温肾健脾法治疗鼻咽癌放疗后一例病案报告
Kidney warming and spleen invigorating treatment for nasopharyngeal carcinoma post-radiotherapy - case report
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1.广东省佛山市第二人民医院耳鼻喉科,佛山 528000
2.广东省佛山市第二人民医院耳鼻喉科,佛山 528000
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陈舒华, 彭文静. 温肾健脾法治疗鼻咽癌放疗后一例病案报告[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200381&Fpath=home&index=0
CHEN Shuhua, PENG Wenjing. Kidney warming and spleen invigorating treatment for nasopharyngeal carcinoma post-radiotherapy - case report[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200381&Fpath=home&index=0
陈舒华, 彭文静. 温肾健脾法治疗鼻咽癌放疗后一例病案报告[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200381&Fpath=home&index=0 DOI:
CHEN Shuhua, PENG Wenjing. Kidney warming and spleen invigorating treatment for nasopharyngeal carcinoma post-radiotherapy - case report[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200381&Fpath=home&index=0 DOI:
病史摘要,2,患者林某,女,38岁。初诊时间:2022年7月8日。主诉:鼻咽癌放疗后怕冷乏力45天。患者1年前确诊为鼻咽癌后行放化疗治疗,45天前结束鼻咽癌放疗治疗后出现恶寒,乏力,口干,鼻干,无鼻出血,无打喷嚏,无嗅觉下降,纳差,眠可。来诊时神疲乏力,低声懒言,恶寒,头重感,颈部僵硬感,无头晕头痛,口淡不渴,胃口稍差,食欲欠佳,偶有胃胀。目胞晦暗,口唇淡红,舌质胖大苍老,舌暗紫红,苔黄(中间焦黄)。中医诊断 鼻咽癌(脾肾阳虚,兼血瘀湿热)西医诊断 鼻咽癌放疗后干预措施 以八味肾气丸配合龙胆泻肝汤加减治疗。疗效转归 患者坚持复诊服用中药治疗1月后,怕冷消失,口干好转,乏力改善,稍有口苦,胃纳转佳,二便正常。
Summary of case history, Patient Lin, female, 38 years old. Initial consultation date: July 8, 2022. Presenting complaint: cold intolerance and fatigue for 45 days after receiving radiotherapy for nasopharyngeal carcinoma. The patient was diagnosed with nasopharyngeal carcinoma 1 year ago and received both radiotherapy and chemotherapy. 45 days ago, after radiotherapy for nasopharyngeal carcinoma, the patient developed cold intolerance, fatigue, dry mouth, dry nose; there were no nosebleed, sneezing, decreased sense of smell; patient complained poor anorexia and sleep. When she came to the clinic, she feel tired, malaise, cold, heavy-headed, neck stiffness, there were no dizziness or headache, light mouth, no thirst; she had poor appetite, and occasional bloating. On examination: patient's eyes were dark, the lips were reddish, the tongue was enlarged and old, the tongue is dark purplish red, and the fur is yellow (scorched yellow in the middle).,TCM diagnosis, nasopharyngeal carcinoma (spleen and kidney yang deficiency, blood stasis and damp-heat).,Western medicine diagnosis, nasopharyngeal carcinoma after radiotherapy. ,Chinese medicine treatment,Bawei Shenqi, pills combined with ,Longdan Xiegan, decoction. ,Western medicine diagnosis, nasopharyngeal carcinoma after radiotherapy.,Therapeutic methods, warming the kidney and invigorating the spleen, and activating blood circulation to remove dampness.,Clinical outcomes, after one month of follow-up and taking Chinese medicine treatment, symptoms of cold intolerance, fatigue and dry mouth were improved, still complained of slight bitter mouth, stomach felt better, normal bowel movement and urination.
鼻咽癌放疗后脾肾阳虚
Yang deficiency of spleen and kidney after radiotherapy for nasopharyngeal carcinoma
阮岩. «中西医结合耳鼻咽喉科学»[M]. 9版.广州:广东高等教育出版社 , 2007:171-179.
黄选兆,汪吉宝,孔维佳.«实用耳鼻咽喉头颈外科学»[M]. 2版. 北京:人民卫生出版社 , 2008:179-182.
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