丁启后治疗青春期功血验案1则
Doctor DING Qihou ' s Treatment of Adolescent Dysfunctional Uterine Bleeding
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1.贵州中医药大学第一附属医院妇科,贵阳 550001
2.原贵阳中医学院药学系,贵阳 550002
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丁丽仙, 丁启后. 丁启后治疗青春期功血验案1则[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43052858&Fpath=home&index=0
DING Lixian, DING Qihou. Doctor DING Qihou ' s Treatment of Adolescent Dysfunctional Uterine Bleeding[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43052858&Fpath=home&index=0
丁丽仙, 丁启后. 丁启后治疗青春期功血验案1则[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43052858&Fpath=home&index=0 DOI:
DING Lixian, DING Qihou. Doctor DING Qihou ' s Treatment of Adolescent Dysfunctional Uterine Bleeding[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43052858&Fpath=home&index=0 DOI:
病史摘要,2,张某,女,16岁,学生。因月经周期紊乱1年多,阴道流血10天,于1993年1月12日初诊。自述月经初潮13岁,开始一年多月经常有推后约30~40天1次,偶有对月来潮,经量不多。1年多前因中考学习紧张出现月经停闭3月,后服中药来潮,量多,服止血药10天干净。自此以后月经周期紊乱,常淋漓不净,半年前因月经量多晕厥,在某医院输血抢救,服乙烯雌酚止血。见病历记录:诊断青春期功血,用雌、孕激素序贯疗法作人工周期3个疗程,停药后月经正常来潮一次。就诊时停经40天后经来10天不净,量多。见患者面色苍白,神软乏力,心悸气短,手足不温。舌体淡胖,舌苔薄白,脉沉细数无力。实验室检查:血红蛋白90 g/L。中医诊断 崩漏 脾肾亏虚,气血不足证西医诊断 青春期无排卵性功血;继发性贫血干预措施 中药内服治疗,因初诊时患者阴道流血量多,病势急,用张锡纯之固冲汤为主以益气固冲,收涩止血以急则治标,血止后缓则治本,以脾肾双补,养血调经的“妇科再造丸”治疗调理善后获效。疗效转归 经过1个月补益肝肾,养血调经中药汤药及2个月妇科再造丸内服调理,患者贫血纠正,月经基本正常。
Summary of case history, Zhang, female, 16 years old, student. She was first diagnosed on January 12, 1993 due to menstrual cycle disorder for more than a year and vaginal bleeding for 10 days. Self-reported menarche 13 years old, menstruation often delayed for more than a year about 30-40 days 1 time, occasionally on the coming tide, the amount of menstruation is not much. More than 1 year ago, menstruation was stopped for 3 months because of tension in the middle school entrance examination. After taking traditional Chinese medicine, the amount was large, and taking hemostatic drugs for 10 days was clean. Since then, the menstrual cycle was disturbed and often wet and unclean. Half a year ago, due to excessive menstruation, I had to undergo blood transfusion in a hospital for rescue and took "ethylene stilbestrol" to stop bleeding. See the medical records: diagnosis of "puberty function blood", with estrogen and progesterone sequential therapy for "artificial cycle" 3 courses of treatment, after the withdrawal of normal menstruation once. At the time of treatment, after 40 days of menopause, 10 days were not net, and the volume was large. The patient was pale, weak, palpitation, shortness of breath, and tepid hands and feet. The tongue body is light fat, the coating is thin and white, the pulse is heavy. Laboratory test: hemoglobin (Hb) 90g/L.,TCM diagnosis, metrorrhagia and metrostaxis,Western medicine diagnosis, adolescent anovulatory functional bleeding; secondary anemia,Therapeutic methods, Traditional Chinese medicine for internal treatment, because of the initial diagnosis of vaginal bleeding patients, the urgent situation, with Zhang Xichun Guchong soup mainly to Yiqi Guchong, astringent hemostasis to acute cure the symptoms, after the blood stop slow cure the root, to spleen and kidney double tonic, nourishing blood regulating the "gynecological reprocessing pill" treatment conditioning after the effect.,Clinical outcomes, After one month of traditional Chinese medicine decoction with the effect of "tonifying liver and kidney, nourishing blood and regulating menstruation" and 2 months of internal administration of "Fu-Ke-Zai-Zao pill", the patient's anemia was corrected and her menstruation was basically normal.
崩漏丁启后治验
metrorrhagia and metrostaxisDING Qihoutreatment experience
丁丽仙.丁启后妇科经验[M].北京:中国中医药出版社,2014:38-39.
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