针刺治疗崩漏1例
Clinical Observation of Acupuncture Treatment on One Case of Abnormal Uterine Bleeding
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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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李啟福, 闫自昂, 赵思雯, 等. 针刺治疗崩漏1例[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43393097&Fpath=home&index=0
LI Qifu, YAN Ziang, ZHAO Siwen, et al. Clinical Observation of Acupuncture Treatment on One Case of Abnormal Uterine Bleeding[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43393097&Fpath=home&index=0
李啟福, 闫自昂, 赵思雯, 等. 针刺治疗崩漏1例[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43393097&Fpath=home&index=0 DOI:
LI Qifu, YAN Ziang, ZHAO Siwen, et al. Clinical Observation of Acupuncture Treatment on One Case of Abnormal Uterine Bleeding[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43393097&Fpath=home&index=0 DOI:
病史摘要,2,患者王某,女,33岁。2019年7月7日因“月经淋漓不尽45天”就诊。患者曾在市人民医院诊治,诊断为卵巢囊肿伴输卵管积液;血常规检查显示血色素低,严重贫血,予输血治疗,并行宫腔镜检查、诊断性刮宫等治疗,病情稍有好转。1周前又出现月经淋漓不尽,经量增多,伴血块,患者再次到当地医院诊治,予口服药物(妈富隆)治疗,症状仍未缓解,患者为求中医治疗,遂来就诊,现症见:月经周期紊乱,经血非时而下,淋漓不断,色黑质粘稠,带血块,面色苍白,神疲体倦,气短懒言,不思饮食,患者神清语利,精神差,平素饮食可,夜寐欠佳,二便调,舌质紫暗,舌下脉络淤青,脉细涩。中医诊断 崩漏,血脉瘀阻证。西医诊断 异常子宫出血。干预措施 中医以活血化瘀、止血调经为其治疗与选穴方法,针刺选穴以古典调气针法为主,脏腑与经络辨证结合,取得良好效果。疗效转归 痊愈。
Summary of case history, Patient Wang, female, 33 years old. On July 7, 2019, she went to see a doctor because her menstruation lasted for 45 days. The patient was diagnosed as ovarian cyst with fallopian tube effusion in the Municipal People's hospital; Blood routine examination showed low hemoglobin and severe anemia. Blood transfusion, hysteroscopy, diagnostic curettage and other treatments were given. The condition was slightly improved. One week ago, the patient again suffered from incessant menstruation, increased menstrual volume and blood clot. The patient went to the local hospital again and was treated with oral medicine (mafuron), but the symptoms were still not alleviated. The patient came to see a doctor for TCM treatment. The current symptoms were: menstrual cycle was disordered, menstrual blood flowed from time to time, continuous dripping, dark and sticky, with blood clots, pale face, tired and tired, short of breath and lazy words, and did not think of food. The patient was clear and articulate, and poor spirit, The normal diet is OK, the night sleep is poor, the two stools are adjusted, the tongue is purple and dark, the vein under the tongue is bruised, and the pulse is thin and astringent.,TCM diagnosis, uterine bleeding, blood stasis syndrome.,Western medicine diagnosis, abnormal uterine bleeding.,Therapeutic methods, Traditional Chinese medicine takes activating blood to remove stasis, hemostasis and regulating meridians as its treatment and point selection methods. The classical method of regulating qi is the main point selection for acupuncture, and the combination of viscera and meridians has achieved good results.,Clinical outcomes, recovery.
崩漏异常子宫出血针刺血脉瘀阻古典调气针法
Uterine bleedingAbnormal uterine bleedingStasis syndromeAcupunctureClassical air conditioning stitch
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