针灸归经辨治脑鸣案二则
Two Cases of Acupuncture and Moxibustion for Buzzing in Brain Guided by Meridian Dialectics
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1.福建中医药大学附属康复医院,福州 350003
2.福建省康复产业研究院,福州 350003
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郑美. 针灸归经辨治脑鸣案二则[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358256&Fpath=home&index=0
ZHENG Mei. Two Cases of Acupuncture and Moxibustion for Buzzing in Brain Guided by Meridian Dialectics[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358256&Fpath=home&index=0
郑美. 针灸归经辨治脑鸣案二则[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358256&Fpath=home&index=0 DOI:
ZHENG Mei. Two Cases of Acupuncture and Moxibustion for Buzzing in Brain Guided by Meridian Dialectics[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40358256&Fpath=home&index=0 DOI:
案1,病史摘要,2,患者为中老年女性,以“脑中鸣响2月余”为主诉,曾就诊于医学心理科,考虑抑郁症发作,予抗抑郁治疗2个月症状未见好转。刻下症:脑鸣、耳鸣,情绪低落,每日必于7~9时不自主哭泣,另伴有腹胀,纳差,便秘,颈部堵塞感。舌红,苔腻,脉弦滑。中医诊断 脑鸣(阳明腑实,痰浊壅盛)西医诊断 脑鸣;抑郁症干预措施 西医方面继续原抗抑郁治疗,中医方面予针灸治疗,治则:清泻阳明,通腑降浊。疗效转归 首次治疗后脑鸣即见明显减轻,同前法继续治疗6周后停西药,8周后停止治疗,随访6个月病情未见明显反复。案2,病史摘要,2,患者为老年女性,以“脑鸣、失眠半年余”为主诉,就诊时已行改善脑循环、营养神经、抗抑郁、抗焦虑等药物治疗半年余未见改善。刻下症:脑鸣,耳鸣,疲劳后加重,常不明原因咳嗽,情绪低落,疲乏气短,纳差,夜不能寐,尿频、尿急,小便黄,大便溏。舌淡胖,苔薄白,脉细弱。中医诊断 脑鸣(肺气不利,肝郁脾虚)西医诊断 脑鸣;抑郁症干预措施 西医方面继续原抗抑郁、改善脑循环治疗,中医方面予针灸治疗,治则:疏调肺气,扶土抑木。疗效转归 首诊结束时患者脑鸣减轻,间隔时间延长,疲乏改善。继续每周同前治疗3次,六诊后改为每周治疗2次。11周后未再治疗,治疗期间症状趋于平稳,未见明显反复。
Summary of case 1 history, The patient was an old woman whose self-reported symptom was"buzzing in brain more than 2months" .Once visited the Department of medical psychology and was diagnosed the onset of depression,the symptoms did not improve after 2 months of antidepressant treatment.Present symptoms:buzzing in brain,tinnitus,down in spirits,involuntarily crying during 7~9am everyday,flatulence,inappetence,constipation,feeled the blockage on the front neck,the tongue is red, the coating is greasy, and the pulse is tense and smooth.,TCM diagnose, Buzzing in brain(Yangming Fu-viscera excess,phlegm-turbidity accumulation),Western medicine diagnose, Buzzing in brain; Depression,Therapeutic methods, Western medicine continued antidepressant treatment,aspects of traditional Chinese medicine,treated with Acupuncture and Moxibustion;Therapeuetic principles:clear the stomach meridian of foot-yangming.,Clinical outcomes, After the first treatment, the buzzing in brain was obviously alleviated,after 6 weeks of treatment as before the drugs were stopped,and after 8 weeks,the TCM treatment was also stopped,there was no obvious recurrence during 6 months follow-up.,Summary of case 2 history, The patient was an old woman whose self-reported symptom was"buzzing in brain, insomnia for more than half a year",and had been treated with drugs to improve cerebral circulation, nutritional nerve, anti-depression, anti-anxiety for more than half a year without any improvement.Present symptoms:buzzing in brain,tinnitus,aggravated after fatigue,usually cough without clear cause,down in spirit,feeled fatigued and shout of breath,poor appetite,insomnia,the urination was frequent and urgent,the color was yellow,the stool was unformed, the tongue was thin and fat , the coating was thin and white , the pulse was weak.,TCM diagnose, Buzzing in brain (unsmoothness of pulmonary qi, liver stagnation and spleen deficiency),Western medicine diagnose, Buzzing in brain;Depression,Therapeutic methods, Western medicine continues antidepressant and improving cerebral circulation treatment,aspects of TCM,treated with Acupuncture and Moxibustion;Therapeuetic principles: regulate the lung Qi, "support the earth and suppress the wood".,Clinical outcomes, At the end of the first visit, the patient's brain ringing was alleviated, the interval time was prolonged, and the fatigue was improved.The treatment was continued 3 times a week, and was changed to twice a week after the 6th time. After 11 weeks, the patient was not treated again. During the treatment, the symptoms tended to be stable without obvious recurrence.
脑鸣针灸归经辨证
Buzzing in brainAcupuncture and moxibustionMeridian dialectics
张千千,吕国雄.中医治疗脑鸣病的研究进展[J].中医临床究,2020,12(19):147-148.
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