哈荔田治疗产后失眠验案一则
Treatment of Postpartum Insomnia by Ha Litian: A Case Report
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1.天津中医药大学第一附属医院&国家中医针灸临床医学研究中心,天津 300381
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闫颖, 褚梦圆, 哈荔田. 哈荔田治疗产后失眠验案一则[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41906866&Fpath=home&index=0
YAN Ying, CHU Mengyuan, HA Litian. Treatment of Postpartum Insomnia by Ha Litian: A Case Report[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41906866&Fpath=home&index=0
闫颖, 褚梦圆, 哈荔田. 哈荔田治疗产后失眠验案一则[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41906866&Fpath=home&index=0 DOI:
YAN Ying, CHU Mengyuan, HA Litian. Treatment of Postpartum Insomnia by Ha Litian: A Case Report[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41906866&Fpath=home&index=0 DOI:
病史摘要,2,患者贾某,女性,28岁,1972年5月16日主因“产后失眠1月余,加重10天”就诊,1月余前患者出现失眠,入睡困难,未予系统治疗。3周前自行口服药物助眠。10天前服安眠药物后无法入睡,几乎彻夜不眠,故来我院就诊。四诊信息:患者面色萎黄,眼下黑青,神疲倦怠。入睡困难,夜寐不安,甚至彻夜不眠,伴见午后潮热,头晕口苦,心中烦悸,惕然易惊,泛恶欲呕,口粘痰多,神疲乏力,下肢微肿。舌质淡、边尖红、苔白腻,脉滑数。中医诊断 不寐(痰热扰心证)。西医诊断 失眠。干预措施 中医治疗以调整阴阳,宁心安神为法,予温胆汤加减治疗。疗效转归 患者诸症悉退,随访6个月未见复发。
Summary of case history, Patient Jia, a 28-year-old female, sought medical attention on May 16, 1972 due to "postpartum insomnia for more than a month, worsening for 10 days". More than a month ago, the patient developed insomnia and had difficulty falling asleep, without receiving systematic treatment. Take oral medication to aid sleep three weeks ago. I couldn't fall asleep after taking sleeping pills 10 days ago and stayed up almost all night, so I came to our hospital for treatment. symptoms and signs: The patient's face is pale and pale, with a dark and blue complexion and fatigue. Difficulty falling asleep, restless sleep at night, and even staying up all night. Accompanied by hot flashes in the afternoon, dizziness and bitterness in the mouth, palpitations in the heart, nervousness and irritability, nausea and vomiting, mucus and phlegm in the mouth, fatigue and fatigue, slight swelling in the lower limbs, pale tongue, sharp red edges, white and greasy fur, and slippery pulse count.,TCM diagnosis, Insomnia (syndrome of phlegm heat disturbing the heart).,Western medicine diagnosis, Insomnia.,Therapeutic methods, Traditional Chinese medicine treatment is based on adjusting yin and yang, calming the heart and calming the mind, and is treated with modified Wendan decoction.,Clinical outcomes, The patient's symptoms have regressed, and there was no recurrence after a 6-month follow-up.
失眠不寐产后失眠痰热扰心温胆汤
Insomniasleeplessnesspostpartum insomniaSyndrome of Phlegm Heat Disturbing the HeartWendan decoction
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