“无心插柳”之异病同治——咳嗽&特应性皮炎医案1例
The Same Treatment for Different Diseases of 'Unintentionally Treatment Achieves Therapeutic Effects'A Medical Case of Atopic Dermatitis
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1.福建中医药大学附属第三人民医院心血管科,福州 350108
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江红梅. “无心插柳”之异病同治——咳嗽&特应性皮炎医案1例[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279577&Fpath=home&index=0
JIANG Hongmei. The Same Treatment for Different Diseases of 'Unintentionally Treatment Achieves Therapeutic Effects'A Medical Case of Atopic Dermatitis[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279577&Fpath=home&index=0
江红梅. “无心插柳”之异病同治——咳嗽&特应性皮炎医案1例[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279577&Fpath=home&index=0 DOI:
JIANG Hongmei. The Same Treatment for Different Diseases of 'Unintentionally Treatment Achieves Therapeutic Effects'A Medical Case of Atopic Dermatitis[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279577&Fpath=home&index=0 DOI:
病史摘要,2,黄某某,女,3岁5月,2021年11月5日因“咳嗽1月”来诊。辰下:咳嗽,少痰,夜间晨起咳嗽为主。全身皮疹,皮肤干燥,瘙痒明显,凌晨1-3点易醒。微怕冷,无汗,纳可,不渴,不喜饮,大便干,2-3日一行。有“支气管肺炎”“特应性皮炎”病史2年余,平素易感冒。中医诊断 咳嗽病 外寒内饮证。西医诊断 1.上呼吸道疾病;2.特应性皮炎。干预措施 根据病机拟定治法治则:解表散寒,温肺化饮。方药:小青龙汤加减与桂枝麻黄各半汤交替使用。根据病情酌情加减药量。疗效转归 治疗3月,咳嗽好转,皮肤光滑,可睡整夜觉。至今已停药1年余,感冒明显减少,皮疹好转,皮肤润滑,出汗正常,夜间不再醒来,大便正常。 本案例开始是为了治疗咳嗽,辨证准确,根据病机立法,不经意间把多年的皮肤顽疾治好了,可谓“无心插柳柳成荫”,达到了“异病同治”的效果。
Summary of case history, Huang, female, 3 years and 5 months old, came for a consultation on November 15, 2021 due to 'cough for 1 month'. Current symptoms: Coughing, less phlegm, mainly coughing in the morning and night. Systemic rash, dry skin, obvious itching, easy to wake up from 1 to 3 a.m. Slightly afraid of cold, without sweat, able to drink, not thirsty, not fond of drinking, dry stools, travel 2-3 days. I have a history of atopic dermatitis for over 2 years.,TCM diagnosis, Cough disease (Syndrome of external cold and internal drink),Western medicine diagnosis, 1. Upper respiratory tract disease 2. Atopic dermatitis.,Therapeutic methods, Based on the pathogenesis, formulate treatment methods and principles: relieving external symptoms and dispersing cold, warming the lungs and transforming fluids. Prescription: Use Xiaoqinglong Tang with added or reduced ingredients and alternate with Guizhi Mahuang Half Soup. Increase or decrease the dosage according to the condition.,Clinical outcomes, After 3 months of treatment, the cough improved, the skin was smooth, and one could sleep all night. It has been more than a year since discontinuing medication, with a significant reduction in colds, improved rash, smooth skin, normal sweating, no longer waking up at night, and normal bowel movements. This case was initially aimed at treating cough, with accurate differentiation of symptoms and signs. It inadvertently cured many years of skin diseases, and achieved the effect of 'treating different diseases together' by 'unintentionally treatment achieves therapeutic effects'.
咳嗽外寒内饮特应性皮炎异病同治
CoughExternal cold and internal drinkAtopic dermatitisSame treatment for different diseases Suitable majors Lung diseaseDermatology
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