邓高丕治疗盆腔炎性疾病后遗症-慢性盆腔痛病案一则
A Case of Sequelae of Pelvic Inflammatory Disease-chronic Pelvic Pain Treated by DENG Gaopi
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1.广州中医药大学第一附属医院妇科,广州 510405
2.广州中医药大学第一临床医学院,广州 510405
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袁烁, 林欣仪, 邓高丕. 邓高丕治疗盆腔炎性疾病后遗症-慢性盆腔痛病案一则[DB/OL].(2023-06-20)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38875471&Fpath=home&index=0
YUAN Shuo, LIN Xinyi, DENG Gaopi. A Case of Sequelae of Pelvic Inflammatory Disease-chronic Pelvic Pain Treated by DENG Gaopi[DB/OL].(2023-06-20)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38875471&Fpath=home&index=0
袁烁, 林欣仪, 邓高丕. 邓高丕治疗盆腔炎性疾病后遗症-慢性盆腔痛病案一则[DB/OL].(2023-06-20)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38875471&Fpath=home&index=0 DOI:
YUAN Shuo, LIN Xinyi, DENG Gaopi. A Case of Sequelae of Pelvic Inflammatory Disease-chronic Pelvic Pain Treated by DENG Gaopi[DB/OL].(2023-06-20)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38875471&Fpath=home&index=0 DOI:
病史摘要,2,患者郑某,女,52岁,2019年绝经,就诊时已绝经3年。因2014年开始反复下腹部坠胀痛,至今8年余,加重2月余就诊。自2014年无明显诱因反复出现下腹坠胀闷痛,多次治疗后症状有所好转。2020年无明显诱因再次出现下腹坠胀闷痛,经治后症状反复,2022年2月起无明显诱因再发。2022年4月21日就诊时全腹坠胀疼痛感明显,口干,无口苦,纳眠可,小便可,大便溏薄。舌红,苔稍黄腻,脉细弦数。体格检查:子宫符合绝经后改变,右侧附件区轻压痛。中医诊断 盆腔炎性疾病后遗症 湿热证。西医诊断 盆腔炎性疾病后遗症-慢性盆腔痛。干预措施 中医以清热化湿,行气止痛为法,内服中药治疗,处方以金铃子散、三妙丸加减。疗效转归 经中药治疗后,腹痛症状消失,疲劳症状改善;妇检示子宫及双附件无压痛。
Summary of case history, A female patient, Zheng, 52 years old, menopaused in 2019, and had been menopausal for 3 years at the time of treatment.The patient was postmenopausal and suffered from recurrent lower abdominal distending pain for more than 8 years, since 2014,aggravating for over 2 months. In 2014, there was no obvious inducement of repeated lower abdominal distending pain, and the symptoms improved after several treatments. In 2020, without the obvious cause, the symptoms of lower abdominal falling and distending pain reappeared and were repeated despite of treatments. In recent two months,From February 2022, it was reappeared. Currently,On April 21, 2022, when visiting the doctor, the whole abdominal falling and distending pain is obvious, with a dry mouth, no bitter taste, and clear, thin, watery diarrhea. Eat and sleep well, and urinate well. Her tongue is red, coated with slightly yellow and slimy fur. Her pulse is string-like, thin and rapid. Physical examination: the uterus is consistent with postmenopausal status, with mild pressure pain in the right adnexal region.,TCM diagnosis, Sequelae of pelvic inflammatory disease-chronic pelvic pain pelvic inflammatory disease (damp-heat syndrome).,Western medicine diagnosis, Sequelae of pelvic inflammatory disease (SPID) -Chronic pelvic pain.,Therapeutic methods, Clearing heat, emoving dampness and promoting qi circulation to relieve pain were the main therapeutic principles of TCM. Chinese medicine was given for oral treatment, prescribed with Jinlingzi powder and Sanmiao Pills.,Clinical outcomes, After herbal treatment, the pain symptoms disappeared and the fatigue symptoms improved. Gynecological examination showed that no tenderness in uterus, bilateral fallopian tubes and ovaries.
盆腔炎性疾病后遗症慢性盆腔痛绝经后湿热证
Sequelae of pelvic inflammatory diseasechronic pelvic painpostmenopausaldamp-heat syndrome
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