A case report of traditional Chinese medicine in the treatment of glioma
1.Department of Neurology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing 400021, China
DOI:
扫 描 看 全 文
LI Jinrong, TANG Jun. A case report of traditional Chinese medicine in the treatment of glioma[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36540193&Fpath=home&index=0
DOI:
LI Jinrong, TANG Jun. A case report of traditional Chinese medicine in the treatment of glioma[DB/OL].(2023-04-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=36540193&Fpath=home&index=0DOI:
A case report of traditional Chinese medicine in the treatment of glioma
Summary of case history, Peng Mou, female, 70 years old, due to "left limb weakness for half a year, consciousness is not clear for 5 months " in February 9,2016 to our hospital. Half a year ago ( August 2015 ), the patient had no obvious cause of left limb weakness, accompanied by dizziness, headache, neck stiffness, and walking instability. She was diagnosed with " glioma" in our hospital and the First Affiliated Hospital of Chongqing Medical University. Five months ago ( September 2015 ), the patient developed unconsciousness, responded to loud calls, less speech, unclear speech, and less independent movement of the limbs. She was hospitalized several times in our and other hospitals. The patient and her family refused to undergo surgery, radiotherapy and chemotherapy, and intermittently received non-surgical treatment such as dehydration and intracranial pressure reduction. The condition was repeated and gradually aggravated, and then he was treated in our hospital again. After 8 months of hospitalization, the condition improved and discharged.,TCM diagnosis, Brain Tumor Tan Meng Qing Qiao Syndrome,Western medicine diagnosis, Glioma,Therapeutic methods, Western medicine provides symptomatic and supportive treatment such as anti-inflammatory, antihypertensive, and rehydration, and traditional Chinese medicine treats to dry dampness and resolve phlegm, soothe the mind and open the mind, and self-made oral Chinese medicine decoction is used for syndrome differentiation.,Clinical outcomes, After taking 14 doses of traditional Chinese medicine for the first time, the patient's consciousness turned to drowsiness, with voluntary eye opening, weak movement of the left limb, and occasional voluntary movement of the right upper and lower limbs. The infection was relieved, and the family members of the patient requested to use only traditional Chinese medicine decoction for treatment. After adjusting the initial prescription and taking another 21 doses of traditional Chinese medicine, the patient's disturbance of consciousness improved, and the patient was in a fuzzy state. There will be a reaction. The re-examination of the head MRI showed that the scope of the brainstem lesions was reduced, and the mass effect of the right cerebral hemisphere was relieved. Afterwards, according to the patient's evil, righteousness and deficiency, the patient was hospitalized for a total of 8 months, during which the condition was stable. Before discharge, the head MRI scan showed that the right cerebrum, cerebellum, and brainstem edema were narrowed, and the lesion mass effect was obvious. ease. At discharge, the patient was confused, could recognize family members, had simple conversations, slurred words, took a small amount of food by mouth, supplemented by gastric tube injection, and showed voluntary movement of the upper and lower limbs on the right side, occasional movement of the upper and lower limbs on the left side, and incontinence during two bowel movements. . After being discharged from the hospital, the patient was nursed at home and took traditional Chinese medicine decoction intermittently. She died of cerebral hemorrhage in early 2018.
关键词
中药脑胶质瘤【适合阅读专业】 脑病急诊
Keywords
Traditional Chinese MedicineGlioma【Suitable majors】 EncephalopathyEmergency
Duffau H. The rationale to perform early resection in incidental diffuse low-grade glioma: toward a "preventive surgical neurooncology". World Neurosurg. 2013 Nov;80(5):e115-7.
Stylli SS, Luwor RB, Ware TM, Tan F, Kaye AH. Mouse models of glioma. J Clin Neurosci. 2015 Apr;22(4):619-626.
Louis DN, Perry A, Reifenberger G, et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 2016 Jun;131(6):803-820.
Zhang X, Cai Y, Wang L, et al.. Optimization of processing technology of Rhizoma Pinelliae Praeparatum and its anti-tumor effect. Afr Health Sci. 2015 Mar;15(1):101-6.