苍牛防己汤加减在肝硬化顽固性腹水中的应用1例
One Case of of Cangniu Fangji Decoction in Refractory Ascites due to Liver Cirrhosis
扫 描 看 全 文
1.福建医科大学孟超肝胆医院中西医结合肝病科,福州 350025
扫 描 看 全 文
朱灯, 刘政芳, 李芹. 苍牛防己汤加减在肝硬化顽固性腹水中的应用1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053273&Fpath=home&index=0
ZHU Deng, LIU Zhengfang, LI Qin. One Case of of Cangniu Fangji Decoction in Refractory Ascites due to Liver Cirrhosis[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053273&Fpath=home&index=0
朱灯, 刘政芳, 李芹. 苍牛防己汤加减在肝硬化顽固性腹水中的应用1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053273&Fpath=home&index=0 DOI:
ZHU Deng, LIU Zhengfang, LI Qin. One Case of of Cangniu Fangji Decoction in Refractory Ascites due to Liver Cirrhosis[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43053273&Fpath=home&index=0 DOI:
病史摘要,2,患者郑某某,男,55岁;以“反复乏力、腹胀4年余,加剧10余天”为主诉于2021年10月5日步行入院;4年余前无明显诱因出现乏力伴腹胀,多次就诊当地医院,诊断:乙型肝炎肝硬化失代偿期;予保肝利尿及恩替卡韦抗病毒治疗,其病情反复,4个月余前就诊我院,经治疗后好转出院,出院后病情仍反复,10余天前病情加重,故再次转诊我院。中医诊断 鼓胀,脾肾不足、水湿内停西医诊断 乙型肝炎肝硬化失代偿期;门静脉高压;脾功能亢进;食管胃底静脉曲张干预措施 入院后予还原型谷胱甘肽联合肌酐保肝、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(苍牛防己汤化裁)。疗效转归 症状明显改善,腹水消退快,反弹慢,。
Summary of case history,2,A 55-year-old male patient, surnamed Zheng, was admitted to the hospital on foot on October 5, 2021 with the chief complaint of“Repeated fatigue and abdominal distention for more than 4 years, aggravating for more than 10 days”, he visited the local hospital many times and was diagnosed as having decompensated stage of hepatitis B and liver cirrhosis, and was treated with liver protective diuretic and anti-virus therapy with entecta Cave. His condition recurred and he came to our hospital more than 4 months ago and was discharged after improvement, after discharged from the hospital, the condition is still repeated, more than 10 days before the aggravation, so re-referral to our hospital.,TCM diagnosis,2,distension, deficiency of spleen and kidney, water wet inside stop,Western medicine diagnosis,2,hepatitis B;decompensated cirrhosis;portal hypertension;hypersplenism;esophageal gastric varices,Therapeutis methods,2,After admission, the patients were treated with Glutathione and creatinine, furosemide and spironolactone diuretics, human serum albumin and anti-virus therapy of entelphane Cave on the basis of Western medicine, add to use Chinese medicine treatment (Cangniu Fangji decoction cut).,Clinical outcomes,2,The symptoms were obviously improved, ascites subsided quickly, rebound slowly.
肝硬化顽固性腹水苍牛防己汤
liver cirrhosisobstinate ascitesCang Niu fangji decoction
何俊余. 五苓散加味方治疗肝硬化腹水经验[J]. 中西医结合肝病杂志, 2020, 30(1):82-83.
张萍,李鲜,贺启萌.从三焦论治肝硬化腹水[J].智慧健康,2020,6(11):76-77+82.
金·李东垣. 兰室秘藏[M]. 第一版. 北京: 中国中医药出版社, 2007: 14.
元·朱震亨. 丹溪心法[M]. 第一版. 北京: 人民卫生出版社, 2005. 141-142.
关幼波肝病杂病论[M]. 第一版. 北京: 中国医药科技出版社, 2015. 62-63.
张志远. 临证七十年精华录下册[M]. 第一版. 北京: 人民卫生出版社, 2017. 400.
朱美香, 吴小明. 浙派中医朱丹溪治疗肝硬化腹水特色探讨[J].医学食疗与健康,2020,18(7):39-40.
李渊. 肝硬化顽固性腹水患者采取十枣汤联合当归补血汤治疗的临床价值[J]. 中外医学研究,2020,18(5):136-138.
冯华, 罗欣拉. 通过健脾利水方合超滤浓缩回输治疗肝硬化顽固性腹水12例分析[J].湖南中医杂志, 2016, 32(7): 50-51.
陈晓城.麻黄的药理作用研究进展[J].实用中医药杂志,2005(1):58-59.
0
浏览量
2
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构