异常子宫出血验案一则
A Case of Abnormal Uterine Bleeding
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胡仕红, 孙婷, 黄缨. 异常子宫出血验案一则[DB/OL].(2023-09-07)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41713315&Fpath=home&index=0
HU Shihong, SUN Ting, HUANG Ying. A Case of Abnormal Uterine Bleeding[DB/OL].(2023-09-07)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41713315&Fpath=home&index=0
胡仕红, 孙婷, 黄缨. 异常子宫出血验案一则[DB/OL].(2023-09-07)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41713315&Fpath=home&index=0 DOI:
HU Shihong, SUN Ting, HUANG Ying. A Case of Abnormal Uterine Bleeding[DB/OL].(2023-09-07)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41713315&Fpath=home&index=0 DOI:
病史摘要,2,患者反复阴道不规则出血,曾在外院多次行诊刮术,自述诊刮组织送病检未见明显异常(未见病检报告),每次术后可维持半年左右月经正常,间断口服“黄体酮胶囊、克龄蒙、达英-35”治疗,用药期间月经规律,停药以后病情反复。本月出血情况:2020年9月6日开始阴道出血,9月10~11日出血量较多,9月15~18日阴道出血止,9月19日再次阴道出血,量少淋漓,血色鲜红,夹有血块,至今未净。刻下症见:神疲乏力,伴有头痛,午后更甚,纳食尚可,入睡困难,多梦易醒,大便2日一行,夜尿1~2次,舌淡边有齿痕,脉细弱。中医诊断 崩漏(气虚血瘀证)。西医诊断 异常子宫出血。干预措施 针对异常子宫出血患者,运用荆楚刘氏妇科治疗崩漏分期论治理论,经期活血祛瘀止血,荆楚刘氏妇科经验方活血化瘀方加味治疗,非经期健脾补肾固冲为治。疗效转归 患者围绝经期,通过中药调理,月经尚规律,属于好转范畴。
Summary of case history, Patients with repeated irregular vaginal bleeding, in the outer court multiple lines of clinical surgery, self-reported diagnosis disease inspection not seen obvious abnormity scrape it sends (not seen disease inspection report), each time can keep half a year or so after menstruation is normal, continuous oral progestin capsule, Mongolia, taie - 35 grams of age "treatment, medication during menstrual rule, withdrawal condition again and again in the future. Bleeding situation of this month: Vaginal bleeding started on September 6, 2020, with a large amount of blood on September 10 to 11, stopped on September 15 to 18, and repeated vaginal bleeding on September 19, with a small amount of dripping, bright red blood and blood clots, which has not been cleaned up until now. Symptoms: fatigue, accompanied by headache, afternoon even more, food is acceptable, difficult to fall asleep, easy to wake up, stool 2 days once, night urine 1-2 times, tongue light edge tooth marks, delicate pulse.,TCM diagnosis, Leakage (Qi-deficiency and Blood-stasis syndrome),Western medicine diagnosis, Abnormal uterine bleeding,Therapeutic methods, For patients with abnormal uterine bleeding, Jingchu and Liu's gynecological treatment theory of disintegrating and leaking stages was applied to promote blood circulation and remove blood stasis during menstruation, Jingchu and Liu's gynecological experience prescription of Huoxue Huayu decoction was added for flavor treatment, and strengthening spleen and kidney during non-menstruation was used as treatment.
异常子宫出血围绝经期活血化瘀方【适合阅读专业】 妇科急诊
Abnormal uterine bleedingPerimenopauseDecoction for promoting blood circulation and removing blood stasis【Suitable majors】 Department of gynaecologyThe emergency department
黄晓桃,梁少荣,王璐,等. 调冲颗粒联合耳穴治疗黄体功能不足性异常子宫出血48例观察[J]. 浙江中医杂志, 2022, 57(12): 895-896.
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韦佳媛,邓丽敏,谭青月,等.从化瘀止血法论治崩漏的研究述要[J].中医临床研究,2022,14(36):112-114.
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