李堪印治疗成人斯蒂尔病验案一则
Treatment of Adult-onset Still's Disease by Li Kanyin: A Case Report
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1.陕西中医药大学研究生院,咸阳 712000
2.陕西中医药大学附属医院骨病科,咸阳 712000
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董佩, 袁普卫, 李堪印. 李堪印治疗成人斯蒂尔病验案一则[DB/OL].(2023-10-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41807757&Fpath=home&index=0
DONG Pei, YUAN Puwei, LI Kanyin. Treatment of Adult-onset Still's Disease by Li Kanyin: A Case Report[DB/OL].(2023-10-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41807757&Fpath=home&index=0
董佩, 袁普卫, 李堪印. 李堪印治疗成人斯蒂尔病验案一则[DB/OL].(2023-10-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41807757&Fpath=home&index=0 DOI:
DONG Pei, YUAN Puwei, LI Kanyin. Treatment of Adult-onset Still's Disease by Li Kanyin: A Case Report[DB/OL].(2023-10-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41807757&Fpath=home&index=0 DOI:
病史摘要,2,21岁男性患者,2021年8月12日因“间断发热伴关节痛10年余”就诊。10年前患者无明显原因出现发热伴右膝关节肿痛,期间到多家医院诊治,服用非甾体类抗炎药及激素后治疗好转。6年前患者再次出现发热伴右膝关节疼痛,就诊于中国人民解放军第四军医大学唐都医院,诊断为“成人斯蒂尔病”,给予甲泼尼龙片抗炎等对症治疗后好转。1年前患者再复发,为求进一步诊治,遂来我院就诊。四诊信息:患者间断发热,下午始热,夜间加重,晨起热退,伴双膝关节疼痛,纳差,口干口渴,精神可,夜寐可,小便可,大便2~3次/日。舌红少津、苔黄腻,脉细数。中医诊断 内伤发热(阴虚内热证)。西医诊断 斯蒂尔病。干预措施 中医治疗以清热除蒸、滋阴养血为法,予秦艽鳖甲汤加减治疗。疗效转归 患者发热、双膝关节疼痛症状基本消失。
Summary of case history, A 21-year-old male patient sought medical attention on August 12, 2021 due to "intermittent fever with joint pain for more than 10 years". For 10 years, the patient had no obvious cause of fever accompanied by swelling and pain in the right knee joint. During this period, they went to multiple hospitals for treatment and improved after taking non-steroidal anti-inflammatory drugs and hormones. Six years ago, the patient experienced fever and pain in the right knee joint again. He was diagnosed with "adult Steele's disease" at Tangdu Hospital of the Fourth Military Medical University of the Chinese People's Liberation Army and improved after receiving symptomatic treatment such as methylprednisolone tablets for anti-inflammatory effects. A year ago, the patient relapsed again and came to our hospital for further diagnosis and treatment. Symptoms and signs: The patient had intermittent fever, which starts in the afternoon and worsens at night. In the morning, the fever subsides, accompanied by knee joint pain, poor appetite, dry mouth and thirst, good mental health, good sleep at night, good urination, and 2-3 bowel movements per day. The tongue is red with little saliva, the fur is yellow and greasy, and the veins are thin and numerous.,TCM diagnosis, Internal injury and fever (Yin deficiency and internal heat syndrome).,Western medicine diagnosis, Still's disease.,Therapeutic methods, Traditional Chinese medicine treatment is based on clearing heat, removing steam, nourishing yin and nourishing blood, and is treated with modified Qinqi Biejia decoction.,Clinical outcomes, The patient's symptoms of fever and knee joint pain have basically disappeared.
斯蒂尔病成年人中医药秦艽鳖甲汤
Still 's diseaseadultstraditional Chinese medicineqinjiao Biejia Decoction
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