徐涟治疗闭经·肝郁脾虚冲任失养案
A Case of XU Lian's Treatment of Amenorrhea, Liver Depression and Spleen Deficiency, Dysfunction of Chong and ren Channels
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1.昆明市中医医院&昆明圣爱中医馆妇科,昆明 650000
2.昆明市中医医院妇科,昆明 650000
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徐涟, 高春泽. 徐涟治疗闭经·肝郁脾虚冲任失养案[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200250&Fpath=home&index=0
XU Lian, GAO Chunze. A Case of XU Lian's Treatment of Amenorrhea, Liver Depression and Spleen Deficiency, Dysfunction of Chong and ren Channels[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200250&Fpath=home&index=0
徐涟, 高春泽. 徐涟治疗闭经·肝郁脾虚冲任失养案[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200250&Fpath=home&index=0 DOI:
XU Lian, GAO Chunze. A Case of XU Lian's Treatment of Amenorrhea, Liver Depression and Spleen Deficiency, Dysfunction of Chong and ren Channels[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200250&Fpath=home&index=0 DOI:
病史摘要,2,患者34岁,因停经5月余,人流术后4年未避孕未再孕就诊。初潮后月经期量正常,经行腹痛较剧。于2011年12月23日腹腔镜下行右侧卵巢巧克力囊肿剥除术,术后注射达菲林3次,停经三月后月经复潮如前。2013年2月妊娠,又因工作关系行“无痛人流术”后至今未孕。近2年经行后延渐甚,常2、3月一行,量时多时少,色黯红,无血块,轻微腹痛。曾服克龄蒙3月,可行经,但量少,停药后停经。2016年3月27日性激素:FSH 63.20 mIU/mL,LH 57.91 mIU/mL,E2 154.70 pg/mL,P 0.78 ng/mL;2016年8月22日性激素:FSH 46.13 mIU/mL,LH 15.76 mIU/mL,E2 27.39 pg/mL,P 0.65 ng/mL。末次月经2016年10月10日,纳食不馨,眠差易醒,烘热汗出夜间明显,情绪低落,腰痠尤甚,无带下,阴中干涩,二便调。舌红润,苔薄白,脉细弦滑。中医诊断 闭经;不孕症(肝郁脾虚,冲任失养,肾精不足证)西医诊断 早发性卵巢功能不全; 继发性不孕症干预措施 拟疏调助冲法,施以紫藤四物五子汤。疗效转归 因工作繁忙,又男方出差国外,后未就诊。2018年5月26日因感冒来诊,诉月经已正常,尚未怀孕。
Summary of case history, The 34-year-old patient went to the doctor for menopause for more than 5 months, no contraception and no pregnancy again for 4 years after induced abortion. After menarche, the menstrual period and volume were normal, and the abdominal pain is severe upon menstruation. On December 23, 2011, the "chocolate cyst removal of the right ovary" was performed by laparoscopy. After the operation, "Triptorelin Acetate" was injected three times. After three months of menopause, menstruation resumed as before. She was pregnant in February 2013 and has not been pregnant since she underwent "painless abortion" due to work. In the past 2 years, the menstruation has been gradually prolonged, with a menstrual period of 2-3 months usually. The menstrual volume was not stable, the color was dark red, there was no blood clot, and there was slight abdominal pain. She had taken "Climen" for 3 months, and menstruation was available, but the volume was small. The menstruation stopped when she stopped taking the medicine. Sexhormone on March 27, 2016: FSH 63.20 mIU/mL↑, LH 57.91 mIU/mL↑, E2 154.70 pg/mL↓, P 0.78 ng/mL↓; Sexhormone on August 22, 2016: FSH 46.13 mIU/mL↑, LH 15.76 mIU/mL↑, E2 27.39 pg/mL↓, P 0.65 ng/mL. The last menstruation occurred on October 10, 2016, during which she took little food, with easy waking up and poor sleep, obvious drying and sweating at night, low spirit, especially waist pain, no leucorrhea, dry in vagina, and easy defecation and urination. The tongue is ruddy, the fur is thin and white, and the pulse is thin and smooth.,TCM diagnosis, amenorrhea; infertility (liver depression and spleen deficiency, dysfunction of chong and ren channels, kidney essence deficiency).,Western medicine diagnosis, premature ovarian insufficiency ;secondary infertility,Therapeutic methods, It was proposed to adopt the dredging and conditioning method, and apply the Ziteng Siwu Wuzi Decoction.,Clinical outcomes, Due to busy work and husband's business trip abroad, she did not see a doctor later. On May 26, 2018, she came for a cold and said that her menstruation was normal and she was not pregnant.
闭经疏调助冲法紫藤四物五子汤姚氏中医妇科疗法
amenorrheadredging and conditioning aid methodziteng siwu wuzi decoctionYao's gynecological therapy of TCM
谢幸,孔北华,段涛.妇产科学[M].北京:人民卫生出版社.2022:341.
刘金凤,王国华.王国华教授从痰湿论治肥胖型多囊卵巢综合征经验总结[J].中国医药导报,2016,13(1):106-109.
陈学奇,葛蓓芬.继发性闭经诊治体会[J].浙江中医杂志,2018,53(3):181-182.
徐涟.姚克敏妇科经验研究[M].昆明:云南科技出版社,2016:220.
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