仙方活命饮加减治疗糖尿病合并痈初期1例
Modified Xianfang Huomingyin Treated One Case of Diabetes Complicated with Early Stage Carbuncle
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1.福建中医药大学附属人民医院门诊部,福州350004
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洪营东, 陈颖. 仙方活命饮加减治疗糖尿病合并痈初期1例[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42510505&Fpath=home&index=0
HONG Yingdong, CHEN Ying. Modified Xianfang Huomingyin Treated One Case of Diabetes Complicated with Early Stage Carbuncle[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42510505&Fpath=home&index=0
洪营东, 陈颖. 仙方活命饮加减治疗糖尿病合并痈初期1例[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42510505&Fpath=home&index=0 DOI:
HONG Yingdong, CHEN Ying. Modified Xianfang Huomingyin Treated One Case of Diabetes Complicated with Early Stage Carbuncle[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42510505&Fpath=home&index=0 DOI:
病史摘要,2,患者有糖尿病病史,1周前左下腹部皮肤擦伤后出现一皮下硬块红肿热痛,经头孢治疗一周,肿块未消散,症状依旧。中医诊断 外痈,热毒蕴结证。西医诊断 皮肤浅表脓肿。干预措施 治以清热解毒、活血消肿,处方予以仙方活命饮加减3剂,内服;煎煮时加入料酒同煎,增加通瘀之力,助药力直达病所,消散肿块。疗效转归 服药3剂后皮肤局部红肿明显减小;服药6剂后痈肿局部皮肤由红转暗,且肿块缩小、高出周围皮肤、边界清晰,同时因患者舌苔转白厚,考虑湿浊偏盛,故在前方基础上加入草豆蔻、槟榔;服药9剂后局部肤色再次由暗转红,肿块范围缩小,并与周围皮肤平齐,疼痛消失;服药12剂后局部肿块全部消失,肤色趋于正常,遗留色素。
Summary of case history, The patient had a history of diabetes. One week ago, a subcutaneous hard lump appeared after skin bruising on the left lower abdomen. After one week of treatment with cephalosporin, the lump did not dissipate and the symptoms remained the same.,TCM diagnosis, External carbuncle, heat poison accumulation syndrome,Western medicine diagnosis, Superficial abscess of the skin,Therapeutic methods, To clear heat and detoxify, promote blood and detumescence, prescription to modified Xianfang Huomingyin 3 agents, take internally. When frying, add cooking wine with frying, increase the power of blood stasis, aid to the disease, dissipate the mass.,Clinical outcomes, After 3 doses of medication, the local area of red and swollen skin decreased obviously. After 6 doses of medication, the local skin of the carbuncle turned from red to dark, and the lump was reduced, higher than the surrounding skin, and the boundary was clear. At the same time, because the patient's tongue coating turned white and thick, considering the wet and cloudy, grass cardamom and areca nut were added in the front basis. After 9 doses of medication, the local skin turned from dark to red again, and the lumps higher than the skin shrank and became flat with the surrounding skin, and the pain disappeared. After 12 doses of medicine, the local mass disappeared, and the skin changed from red to normal skin color, leaving pigment.
痈仙方活命饮热毒蕴结证
CarbuncleXianfang HuomingyinSyndrome of heat toxicity
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