胖生“百病”,多法齐用——“动定序贯范氏八法”巧治肥胖症
Obesity Leads to a Variety of Diseases, Dynamic or Fixed Sequential Eight Methods Can Achieve Advantageous Curative Effect
扫 描 看 全 文
1.广州中医药大学第二附属医院,广州 510120
2.广州中医药大学,广州 510006
扫 描 看 全 文
卢绮韵, 姚佳, 范冠杰. 胖生“百病”,多法齐用——“动定序贯范氏八法”巧治肥胖症[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40483453&Fpath=home&index=0
LU Qiyun, YAO Jia, FAN Guanjie. Obesity Leads to a Variety of Diseases, Dynamic or Fixed Sequential Eight Methods Can Achieve Advantageous Curative Effect[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40483453&Fpath=home&index=0
卢绮韵, 姚佳, 范冠杰. 胖生“百病”,多法齐用——“动定序贯范氏八法”巧治肥胖症[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40483453&Fpath=home&index=0 DOI:
LU Qiyun, YAO Jia, FAN Guanjie. Obesity Leads to a Variety of Diseases, Dynamic or Fixed Sequential Eight Methods Can Achieve Advantageous Curative Effect[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40483453&Fpath=home&index=0 DOI:
病史摘要,2,梁某,男性,27岁,初诊时间:2021年5月27日,主诉:形体肥胖10余年。形体肥胖,平素工作压力大,应酬多,饮食不节制,喜肥甘厚味,平素运动时间少,因肥胖、工作压力等原因时常情绪不佳。身高:173 cm,体质量:138 kg,身体质量指数(BMI):46.1 kg/m,2,。故寻求中医治疗。症见 患者神清,精神疲倦,形体肥胖,情志不畅,胃纳好,眠一般,二便如常,舌红,苔黄腻,脉沉紧。中医诊断 肥胖(湿热内阻证)。西医诊断 肥胖症。干预措施 初诊:治疗措施:1.生活方式宣教,保持每日运动,循序渐进增加运动量。2.制定治疗目标:标准体重=身高-105,即68 kg。3.中药:中医治法:清热祛湿。中药处方:苍术10 g、黄柏15 g、薏苡仁30 g、车前草30 g、绵茵陈30 g、丹参30 g、牡丹皮30 g、赤芍30 g、白术30 g、野菊花30 g、虎杖30 g、甘草5 g。共28剂,每日一剂。煎服法:用4 L药煲,放3 L水,煮1 h,剩2 L药液,频频代茶饮。同时配合控制饮食及加强运动。患者定期在范冠杰教授门诊随诊,调整中药。疗效转归 服用中药半年,维持饮食及运动治疗,体质量下降至96.5 kg,共减重41.5 kg,BMI:32.24 kg/m,2,。
Summary of case history ,LIANG, male, 27 years old. The first time he saw the docter was on 27, May, 2021. LIANG's has been plagued by the problem of body obesity for more than ten years because of the excessive consumption of high-calorie foods and the heavy work pressure. Besides, lack of physical activity result in the increase of the weight. All those influence lead to Liang's low mood and irritability.Therefore, LIANG seeks the help of traditional Chinese medicine to his troubles. Height:173 cm. Weight:138 kg. Body mass index (BMI):46.1 kg/m,2,. Symptom: Sane, mental fatigue, obese body, poor mood, good appetite, poor sleep, normal stool and urine. Red tongue, yellow slimy fur, sunken and tight pulse.,TCM diagnosis, Obesity (pattern of internal dampness-heat).,Western medicine diagnosis, Adiposity.,Therapeutic methods, 1. Lifestyle changes:Maintain daily exercise and gradually increase the intensity of daily exercise. 2. Weight loss target: Standrad weight= Height - 105= 68kg. 3. Chinese Medicine Herb:Chinese Medicine internal therapy: Clearing heat and promoting diuresis. Chinese Medicine Prescription: Cangzhu (,Atractylodes lancea,) 10 g, Huangbo (,Phellodendron chinense,) 15 g, Yiyiren (,Coix lacryma-jobi,) 30 g, Cheqiancao (,Plantago asiatica,) 30 g, Yinchen (,Artemisia capillaris,) 30 g, Danshen(,Salvia miltiorrhiza,) 30 g, Mudanpi (,Paeonia suffruticosa,) 30 g, Chishao(,Paeonia lactiflora,) 30 g, Baizhu(,Atractylodes macrocephala,) 30 g, Yejuhua(,Chrysanthemum indicum,) 30 g, Huzhang(,Polygonum cuspidatum,) 30 g, Gancao (,Glycyrrhiza uralensis,) 5g. 28 medicaments totally, one medicaments a day. Boiled method: Use a 4 liter container, add 3 liters of water, boil for 1 hour, and leave 2 liters of medicine. Drinking as tea. at the same time with diet and physical activity. Patients visit the outpatient clinic regularly, and Professor Fan adjusts the Chinese medicine plan for them.,Clinical outcomes, The patient took Chinese medicine for half a year, maintained diet and exercise treatment, and the weight dropped to 96.5 kg, with a total weight loss of 41.5 kg. BMI:32.24 kg/m,2,.
肥胖症动-定序贯范氏八法纯中药治疗【适合阅读专业】 内分泌科中医内科
adipositydynamic or fixed sequential eight methodspure Chinese medicine【Suitable majors】 endocrinologyChinese medicine internal medicine
中国肥胖问题工作组数据汇总分析协作组. 我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究[J].中华流行病学杂志,2002,23(1):5-10.
0
浏览量
10
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构