带状疱疹误诊腰痹医案一则
A Medical Case of Herpes Zoster Misdiagnosis of Lumbar Palsy
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1.长春恒康中医医院风湿科,长春 130061
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赵英杰,张海波.带状疱疹误诊腰痹医案一则[DB/OL].(2023-12-07)[2023-12-07].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=45208622&Fpath=home&index=0&lang=zh
ZHAO Yingjie,ZHANG Haibo.A Medical Case of Herpes Zoster Misdiagnosis of Lumbar Palsy[J].,
赵英杰,张海波.带状疱疹误诊腰痹医案一则[DB/OL].(2023-12-07)[2023-12-07].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=45208622&Fpath=home&index=0&lang=zh DOI:
ZHAO Yingjie,ZHANG Haibo.A Medical Case of Herpes Zoster Misdiagnosis of Lumbar Palsy[J]., DOI:.
病史摘要,2,患者何某,女,46岁,因“腰部及左下肢放射性疼痛半个月余,加重2天。”于2023年4月11日就诊。患者自述半个月前因劳累出现腰部及左下肢放射性疼痛,因患者既往曾患腰椎间盘突出症,自行按腰椎间盘突出症贴敷膏药治疗,未见明显缓解,2天前因不慎淋雨后致上述症状加重,为求中医药系统治疗,于我院就诊。四诊信息 腰部及左下肢放射性疼痛,夜间加重,腰部活动受限,转侧不利,下蹲困难,左下肢皮温略高,纳可,失眠多梦,小便色黄,大便干,舌质暗红,苔薄黄腻,脉濡数。中医诊断 蛇串疮(湿毒火盛证)西医诊断 带状疱疹、坐骨神经痛干预措施 西医予以普瑞巴林胶囊以止痛,阿昔洛韦乳膏外用,以抗病毒;中医以清肝泻热,祛湿通络,解毒止痛为法,予龙胆泻肝汤加减,在此基础上予针刺、中药涂擦等治疗。疗效转归 先后复诊4次,口服中药对症治疗并配合外治疗法后,患者症状明显缓解。
Summary of case history,2,The patient, He, a 46-year-old female, had "radiation pain in the lower back and left lower extremity for more than half a month, which worsened for 2 days." "Presented on 11 April 2023. The patient reported that he had radiation pain in the lower back and left lower extremity due to exertion half a month ago, because the patient had suffered from lumbar disc herniation in the past, he applied plaster to the lumbar disc herniation on his own, and did not see significant relief, and 2 days ago due to the aggravation of the above symptoms after accidental rain, in order to seek treatment from the Chinese medicine system, he was treated in our hospital.Four diagnosis information: waist and left lower limb radiation pain, night pain, bending over, squatting restrictions, difficulty in turning, left lower limb skin temperature slightly higher, naco, insomnia and dreams, yellow urine, dry stool, red tongue, thin yellow moss, pulse count.,TMC diagnosis ,snake sores (wet poison fire evidence),Western medicine diagnosis ,herpes zoster, sciatica,Therapeutic methods ,Western medicine gives pregabalin capsules to relieve pain, and acyclovir cream for external use to fight viruses; Traditional Chinese medicine uses the method of clearing liver diarrhea fever, dispelling dampness and circulation, detoxification and pain relief, adding and subtracting gentian diarrhea liver soup, and on this basis, acupuncture, Chinese medicine rubbing and other treatments.
带状疱疹坐骨神经痛
shinglessciatica【Suitable majors】 orthopedicsrheumatologydermatology
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