罗颂平教授治疗产后汗证的病例报告
A Case Report of Professor Luo Songping's treatment to Postpartum Sweating Syndrome
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1.广州中医药大学第一临床医学院,广州 510405
2.广州中医药大学第一附属医院,广州 510405
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金珊米, 郜洁, 罗颂平. 罗颂平教授治疗产后汗证的病例报告[DB/OL].(2023-09-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41363581&Fpath=home&index=0
JIN Shanmi, GAO Jie, LUO Songping. A Case Report of Professor Luo Songping's treatment to Postpartum Sweating Syndrome[DB/OL].(2023-09-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41363581&Fpath=home&index=0
金珊米, 郜洁, 罗颂平. 罗颂平教授治疗产后汗证的病例报告[DB/OL].(2023-09-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41363581&Fpath=home&index=0 DOI:
JIN Shanmi, GAO Jie, LUO Songping. A Case Report of Professor Luo Songping's treatment to Postpartum Sweating Syndrome[DB/OL].(2023-09-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41363581&Fpath=home&index=0 DOI:
病史摘要,2,患者33岁,G3P1A2,2021年5月19日剖宫产1孩,人流2次,首次因“剖宫产后汗出3月”就诊,症见:怕冷,产后汗多不能自止,动则加剧,部位以脖子及后背为主,易口渴,无口苦,纳眠可,二便调。舌黯,苔白,脉细。中医诊断 产后自汗气虚证。西医诊断 汗腺分泌异常。干预措施 中药汤剂以补中益气,收敛止汗为法,以玉屏风散合黄芪桂枝五物汤为主方,酌情配伍理气健脾之品,加强补中益气之效,同时配合隔物灸、走罐。嘱患者若汗出明显增多等不适需及时随诊。注意心理疏导,要鼓励患者身心愉悦,注意休息,适当活动以增强体质。清淡饮食,勿食生冷辛辣。疗效转归 “内外合治”明显提升治疗效果,使产后汗出治疗方式多元化,缩短治疗周期。
Summary of case history, The patient is 33 years old, G3P1A2, who delivered by caesarean section on 19 May 2021 and has had two abortions. She first visited the clinic with "sweating for 3 months after caesarean section". Symptoms: fear of cold, excessive postpartum sweating that does not stop on its own and is aggravated by movement, mainly in the neck and back, easy thirst, no bitterness in the mouth, sleepiness and bowel movements.The tongue is dull, white tongue coating and a thin pulse.,TCM diagnosis, Postpartum sweating syndrome,Qi deficiency,Western medicine diagnosis, Paridrosis,Therapeutic methods, Intervention Chinese herbal soup was taken internally to tonify the middle and invigorating Qi, astringent and antiperspirant, with the combination of Yu Ping Feng San and Huang Qi GuiZhi Wu Wu Tang as the main formula, together with the use of Qi-regulating and spleen-strengthening products as appropriate to enhance the effect of tonifying Qi, in the meanwhile with interval moxibustion and walking jars. The patient should be advised to follow up promptly if there is a significant increase in sweating and other discomfort. Pay attention to psychological guidance, encourage the patient to be physically and mentally happy, pay attention to rest, and strengthen the body with appropriate activities. Eat a light diet and do not eat cold and spicy food.,Clinical outcomes, The "combined internal and external treatment" significantly improves the effectiveness of the treatment, diversifies the treatment of postnatal sweating and shortens the treatment period.
产后自汗罗颂平名医经验罗氏妇科
Postpartum sweating syndromeLUO Song-pingFamous doctor's experienceLUOs' gynecology
罗颂平,刘雁峰.中医妇科学[M].3版.北京:人民卫生出版社,2016:236-238.
张维佳,吴燕平.吴燕平治疗产后汗出经验介绍[J].新中医,2017,49(11):190-191. DOI:10.13457/j.cnki.jncm.2017.11.067http://dx.doi.org/10.13457/j.cnki.jncm.2017.11.067.
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