唐启盛从行气化瘀调神论治“灯笼病”验案一则
Treatment of "Lantern Disease" from the Perspective of Promoting Qi, Removing Blood Stasis and Regulating Spirit by Tang Qisheng: A Case Report
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1.北京中医药大学第三附属医院脑病科,北京 100029
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杨歆科, 唐启盛. 唐启盛从行气化瘀调神论治“灯笼病”验案一则[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394356&Fpath=home&index=0
YANG Xinke, TANG Qisheng. Treatment of "Lantern Disease" from the Perspective of Promoting Qi, Removing Blood Stasis and Regulating Spirit by Tang Qisheng: A Case Report[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394356&Fpath=home&index=0
杨歆科, 唐启盛. 唐启盛从行气化瘀调神论治“灯笼病”验案一则[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394356&Fpath=home&index=0 DOI:
YANG Xinke, TANG Qisheng. Treatment of "Lantern Disease" from the Perspective of Promoting Qi, Removing Blood Stasis and Regulating Spirit by Tang Qisheng: A Case Report[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394356&Fpath=home&index=0 DOI:
病史摘要,2,患者刘某某,女性,38岁,2019年4月21日因“自觉发热伴烦躁8月余,加重2周”就诊。8个月前患者与家人争吵后出现自觉发热,伴有烦躁、心慌等不适。曾于当地医院诊断为“焦虑”,予劳拉西泮治疗后略有改善。2周前患者因情志不遂,自觉发热、烦躁等症加重,遂来就诊。四诊信息:患者自觉身体发热,恶风,心慌,气短,汗出,遇事紧张时加重。形体消瘦,面色晦黯,善忘,神思不聚,善太息,胁肋胀痛,伴烦躁,坐立不安,易紧张,遇事易急躁,常有莫名担心。口干不欲饮,纳食不佳,入睡难,夜间易醒,多梦,时有噩梦,尿频,大便略干。舌质黯红、少苔,脉弦涩。中医诊断 灯笼病(气滞血瘀证)。西医诊断 焦虑障碍(广泛性焦虑)。干预措施 中医治疗以理气活血、镇静安神为法,方予化瘀解虑方加减治疗。疗效转归 患者的烦热、焦虑及其伴随诸症均得到明显改善,3月后复诊未见复发。
Summary of case history, patient Liu, female, 38 years old, sought medical attention on April 21, 2019 due to "conscious fever accompanied by restlessness for more than 8 months, worsening for 2 weeks". After arguing with family members before August, the patient experienced a conscious fever accompanied by discomfort such as irritability and palpitations. Diagnosed as "anxiety" at a local hospital, there was slight improvement after treatment with lorazepam. Two weeks ago, the patient experienced worsening symptoms such as fever and irritability due to emotional distress, and therefore came to seek medical attention. Symptoms and Signs The patient consciously experiences fever, bad wind, palpitations, shortness of breath, sweating, and increased tension when encountering difficulties. Having a emaciated body, a dull complexion, forgetful, disoriented, good at taking too long a breath, swelling and pain in the ribs, accompanied by restlessness, restlessness, nervousness, irritability, and often inexplicable worries. Dry mouth with no desire to drink, poor appetite, difficulty falling asleep, easy to wake up at night, often having nightmares, frequent urination, and slightly dry stools. The tongue is dull red with little moss, and the veins are stringy and astringent.,TCM diagnosis, lantern disease (qi stagnation and blood stasis syndrome).,Western medicine diagnosis, anxiety (generalized anxiety).,Therapeutic methods, traditional Chinese medicine treatment is based on regulating qi, promoting blood circulation, calming and calming the mind, and is treated with modified formulas for resolving blood stasis and anxiety.,Clinical outcomes, the patient's irritability, anxiety, and accompanying symptoms were significantly improved, and there was no recurrence after 3 months of follow-up.
灯笼病气滞血瘀广泛性焦虑症唐启盛
lantern diseaseqi stagnation and blood stasisgeneralized anxiety disorderTang Qisheng
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