闫颖应用金匮温经汤治疗子宫腺肌病验案一则
Treatment of Adenomyosis with Jinkui Wenjing Decoction by Yan Ying: 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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褚梦圆, 闫颖. 闫颖应用金匮温经汤治疗子宫腺肌病验案一则[DB/OL].(2023-05-09)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36918637&Fpath=home&index=0
CHU Mengyuan, YAN Ying. Treatment of Adenomyosis with Jinkui Wenjing Decoction by Yan Ying: A Case Report[DB/OL].(2023-05-09)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36918637&Fpath=home&index=0
褚梦圆, 闫颖. 闫颖应用金匮温经汤治疗子宫腺肌病验案一则[DB/OL].(2023-05-09)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36918637&Fpath=home&index=0 DOI:
CHU Mengyuan, YAN Ying. Treatment of Adenomyosis with Jinkui Wenjing Decoction by Yan Ying: A Case Report[DB/OL].(2023-05-09)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36918637&Fpath=home&index=0 DOI:
病史摘要,2,患者苗某某,女性,40岁,2021年10月4日主因“经行腹痛10余年,经后褐色分泌物2个月余”就诊。患者10年前因受寒后出现经行腹痛,冷痛,痛如锥刺,得温痛减,喜温喜按。既往子宫腺肌病病史,平素月经规律,近2月余月经净后出现少量褐色分泌物,持续3-4天,受凉后加重。四诊信息:患者神志清楚,精神可,面色苍白,畏寒,四肢不温,纳寐可,大便黏。舌红、苔黄腻,脉细。中医诊断 痛经(寒凝血瘀证)。西医诊断 子宫腺肌病、子宫腺肌瘤干预措施 中医以温通为大法,经前期以活血化瘀为主,经期以补肾养血调经为主,经后以温经散寒为主,中药口服调治3个月经周期。疗效转归 患者子宫腺肌瘤体积减小,痛经消失,随访3个月未见复发。
Summary of case history, The patient Miao, a 40-year-old female, visited the hospital on October 4, 2021 due to "abdominal pain after menstruation for more than 10 years, and brown secretion after menstruation for more than 2 months". The patient suffered from abdominal pain and cold pain after suffering from cold 10 years ago. The pain was like a prick, and the pain was reduced. History of adenomyosis in the past, regular menstruation, a small amount of brown secretion after menstruation in the past two months, lasting for 3-4 days, aggravated after cold. Symptoms and signs: the patient has clear mind, good spirit, pale face, chills, lukewarm limbs, can sleep, and sticky stool. The tongue is red, the fur is yellow and greasy, and the pulse is fine..,TCM diagnosis, Dysmenorrhea(syndrome of cold congelation and blood stasis).,Western medicine diagnosis, Adenomyosis; Adenomyoma uteri.,Therapeutic methods, Traditional Chinese medicine takes warming as the main method. In the early menstrual period, it is mainly to promote blood circulation and remove blood stasis. In the menstrual period, it is mainly to tonify the kidney, nourish the blood and regulate the menstruation. After the menstruation, it is mainly to warm the meridian and disperse the cold. The traditional Chinese medicine orally regulates three menstrual cycles.,Clinical outcomes, The volume of adenomyoma of the uterus in the patient decreased and dysmenorrhea disappeared. No recurrence was found in the follow-up of 3 months.
子宫腺肌病痛经中医药验案天津哈氏妇科流派
AdenomyosisDysmenorrheatraditional Chinese medicinecase inspectiontianiin ha's fynecology
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