谷晓红运用三焦膜系理论治疗淋巴瘤合并新型冠状病毒感染发热1例
Gu Xiaohong used the Method of Regulating the Qi, Resolving Dampness, and Clearing the Lungs to Treat a Case of Intractable Fever Caused by Novel Coronavirus Infection.
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1.北京中医药大学东方医院发热门诊,北京 100078
2.北京中医药大学,北京 100029
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骆长永,陈玉崟,高瞻,等.谷晓红运用三焦膜系理论治疗淋巴瘤合并新型冠状病毒感染发热1例[DB/OL].(2023-12-18)[2023-12-18].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46082188&Fpath=home&index=0&lang=zh
LUO ChangYong,CHEN YuYin,GAO Zhan,et al.Gu Xiaohong used the Method of Regulating the Qi, Resolving Dampness, and Clearing the Lungs to Treat a Case of Intractable Fever Caused by Novel Coronavirus Infection.[J].,
骆长永,陈玉崟,高瞻,等.谷晓红运用三焦膜系理论治疗淋巴瘤合并新型冠状病毒感染发热1例[DB/OL].(2023-12-18)[2023-12-18].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46082188&Fpath=home&index=0&lang=zh DOI:
LUO ChangYong,CHEN YuYin,GAO Zhan,et al.Gu Xiaohong used the Method of Regulating the Qi, Resolving Dampness, and Clearing the Lungs to Treat a Case of Intractable Fever Caused by Novel Coronavirus Infection.[J]., DOI:.
病史摘要石某,男,69岁,主因“发热、咳嗽2天”就诊。2天前出现发热,咳嗽,痰少,难以咳出,伴乏力,纳差,舌淡红,苔白。胸部CT示两肺多发斑片状、大片状磨玻璃影,血常规示淋巴细胞绝对值明显减低,新冠核酸阳性,诊断为新冠病毒感染。予西药抗感染、化痰等和中医扶正清肺方等常规治疗1周,效果不显。患者淋巴瘤化疗术后,病情复杂,遂请谷晓红教授远程会诊。刻下症:近1周连续午后高热,体温在38.5~39.5℃之间,咳嗽,痰少,难咳,伴纳差,乏力,汗出,不欲饮水,无胸闷气短,无咽痛,无腹痛,大便每日1~2次,小便黄,晚睡,眠差,多梦,舌质裂纹,舌边齿痕,舌苔腻,左脉浮滑、寸弱,右脉寸沉、尺弱。中医诊断 疫病(湿热疫毒,阻滞三焦)西医诊断 新型冠状病毒感染,普通型干预措施 中药予疏利三焦,益气养阴为法治疗。西医予莫西沙星抗感染、盐酸氨溴索化痰。嘱放松情绪。疗效转归 患者次日下午未再发热,乏力好转,饭量增加,睡眠质量明显改善,继续服至药尽。于1月12日复查血常规淋巴细胞绝对值恢复正常,胸部CT示肺内,指标接近正常。原方续服5剂,乏力、纳差、咳嗽等诸症痊愈。随访6个月,患者未再发作呼吸系统相关疾病。
Summary of Medical History, Mr. Shi, a 69-year-old male. The patient presented to the hospital due to "fever and cough for 2 days." Two days prior, the patient experienced fever, cough with scanty phlegm that was difficult to expectorate, accompanied by fatigue, poor appetite, pale red tongue with white coating. Chest CT revealed scattered patchy and large ground-glass opacities in both lungs. Blood routine results showed a significantly decreased absolute lymphocyte count. A positive result for the COVID-19 nucleic acid test led to the diagnosis of a COVID-19 infection. The patient received standard treatment with Western medicine for infection control and phlegm reduction, as well as traditional Chinese medicine treatment for nourishing vital energy and clearing lung heat for one week, with no significant improvement in symptoms. Given the complexity of the patient's condition, a remote consultation was sought with Professor Gu Xiaohong. Current symptoms: For nearly a week, the patient had a continuous high fever in the afternoon, with a body temperature ranging from 38.5 to 39.5°C. The patient had a cough with scanty phlegm, which was difficult to expel, accompanied by poor appetite, fatigue, sweating, aversion to drinking water, and no chest tightness or shortness of breath. There were no symptoms of sore throat or abdominal pain. The patient had 1-2 bowel movements daily, yellow urine, late sleep, poor sleep quality, and vivid dreams. The tongue appeared pale with cracks, tooth marks on the edges, and a greasy coating. The radial pulse on the left was floating and slippery, while the cun pulse was weak. The radial pulse on the right was deep and the chi pulse was weak.,Traditional Chinese Medicine (TCM) Diagnosis, epidemic disease (damp-heat pestilence, obstructing the triple burner),Western Medicine Diagnosis, novel coronavirus infection, common type.,Therapeutic methods, Traditional Chinese medicine aimed to promote Qi circulation within the Triple Burner, nourish Qi, and replenish Yin. In parallel, Western medicine treatment persisted, incorporating levofloxacin for infection control and ambroxol hydrochloride to aid in phlegm clearance. The patient also received advice on relaxation and emotional management.,Clinical outcomes, The following day, the patient's fever subsided, fatigue improved, appetite increased, and sleep quality significantly enhanced. The treatment continued until the medication was exhausted. On January 12th, a follow-up blood routine examination showed a return to normal lymphocyte absolute values, and the chest CT scan indicated near-normal lung conditions. The original prescription was continued for an additional 5 doses, leading to the complete recovery of symptoms such as fatigue, poor appetite, and cough. Over the course of 6 months of follow-up, the patient did not experience any further respiratory-related illnesses.
谷晓红新型冠状病毒感染中医药名医经验
GU Xiaohongnovel coronavirus infectiontraditional Chinese medicinefamous physician's experience
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