周绍华从心肝论治颞叶癫痫病例报告1例
A Case on the Treatment of Temporal Lobe Epilepsy from Heart and Liver by Professor Zhou Shaohua
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1.中国中医科学院西苑医院脑病科,北京 100091
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刘晓萌, 梁晓, 程薇薇, 等. 周绍华从心肝论治颞叶癫痫病例报告1例[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42473505&Fpath=home&index=0
LIU Xiaomeng, LIANG Xiao, CHENG Weiwei, et al. A Case on the Treatment of Temporal Lobe Epilepsy from Heart and Liver by Professor Zhou Shaohua[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42473505&Fpath=home&index=0
刘晓萌, 梁晓, 程薇薇, 等. 周绍华从心肝论治颞叶癫痫病例报告1例[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42473505&Fpath=home&index=0 DOI:
LIU Xiaomeng, LIANG Xiao, CHENG Weiwei, et al. A Case on the Treatment of Temporal Lobe Epilepsy from Heart and Liver by Professor Zhou Shaohua[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42473505&Fpath=home&index=0 DOI:
病史摘要,2,患者,男,40岁,幼年头部外伤后,癫痫发作,呈全身强直-阵挛性发作,之后平均每周发作2次,药物治疗(具体用药不详),发作控制不佳。1999年行右颞叶部分切除术并规律服用卡马西平片,癫痫未再发作。2016年因工作压力,情绪抑郁,癫痫再次发作,呈伴意识障碍的局灶性发作,平均每月发作3次,于北京某医院诊断为颞叶癫痫,不断调整抗癫痫药物治疗方案,发作控制不佳,于2022年4月12日就诊于周绍华教授门诊。中医诊断 癫痫 心肝血虚,痰热扰心西医诊断 颞叶癫痫干预措施 根据患者伴意识障碍的局灶性发作特点,针对心肝血虚,痰热扰心证候,中医治以养心调肝为本,清热化痰为标,方用四物汤合温胆汤加减。疗效转归 患者服汤药2月,癫痫发作次数明显减少,至2022年8月,患者规律服药近4月,癫痫未再发作,生活质量明显提升。
Summary of case history, After head trauma in infancy, the patient had systemic tonic-clonic seizures 2 times per week, and poor efficacy after drug treatment. In 1999, no seizures after partial resection of the right temporal lobe and regular carbamazepine treatment. In 2016, due to work pressure, depression, and seizures recurrence 3 times per week as focal episodes with consciousness disturbance, he was diagnosed with temporal lobe epilepsy in a hospital in Beijing, poor efficacy after constantly adjusted antiepileptic drug treatment regimen. He was admitted to Professor Zhou Shaohua's outpatient clinic on April 12, 2022.,TCM diagnosis, Epilepsy Heart-liver Blood Deficiency, Phlegm-heat Disturbing Xin,Western medicine diagnosis, Temporal lobe epilepsy,Therapeutic methods, According to the characteristics of focal episodes with consciousness disturbance, intervention measures TCM treatment was based on Chinese medicine decoction of Siwu, Wendan to nourish the heart and liver and remove heat-phlegm.,Clinical outcomes, About 2 months after the treatment of traditional Chinese medicine the frequency of seizures decreased significantly. By August 2022, after taking the medicine regularly for about 4 months, the epilepsy did not occur again, and the quality of life was significantly improved.
颞叶癫痫周绍华
Temporal lobe epilepsyZhou Shaohua
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