A Case of Lingnan Luo's Gynaecology Empirical Prescription Treating Metrorrhagia
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1.Department of Gynaecology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510400, China
2.Department of Gynaecology,Pushi traditional Chinese medicine hospital,Jieyang 515300, China
3.Guangzhou University of Chinese Medicine,Guangzhou 510405, China
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ZHU Ling, LI Maofei, ZHENG Yunling. A Case of Lingnan Luo's Gynaecology Empirical Prescription Treating Metrorrhagia[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394578&Fpath=home&index=0
病史摘要,2,患者,女,45岁,因阴道持续流血量多半月余于20余天前行宫腔镜检查+诊刮术,术后子宫内膜病理提示:单纯性子宫内膜增生;子宫内膜粘膜慢性炎。术后予地屈孕酮及中药治疗,至今出血未净。刻下症:阴道流血较多,血块多,腹胀睑肿,头晕脱发,心烦气躁,后颈疼痛,纳可,眠差,大便溏薄,夜尿频多,每夜4次。舌质淡暗,苔白,脉细。中医诊断 崩漏 脾肾不足,肝郁血瘀证西医诊断 异常子宫出血(排卵障碍型)干预措施 前期中西药联用疗效欠佳,故出血期改用岭南罗氏妇科验方二稔汤塞流固冲摄血,血止后用岭南罗氏妇科验方补肾调经汤调经复旧。疗效转归 患者首诊以中西药联合治疗止血效果不理想后改为纯中药治疗,予岭南罗氏妇科罗元恺教授经验方二稔汤,服药第2天阴道流血减少,6天阴道流血净。随后治疗以补肾固冲,益气健脾,调经复旧为主,方用罗老经验方补肾调经汤加减。后期按此法此方进行治疗,随访患者6月经期略长,7、8月周期、经期、经量恢复正常。
Summary of case history, The patient, female, 45 years old, due to the continuous vaginal bleeding for more than half a month, had a hysteroscopy + curettage more than 20 days ago, postoperative pathological prompt: 1.Simple endometrial hyperplasia, 2.Endometrial mucosal chronic inflammatory tis. After surgery gave diflexion progesterone and traditional Chinese medicine in treatment, but vaginal bleeding is not clean so far. Symptoms include: vaginal bleeding more, more blood clots, abdominal distension, eyelid edema, dizziness, hair loss, dysthesia, the back of the neck pain, good appetite, poor sleep, rotten stool, nocturia, 4 times every night. The tongue is dull, white fur, and thin pulse.,TCM diagnosis, metrorrhagia spleen and kidney deficiency, liver depression and blood stasis syndrome.,Western medicine diagnosis, abnormal uterine bleeding (ovulatory disorder type).,Therapeutic methods, In the early stage Chinese medicine combined with western medicine is not effective, thus in the bleeding period, treated with Lingnan Luo's gynaecology Empirical Prescription-Erren Decoction, to arrest of bleeding、solid Chong channel and control blood. Stop bleeding stage treated with Lingnan Luo's gynaecology Empirical Prescription-Bushen Tiaojing Decoction to regulate the menstrual function instauration.,Clinical outcomes, The patient had poor curative effect with Chinese and western medicine at first but after changing treatment with pure Chinese medicine--professor LUO Yuan-kai created Erren Decoction,the vaginal bleeding was reduced on the second day of the medication, clean on the sixth day. Subsequently, treated with Bushen Tiaojing Decoction to tonify kidney regulate the the menstrual function.In the later stage, the treatment was conducted according to this method. Follow-up the patient's menstrual period is slightly longer in June, and the menstrual cycle、period and volume returned to normal in July and August.
崩漏围绝经期,岭南罗氏妇科
metrorrhagiaperimenopausal periodlingnan luo's gynaecology
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