针灸治疗妊娠湿疮1例
Clinical Observation of Acupuncture treatment on one case of " wet sore" during pregnancy
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1.云南中医药大学第二临床医学院/针灸推拿康复学院,昆明 650500
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曾选香, 李啟福, 黄高阳子, 等. 针灸治疗妊娠湿疮1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43054471&Fpath=home&index=0
ZENG Xuanxiang, LI Qifu, HUANG Gaoyangzi, et al. Clinical Observation of Acupuncture treatment on one case of " wet sore" during pregnancy[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43054471&Fpath=home&index=0
曾选香, 李啟福, 黄高阳子, 等. 针灸治疗妊娠湿疮1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43054471&Fpath=home&index=0 DOI:
ZENG Xuanxiang, LI Qifu, HUANG Gaoyangzi, et al. Clinical Observation of Acupuncture treatment on one case of " wet sore" during pregnancy[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43054471&Fpath=home&index=0 DOI:
病史摘要,2,患者张某某,女,32岁,孕30周。 2020年6月3日,因“全身突发丘疱疹瘙痒1周,加重2天”就诊。患者一周前无明显原因出现双手指皮肤散在红色丘疹,瘙痒不适,继而发现四肢皮肤均有红色丘疹及丘疱疹相间而发,发作时极为瘙痒,抓挠则丘疱疹破溃,水液渗出,之后皮疹则呈全身弥漫性发作,无明显边界,以四肢及腹部尤为严重,瘙痒难耐,曾到云南省第一人民医院皮肤科就诊,给予系统检查,未发现有明显异常,未测出有致敏因子,诊断为“妊娠湿疹”,给予川百止痒洗剂外洗皮肤,由于处于孕期,患者担心药物可能会对胎儿健康造成影响,并未使用,皮疹及瘙痒持续加重。无心慌、腹痛、发热,无灼热疼痛等。为求中医诊治,来圣爱中医馆吴井路馆就诊,中医病证:全身弥慢性皮损,可见多数密集的粟粒大小的丘疹、丘疱疹,基底潮红,分布无明显边界,瘙痒难耐。患者自起病以来,心情烦躁,睡眠欠佳,饮食尚可,大便秘结,小便色黄。中医诊断 妊娠湿疮,湿热蕴结证西医诊断 妊娠湿疹干预措施 中医以健脾益气,调补肝肾,清热祛湿止痒为治疗原则选穴,结合灵龟八法,注重调补脏腑,取得良好效果。疗效转归 好转。
Summary of case history, Patient ZHANG xx, female, 32 years old, 30 weeks pregnant. On june 3, 2020, she came to the hospital because of "sudden pruritus of papules in the whole body for 1 week and aggravation for 2 days". There was no obvious reason for the patient to have red papules scattered on the skin of both hands one week ago, itching and discomfort, Then it was found that red papules and tubercular herpes alternately appeared on the skin of the four limbs, It was extremely itchy during attack, if scratched, the papules will break, and the water exudation. After that, the rash was generalized attack, especially in limbs and abdomen,no obvious boundary and Itch unbearably. She went to the dermatology department of the first people's Hospital of Yunnan Province, the doctor gave her a systematic examination, diagnosed as "pregnancy eczema" since no obvious abnormality was found. Then give her Chuan Bai antipruritic lotion to wash the skin. Because she was pregnant, the patient was worried that the drug might affect the health of the fetus and did not use it. Therefore, the rash and itch continue to worsen. Then she went to Wu Jing Road of Kunming Sheng Ai traditional Chinese medicine hospital. Since the onset of the disease, the patient has been irritable, poor sleep , normal diet, constipation , yellow urine. No palpitation, abdominal pain, fever, burning pain, etc.,TCM diagnosis, wet sore of pregnancy, damp heat accumulation.,Western medicine diagnosis, pregnant eczema,Treatment measures, traditional Chinese medicine is used to strengthen the spleen and replenish qi, tonifying the liver and kidney, acupoints were selected according to the treatment principle of clearing heat, eliminating dampness and relieving itch, by combining the eight methods of Linggui, and lay stress on regulating and tonifying the viscera, which achieved favorable effect.,Clinical outcomes, recovery.
妊娠湿疮妊娠湿疹针刺湿热蕴结
wet sore of pregnancyeczema of pregnancyacupuncturedamp heat accumulation
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