崩漏病案1例
A Case of Metrorrhagia and Metrostaxis Medical Record
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1.山西省太原市迎泽区中医医院妇科 太原 030045
2.山西省晋中市中医院中医科 晋中 030604
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韩凤, 王金权. 崩漏病案1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43052923&Fpath=home&index=0
HAN Feng, WANG Jinquan. A Case of Metrorrhagia and Metrostaxis Medical Record[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43052923&Fpath=home&index=0
韩凤, 王金权. 崩漏病案1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43052923&Fpath=home&index=0 DOI:
HAN Feng, WANG Jinquan. A Case of Metrorrhagia and Metrostaxis Medical Record[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43052923&Fpath=home&index=0 DOI:
病史摘要,2,患者因“经水淋漓不尽30天”就诊,近10余年经水常退后10~30+天一行,伴经期延长至40~50+天,量多少不定,外院曾诊断为:异常子宫出血。lmp:2020年9月13日,经行30天未净,现量少,神疲乏力,面色萎黄,腰酸耳鸣,纳谷不香,睡眠尚可,小便正常,大便溏,舌淡红,边有齿痕,苔薄白腻,舌下少瘀,脉沉细。中医诊断 崩漏(痰瘀互结,气血两虚,冲任不固)西医诊断 异常子宫出血干预措施 急则治其标,塞流止血为当务之急,予中药先益气养血,固摄冲任;缓则治其本,血止后健脾温肾,祛痰逐瘀,祛除崩漏病因;继用中医药周期疗法,调整月经周期,避免复发;减重及饮食、生活方式的指导也尤为重要。疗效转归 血止后继续调理至月经规律来潮3个月后停药观察,随访1年有余,未再出现经水淋漓不净及退后一周以上情况,疗效肯定,临床治愈。
Summary of case history, The patient came to hospital because of "prolonged menstruation for 30 days". In the past ten years, menstruation was often delayed by 10-30 days, and was prolonged to 40-50 days,with uncertain amount of menstruation. The other hospital had diagnosed abnormal uterine bleeding. LMP: 2020.9.13, prolonged bleeding for 30 days, less menstrual volume at the moment, fatigue, sallow complexion, acid waist and tinnitus, poor appetite, acceptable sleep quality, normal urine, loose stools, light-reddish tongue, tooth marks on the edges, thin white and greasy moss, less blood stasis under the tongue, heavy and fine pulse.,TCM diagnosis, metrorrhagia and metrostaxis (phlegm and blood stasis, qi-blood deficiency, weakness of thoroughfare and conception vessels).,Western medicine diagnosis, abnormal uterine bleeding.,Therapeutic methods, "Relieving the secondary symptoms first in treating acute disease." Stop bleeding as the urgent step, using traditional Chinese medicine to replenish qi and nourish blood, and to solid the thoroughfare and conception vessels. "Relieving the primary symptoms in treating chronic disease." After stopping bleeding, strengthen the spleen and warm the kidney, dispel phlegm and remove stasis, in order to remove the cause of Metrorrhagia and Metrostaxis. Then use traditional Chinese medicine cycle therapy to adjust menstrual cycle and avoid recurrence. Weight loss, diet and lifestyle guidance are also of vital importance.,Clinical outcomes, After stopping bleeding, the patient continued to recuperate until the regular onset of menstruation 3 months later, then the medicine was stopped for observation and the patient was followed up for more than 1 year. There was no prolonged bleeding and menstruation delay for more than 1 week. The treatment effect was positive and achieved clinical cure.
崩漏异常子宫出血藏泻有时阴阳平衡气血调和
metrorrhagia and metrostaxisabnormal uterine bleedingnormal storage and excretionbalance of yin and yangregulation and harmonizing of qi-blood
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