中医药治疗糖尿病下肢溃疡案例1则
增强出版A Case of Lower Limb Ulcer in Diabetes Treated with Traditional Chinese Medicine
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1.云南中医药大学第二附属医院药学部, 昆明 650041
2.云南省昆明市中医医院老年病科, 昆明 650500
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韩丽华, 曹凡洲. 中医药治疗糖尿病下肢溃疡案例1则[DB/OL].(2023-06-20)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38907638&Fpath=home&index=0
HAN Lihua, CAO Fanzhou. A Case of Lower Limb Ulcer in Diabetes Treated with Traditional Chinese Medicine[DB/OL].(2023-06-20)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38907638&Fpath=home&index=0
韩丽华, 曹凡洲. 中医药治疗糖尿病下肢溃疡案例1则[DB/OL].(2023-06-20)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38907638&Fpath=home&index=0 DOI:
HAN Lihua, CAO Fanzhou. A Case of Lower Limb Ulcer in Diabetes Treated with Traditional Chinese Medicine[DB/OL].(2023-06-20)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38907638&Fpath=home&index=0 DOI:
病史摘要,2,患者付某,左下肢被钝器划伤55天,伤口一直未愈合。2019年5月7日初诊,发病节气立夏第2天。症见:左下肢外踝上约10 cm处见2×2 cm椭圆形破溃,深约0.5~1 cm,色暗,局部稍有肿胀疼痛,时有淡黄色液体渗出,双下肢沉重感,舌红苔黄厚腻,尺脉滑数,寸关细滑。中医诊断 消渴病疮口不合(清阳不升,湿热下注,瘀毒留滞)。西医诊断 糖尿病下肢溃疡。干预措施 方以补中益气汤合四妙丸加减,6剂,黄芪紫连油外搽,二诊再予百损丸加减填精补肾通络,托腐生肌。疗效转归 2019年5月20日二诊,患者破溃处已经无液体渗出,无疼痛,伤口较前缩小,周围肤色红润,肤温正常,舌红苔薄白腻,湿热退,瘀毒清,疮口敛。服用百损丸1月余,2019年7月2日电话回访,伤口已经愈合。
Summary of case history, The patient Fu, whose left lower limb was scratched by blunt force for 55 days, has not healed. The first diagnosis was made on May 7, 2019, and the onset term was the second day of summer. Symptoms: 2 at about 10cm above the lateral malleolus of the left lower limb × 2 cm oval, about 0.5-1 cm deep, dark in color, slightly swollen and painful in some parts, sometimes with yellowish liquid exudation, heavy feeling of both lower limbs, red tongue and thick yellow coating, smooth number of ulnar veins, thin and smooth inch clearance.,TCM diagnosis ,The treatment principle of the deficiency of the sore of the thirst eliminating disease (the Yang is not raised, the damp heat is injected, and the blood stasis and toxin remain stagnant): replenish the Qi and raise the Yang, clear the heat and remove the dampness, activate the blood and water, and support the putrefaction and generate the muscle.,Western medicine diagnosis, Diabetes is lower limb ulcer.,Intervention measures, Buzhong Yiqi Decoction Combined with Simiao pill, 6 doses, Astragalus membranaceus and Zilian oil for external use, and Baisun pill for the second diagnosis.,Clinical outcomes , On May 20, 2019, the second diagnosis showed that there was no liquid exudation and pain at the broken part of the patient, the wound was smaller than before, the surrounding skin color was ruddy, the skin temperature was normal, red tongue coating thin white greasy, the damp heat subsided, the blood stasis and toxin were clear, and the sore was closed. After taking Baishi pill for more than one month, the wound was healed by telephone on July 2, 2019.
糖尿病下肢溃疡补中益气汤四妙丸百损丸
diabetes lower limb ulcerbuzhong yiqi decoctionsimiao pillbaisun pillSuitablesurgery
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