例
Exposition of Professor RUANYan's Clinical Experiences in Allergic Rhinitis Based on Medical Bases
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1.广州中医药大学第一临床医学院,广州 510405
2.广州中医药大学第一附属医院,广州 510405
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李丹, 周敏, 刘沁东, 等. 阮岩辨治肺气虚寒型鼻鼽1例[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536945&Fpath=home&index=0
LI Dan, ZHOU Min, LIU Qindong, et al. Exposition of Professor RUANYan's Clinical Experiences in Allergic Rhinitis Based on Medical Bases[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536945&Fpath=home&index=0
李丹, 周敏, 刘沁东, 等. 阮岩辨治肺气虚寒型鼻鼽1例[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536945&Fpath=home&index=0 DOI:
LI Dan, ZHOU Min, LIU Qindong, et al. Exposition of Professor RUANYan's Clinical Experiences in Allergic Rhinitis Based on Medical Bases[DB/OL].(2023-04-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36536945&Fpath=home&index=0 DOI:
患者陈某某,女,33岁。首诊时间:2022年3月7日。主诉:反复鼻痒、打喷嚏、流清涕、鼻塞20年。20年前感冒后开始出现鼻痒、喷嚏、流清涕、鼻塞等症状,期间反复发作,劳累时加重。先后在多家医院就诊,诊断为“变应性鼻炎”。曾用抗组胺药、外用鼻喷激素药治疗后症状有所缓解。2022年3月7日来我院耳鼻喉门诊就诊。刻下症:鼻痒难耐,喷嚏频作,流清涕,交替性鼻塞,眼痒,伴嗅觉减退,嗅觉VAS评分5分,怕冷,耳内堵塞感,听力下降,无耳痛、耳鸣。咳嗽,无咳痰,咽痛,无咽痒。眠时打鼾,张口呼吸,纳眠可,二便调。舌质淡胖略暗,边有齿痕,舌苔白滑,左脉沉细,右脉细弱。中医诊断 鼻鼽 肺气虚寒西医诊断 变应性鼻炎干预措施 中医以温肺散寒,宣通鼻窍为法,方以小青龙汤合苍耳子散加减。疗效转归 该患者在辩证论治的基础上用药20天,鼻部不适症状基本消失,嗅觉减退仍在。食欲、二便及整体精神状态较前均有明显改善。停药后,嘱患者继续避风寒;清淡饮食,避免寒凉饮食;生活规律,保证睡眠;调畅情志,适当运动;做好防螨措施。随访3个月未见复发,效果稳定。
Summany of case history, The patient surnamed Chen, a 33yearsold female,was first diagnosed on March 7, 2022. Chief Complaint: Nasal itching, sneezing, runny nose, nasal congestion for 20 years. The patient began to have nasal itching, sneezing, runny nose and nasal congestion after catching cold 20 years ago,then he went to a hospital and was diagnosed with allergic rhinitis. The symptoms were relieved after treatment with antihistamines and topical nasal sprays. He came to the clinic of our hospital for treatment on March 7, 2022. Present symptoms: unbearable nasal itching, frequent sneezing, runny nose, alternate nasal congestion, itchy eyes, hyposmia with VAS score of smell: 5 points, fear of cold, ear blockage, hearing loss, no ear pain, tinnitus. cough, no expectoration, sore throat, no sore throat. snoring during sleep, mouth breathing,average quality of sleep, it is difficult to sleep during nasal congestion attacks, No symptoms of abdominal distension or diarrhea . The tongue is pale, fat and slightly dark, with tooth marks on the side, the coating is white and slippery , and the left pulse is thin, and the right pulse is thin and weak.,TCM diagnosis, The desease of Bi Qiu, The pattern of syndrome is deficiency of lung Qi and cold.,Western medicine diagnosis ,a llergic rhinitis.,Therapeutic methods, To warm the lung and disperse the cold, replenish qi and strengthen solid surface as the treatment method, combination Xiao QingLong and Cangerzi San as the treatment medicine.,Clinical outcomes, This patient was treated with TCM. The patient took medication on the basis of dialectical treatment for 20 days, the symptoms of nasal discomfort basically disappeared, but the hyposmia was still there, its appetite, bowel movements and overall mental state were significantly improved. After stopping the drug, the patients were instructed to continue to avoid wind and cold,eat a light diet, live a regular life, ensure sleep; regulate emotions, exercise appropriately, and take anti-mite measures. At a follow-up period of 3 month, the symptoms of this patient was stable.
鼻鼽变应性鼻炎中医疗法
the desease of Bi Qiuallergic rhinitissyndrome differentiation and treatment
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顾瑜蓉,李华斌. 变应性鼻炎的发病机制与精准治疗[J]. 中国耳鼻咽喉颅底外科杂志,2019,25(6):578-584.
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