夏玉清运用益气活血法治疗子宫内膜癌经验
Clinical Experience of XIA Yuqing in Treatment of Postoperative Metastasis of Endometrial Carcinoma by Supplementing Qi and Activating Blood Circulation
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1.中国中医科学院望京医院电热针室,北京 100102
2.北京四惠中医医院针灸科,北京 100124
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郝璐, 李汉友, 夏玉清. 夏玉清运用益气活血法治疗子宫内膜癌经验[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907312&Fpath=home&index=0
HAO Lu, LI Hanyou, XIA Yuqing. Clinical Experience of XIA Yuqing in Treatment of Postoperative Metastasis of Endometrial Carcinoma by Supplementing Qi and Activating Blood Circulation[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907312&Fpath=home&index=0
郝璐, 李汉友, 夏玉清. 夏玉清运用益气活血法治疗子宫内膜癌经验[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907312&Fpath=home&index=0 DOI:
HAO Lu, LI Hanyou, XIA Yuqing. Clinical Experience of XIA Yuqing in Treatment of Postoperative Metastasis of Endometrial Carcinoma by Supplementing Qi and Activating Blood Circulation[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907312&Fpath=home&index=0 DOI:
病史摘要,2,患者苗某,女,60岁。主因“阴道不规则流血3月,子宫内膜癌术后2月余”就诊。患者3个月前无明显诱因出现阴道不规则流血,妇科超声示:子宫内膜增厚,回声不均。于2019年7月22日行宫腔镜+诊刮术,术后病理示:子宫内膜癌。2019年8月21日行子宫+双附件全切术,术后病理示:高分化腺癌,病理分期Ⅰa期。2019年10月23日胸部CT示:右肺占位,原发肺癌与转移瘤待鉴别;胸膜转移。中国医学科学院肿瘤医院临床诊断为子宫内膜癌肺转移、胸膜转移,患者拒绝西医干预。中医诊断 崩漏;肺积(气虚血瘀,痰湿内蕴证)西医诊断 子宫内膜原位癌,肺转移,胸膜转移干预措施 运用电热针联合毫针外治,结合四君子汤或肾气丸加减组方内服,以调补气血,祛除瘀滞,除湿涤痰,健脾益肾,排解毒邪。疗效转归 患者坚持中医针药治疗3年至今,胸闷、咳嗽症状消失,复查胸部CT示肺部占位缩小,胸膜转移灶消失,姑息治疗疗效确切。
Summary of medical history, Miao, female, 60 years old, went to the hospital because of "Irregular vaginal bleeding for 3 months and endometrial cancer for more than 2 months after surgery". Three months ago, our patient showed irregular vaginal bleeding without any obvious cause. Gynecologic ultrasound showed endometrial thickening and uneven echo. On July 22, 2019, hysteroscopy and curettage were performed, and the postoperative pathology showed endometrial carcinoma. On 21 August 2019, total hysterectomy with double attachments was performed. Postoperative pathology showed highly differentiated adenocarcinoma, and pathological stage was stage Ia. CT scan of her chest on 23 October 2019 showed a space-occupying lesion in her right lung, a primary lung cancer awaiting differentiation from a metastatic tumor; Pleural metastasis. Expert consultation from Tumor Hospital of Chinese Academy of Medical Sciences for clinical diagnosis of lung metastasis; For pleural metastasis, the patient refused the intervention of western medicine, and the hospital did not formulate the western medicine treatment plan.,TCM diagnosis, Metrorrhagia; Pulmonary retention (Qi deficiency and blood stasis, phlegm-dampness stagnation syndrome),Diagnosis of western medicine, Lung metastasis and pleural metastasis of carcinoma in situ of endometrium,Therapeutic methods, Electroacupuncture combined with filiform needling external therapy combined with Sijun zi Decoction or modified Shenqi Pill were used for regulating and tonifying qi and blood, removing stasis, removing dampness and phlegm, invigorating spleen and kidney, and removing toxic substances,Clinical outcomes ,Since the patient adhered to the acupuncture and medication in traditional Chinese medicine for three years, the chest stuffiness and cough disappeared. After reexamination, the lung mass on chest CT was reduced, and the pleural metastasis disappeared. The curative effect of palliative treatment was exact.
子宫内膜癌术后转移电热针夏玉清
Endometrial cancerPostoperative metastasisElectric heating needlesXIA Yuqing
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