通阳法在肝硬化腹水中应用
Application of Tongyang method in cirrhosis ascites
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1.福建医科大学孟超肝胆医院中西医结合肝病科,福建 福州 350025
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朱灯, 唐安娜, 刘政芳. 通阳法在肝硬化腹水中应用[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43000171&Fpath=home&index=0
ZHU Deng, TANG Anna, LIU Zhengfang. Application of Tongyang method in cirrhosis ascites[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43000171&Fpath=home&index=0
朱灯, 唐安娜, 刘政芳. 通阳法在肝硬化腹水中应用[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43000171&Fpath=home&index=0 DOI:
ZHU Deng, TANG Anna, LIU Zhengfang. Application of Tongyang method in cirrhosis ascites[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43000171&Fpath=home&index=0 DOI:
病史摘要,2,患者郑某某,男,38岁,以“发现肝硬化4年余,腹胀2月余”为主诉于2023年2月3日步行入院。4年前体检发现肝硬化,无不适,故未重视及治疗。2个月前无明显诱因出现腹胀,进食后明显,伴肢肿,仍未重视及治疗。病情进行性加重,伴活动后喘促,故就诊我院。入院诊断:乙肝肝硬化失代偿期。予呋塞米联合螺内酯利尿、补充白蛋白及恩替卡韦抗病毒等治疗,病情改善不明显。期间行腹水浓缩回输术治疗1次,中医应用通阳法让阳气发挥正常的气化功能而达到利水的目的。中医诊断 鼓胀 脾肾不足、阳遏水停西医诊断 乙型肝炎肝硬化失代偿期,腹水干预措施 入院后予还原型谷胱甘肽联合肌苷保肝、呋塞米联合螺内酯利尿、补充人血白蛋白及恩替卡韦抗病毒等治疗;在西医治疗的基础上,加用中药治疗(苍牛防己汤联合五苓散化裁)。疗效转归 腹胀改善明显,腹水消退快,复发慢。
Summary of case history, The patient, was Zheng Moumou, a 38-year-old male, was admitted to hospital on foot on 2023.02.03 with the chief complaint of "Liver cirrhosis for more than 4 years and abdominal distention for more than 2 months". More than 4 years before physical examination found cirrhosis, no discomfort, so did not pay attention to and treatment. The condition of progressive aggravation, with activity after wheezing, so see our hospital. Admission diagnosis: decompensated stage of hepatitis B cirrhosis.Furosemide combined with spironolactone diuretics, albumin supplementation and anti-virus treatment with enteclovir Cave showed no significant improvement.During this period, ascites concentration and reinfusion was performed once, raditional Chinese medicine (TCM) uses Tongyang method to make yang-qi play its normal function of qi-transforming and to achieve the goal of Water Conservancy.,TCM diagnosis,Bulging, Defic,iency of spleen and kidney ,Yancontainment water stop,Western medicine diagnosis, Decompensated period of hepatitis B cirrhosis,Ascites.,Therapeutic,After admission, the patients were treated with reductive Glutathione combined with creatinine, furosemide combined with spironolactone diuretics, human serum albumin and anti-virus therapy of Entelux Cave (Cang Niu Fangji soup combined with Wuling powder).,Clinical outcomes, Abdominal distention improved significantly, The ascites subsides quickly, Slow rebound.
肝硬化腹水通阳法【适合阅读专业】 感染科肝病科中医科医学及其他相关专业
Liver cirrhosisAscitesTongyang method
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