姜劲挺治疗缺血性脑卒中(脑桥梗死)验案一则
Treatment of Ischemic Stroke (Pontine Infarction) by Jiang Jinting: A Case Report
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1.深圳市中医院骨二科,深圳 518000
2.广州中医药大学第四临床医学院,深圳 518000
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郑吉元, 谢焕新, 姜劲挺. 姜劲挺治疗缺血性脑卒中(脑桥梗死)验案一则[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406588&Fpath=home&index=0
Zheng Jiyuan, Xie Huanxin, Jiang Jingting. Treatment of Ischemic Stroke (Pontine Infarction) by Jiang Jinting: A Case Report[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406588&Fpath=home&index=0
郑吉元, 谢焕新, 姜劲挺. 姜劲挺治疗缺血性脑卒中(脑桥梗死)验案一则[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406588&Fpath=home&index=0 DOI:
Zheng Jiyuan, Xie Huanxin, Jiang Jingting. Treatment of Ischemic Stroke (Pontine Infarction) by Jiang Jinting: A Case Report[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406588&Fpath=home&index=0 DOI:
病史摘要,2,患者余某,女性,77岁, 2021年1月19日因“突发右侧肢体活动不利1月”就诊。患者1月前突发右侧肢体无力,于外院诊断为“脑桥梗死”,对症治疗后好转出院。2021年1月2日再次发病住院,行头颅CT示桥脑及双侧基底节区、放射冠多发腔隙性脑梗死,对症治疗效果欠佳,由外院转入我科治疗。四诊信息:患者不能站立行走,借助轮椅推入病房,神志清楚、精神差,颈项部僵硬,头晕、头痛、乏力,右侧鼻唇沟变浅,伸舌偏右,脘腹胀满,大便3日未解,小便不利,肉眼血尿,睡眠欠佳。舌紫暗、苔浊腻微黄,脉沉细。中医诊断 中风 (肝肾亏虚,痰瘀阻滞证)。西医诊断 缺血性脑卒中(脑桥梗死)。干预措施 中医以益气活血通络,疏肝补肾化瘀为法,予疏肝补肾方口服,配合鹿瓜多肽注射液、天麻素注射液和正骨理筋手法治疗。疗效转归 患者右侧肢体肌力恢复正常,可正常行走,右侧鼻唇沟变深,伸舌居中。随访2个月无复发。
Summary of case history, Patient Yu, female, 77 years old, sought medical attention on January 19, 2021 due to "sudden adverse right limb movement for one month". The patient experienced sudden weakness in their right limb one month ago and was diagnosed with "pontine infarction" in an external hospital. After symptomatic treatment, they improved and were discharged. On January 2, 2021, he was hospitalized again and underwent head CT scan to show multiple lacunar cerebral infarction in the pontine and bilateral basal ganglia areas, as well as in the coronal radiation. However, the symptomatic treatment effect was not satisfactory, and he was transferred from another hospital to our department for treatment. Symptoms and signs: The patient is unable to stand and walk, and is pushed into the ward with the help of a wheelchair. They have clear consciousness, poor mental state, stiff neck, dizziness, headache, and fatigue. The right nasolabial groove becomes shallow, the tongue is extended to the right, the abdomen is full, the stool has not been resolved for 3 days, urination is not good, gross hematuria, and sleep is not good. The tongue is purple and dark, the fur is muddy and slightly yellow, and the veins are thick and thin.,TCM diagnosis, Stroke (liver and kidney deficiency, phlegm and blood stasis syndrome).,western medicine diagnosi, sischemic stroke(Pons infarction).,Therapeutic methods, Traditional Chinese medicine uses the methods of tonifying qi, activating blood circulation, and unblocking collaterals, as well as soothing the liver, tonifying the kidney, and resolving blood stasis. It is orally administered with the formula for soothing the liver and tonifying the kidney, combined with deer melon peptide injection, gastrodin injection, and bone setting and tendon regulating techniques for treatment.,clinical outcomes, The patient's right limb muscle strength returned to normal, and she could walk normally. The right nasolabial fold became deep, and the extended tongue was centered. There was no response after 2 months of follow-up.
缺血性脑卒中脑桥梗死中医药中医正骨
Ischemic strokePontine infarctionTraditional Chinese MedicineTraditional Chinese Medicine Bone Setting
秦雪梅,李佩佩,时潇,等.脑络欣通及其拆方对右侧大脑中动脉闭塞再灌注大鼠学习记忆能力及突触可塑性的影响[J].中医杂志,2022,63(12):1163-1169.
沈晓明,谢雁鸣,EalingJohn,等.基于多模态网络理论构建中医缺血性中风复发风险评估模型[J].中医杂志,2022,63(8):725-729.
李贺,杜雅薇,吴圣贤.中药治疗颈动脉粥样硬化临床随机对照试验设计与评价技术规范(2021版)[J].中医杂志,2021,62(24):2204-2208.
姜劲挺,郑吉元,李振豪,等.基于"疏肝补肾"法治疗骨质疏松并腰椎间盘突出症的思路探析[J].中国中医基础医学杂志,2017,23(3):367-37
李祥雨,姜劲挺,宋敏,等.姜劲挺从肝脾肾三脏论治内伤型腰椎间盘突出症初探[J].辽宁中医杂志,2018,45(9):1815-1817.
臧秋迟,王一阳,胡志希.基于气血理论从肠道菌群角度防治缺血性脑卒中[J].中医药临床杂志,2022,34(1):7-10.
郑吉元,安文博,张伦广,等.姜劲挺教授正骨手法特色及验案举隅[J]. 甘肃中医药大学学报,2017,34(4):8-10.
韦坚,曹亚飞,陈小砖,等.国医大师韦贵康以"脊督一体论"治疗脊柱相关疾病经验[J].上海中医药杂志,2021,55(12):2-6.
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