首批国家级名老中医丁启后治疗高泌乳素血症验案
The first batch of national famous veteran doctor of Chinese medicine Ding Qihou 's treatment of hyperprolactinemia
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1.贵州中医药大学第一附属医院妇科,贵州 贵阳 550001
2.原贵阳中医学院药学系,贵州 贵阳 550002
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丁丽仙, 丁启后. 首批国家级名老中医丁启后治疗高泌乳素血症验案[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861529&Fpath=home&index=0
DING Lixian, DING Qihou. The first batch of national famous veteran doctor of Chinese medicine Ding Qihou 's treatment of hyperprolactinemia[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861529&Fpath=home&index=0
丁丽仙, 丁启后. 首批国家级名老中医丁启后治疗高泌乳素血症验案[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861529&Fpath=home&index=0 DOI:
DING Lixian, DING Qihou. The first batch of national famous veteran doctor of Chinese medicine Ding Qihou 's treatment of hyperprolactinemia[DB/OL].(2023-05-24)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=37861529&Fpath=home&index=0 DOI:
病史摘要,2,李某,女,33岁,已婚。因月经量减少5年,伴溢乳半年,于1992年7月17日就诊。患者5年前足月平产,因宫缩不良产后大出血,未哺乳。月经产后4月复潮,经量较以往明显减少,1~2天干净,色淡黯红,经量减少期间偶服调经中药,经量未增,未系统治疗。半年前开始月经减至点滴状,不用纸垫,1天可净,乳胀明显,胀甚时有乳汁自溢,乳汁淡黄清稀。2月前曾在某医院诊断为“高催乳素血症”,血清催乳素检查结果:735.2 uIU/mL↑,未接受西医治疗。就诊时面色萎黄,气短懒言,神疲乏力,心烦梦多,带下量少。舌淡胖黯红,有裂纹,脉细沉无力。中医诊断 1.乳泣;2.月经过少(气血两亏,肝郁血瘀证)西医诊断 高催乳激素血症干预措施 丁老选用具有益气养血,活血理气,抑乳调经的丁氏妇科“益气活血抑乳方”治疗获效。疗效转归 经2月余中药内服治疗,患者月经量增多,溢乳及其他伴见症好转。停药3月后随访月经正常,无乳汁自溢。其余伴见症好转。
Summary of case history, 33 years old married female, named Li. She comes to see a doctor in July 17, 1992, due to menstrual loss for 5 years, with galactorrhea for half a year. 5 years ago she had term delivery, due to poor uterine contractions postpartum hemorrhage, with no breastfeeding. Menstruation after 4 months of re-tidal, menstrual volume than in the past significantly reduced, 1-2 days clean, pale dark red, menstrual volume reduction during occasional oral Chinese medicine, menstrual volume did not increase, no systematic treatment. Half a year ago, menstruation began to reduce to drip, without paper pad, 1 day can be net, breast distension is obvious, even when there is milk overflow, milk pale yellow thin. Two months ago, he was diagnosed as hyperprolactinemia in a hospital. Serum prolactin test results : 735.2 uIU/ml↑, did not receive western medicine treatment. At the time of treatment, the complexion was yellow, short of breath, lazy, tired, upset, dreamy, and less. Tongue pale fat dark red, crack, weak pulse.,TCM diagnosis, 1.Nipple discharge disease; 2. Hypomenorrhea (Qi and blood deficiency, liver depression and blood stasis syndrome).,Western medicine diagnosis, Hyperprolactinemia.,Therapeutic methods, Mr. Ding selected ,Yiqi Huoxue, Yiru Decoction for tonifying qi and blood, activating blood and regulating qi, inhibiting lactation and regulating menstruation has been effective.,Clinical outcomes, After more than 2months of oral Chinese medicine treatment, patients with increased menstrual flow, galactorrhea and other symptoms improved. After 3 months of withdrawal follow-up normal menstruation, no milk overflow. The remaining symptoms improved.
乳泣月经过少丁启后治验
nipple discharge diseasehypomenorrheaDing QihouTreatment Experience
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