"Damp Evil is One of the Important Etiology of Jaundice" A Case Records of Jaundice of more Pathogenic Dampness than Pathogenic Heat through Therapy of Traditional Chinese Medicine
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1.Clinic of Traditional Chinese Medicine Hepatology, Hohhot City's Hospital of Traditional Chinese Medicine and Mongolian Medicine, Hohhot 010000, China
2.Postgraduates of School, Inner Mongolia Medical University, Hohhot 010000, China
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王广龙,赵红兵.“黄家所得,从湿得之”湿重于热型黄疸中医治疗医案1例[DB/OL].(2023-11-13)[2023-11-13].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43867643&Fpath=home&index=0&lang=zh
WANG Guanglong,ZHAO Hongbing."Damp Evil is One of the Important Etiology of Jaundice" A Case Records of Jaundice of more Pathogenic Dampness than Pathogenic Heat through Therapy of Traditional Chinese Medicine[J].,
王广龙,赵红兵.“黄家所得,从湿得之”湿重于热型黄疸中医治疗医案1例[DB/OL].(2023-11-13)[2023-11-13].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43867643&Fpath=home&index=0&lang=zh DOI:
WANG Guanglong,ZHAO Hongbing."Damp Evil is One of the Important Etiology of Jaundice" A Case Records of Jaundice of more Pathogenic Dampness than Pathogenic Heat through Therapy of Traditional Chinese Medicine[J]., DOI:.
病史摘要,2,患者1月前无明显诱因出现脘腹胀满,伴有乏力,脱发,自汗出,无身黄、目睛发黄等症状,就诊于某医院,给予中药治疗1月余,无明显改善,且出现身黄、目黄、小便色黄等症状,持续15日,加重1周,伴有脘腹胀满,口中粘腻,口苦,乏力,自汗出,脱发,纳寐差,无发热,肢体无浮肿等症状,小便黄,大便粘腻不畅,2~3日/次。舌红苔黄腻,脉弦滑。中医诊断 黄疸,阳黄-湿重于热证。西医诊断 药物性肝损伤。干预措施 中药治疗予以口服汤剂治疗:初诊治以通腑祛湿,活血清热,用药有大黄、莱菔子、槟榔、厚朴、当归、桃仁、丹参、延胡索、茯苓、法半夏、栀子、金钱草;二诊继以活血通腑,益气养阴,用药有太子参、玉竹、石斛、延胡索、当归、桃仁、丹参、厚朴、栀子、法半夏、槟榔;三诊以利湿退黄,兼以解表。用药有太子参、石斛、当归、金钱草、鸡内金、栀子、大黄、麻黄、生石膏、知母、桂枝。四诊治以健脾活血,养阴清热,用药有太子参、玉竹、石斛、山药、山萸肉、黄精、当归、桃仁、生石膏、知母、大黄、栀子。西医治疗给予谷胱甘肽与丁二磺酸腺苷蛋氨酸以加快胆红素排泄并护肝。疗效转归 身黄、目黄、小便黄等症状明显减退,总胆红素、直接胆红素、间接胆红素指标显著恢复。
Summary of case history, A patient developed symptoms of flatulence without obvious causes before 1 month, accompanied by fatigue, hair loss, spontaneous sweating, and no symptoms of yellowing of the body or eyes. The patient sought medical treatment at a certain hospital, and the doctor provides Traditional Chinese Single herbal decoctions to cure illness for about one month. There was no significant improvement, but later it was found that there were symptoms of yellow body, yellow eyes, and yellow urine color. This symptom lasts for 15 days and increases by 1 week. Accompanying symptoms include stomach abdominal distension, sticky sensation in the mouth, bitter taste in the mouth, fatigue, spontaneous sweating, hair loss, inappetence, poor Sleep, without fever, edema in the limbs and others' symptoms. The patient had yellow urine color, constipation, and defecation once every 2-3 days. The color of the patient's tongue was quite red and fur tongue was yellow and greasy.,TCM diagnosis, Jaundice, yang jaundice-TCM syndrome of more Pathogenic Dampness than Pathogenic Heat,Western medicine diagnosis, Drug-induced liver injury,Therapeutic methods, The treatment method of traditional Chinese medicine was provided Traditional Chinese Single herbal decoctions to cure disease, The principle of treatment for the first visit was regulating the intestines and clearing damp evil. The components of water Traditional Chinese Single herbal decoctions include Rheum officinale, Radish seed, Areca-nut, Mangnolia officinalis, Angelica sinensis, Peach kernel, Corydalis tuber, Poria cocos, Pinellia ternate, Fructus Gardeniae and Lysimachia christinae Hance. The principle of treatment for the second visit was invigorating the circulation of blood, adjusting the bowels of the stomach and tonifying qi and yin. The components of water Traditional Chinese Single herbal decoction include Radix pseudostellariae, Polygonatum, dendrobe, Corydalis tuber, Areca-nut, Mangnolia officinalis, Angelica sinensis, Peach kernel, Corydalis tuber, Pinellia ternate and Fructus Gardeniae. The principle of treatment for the third visit was removing dampness and relieving exterior syndromes. The components of water Traditional Chinese Single herbal decoction include Radix pseudostellariae, Dendrobe, Angelica sinensis, Lysimachia christinae Hance, Endothelium corneum gigeriae galli, Fructus Gardeniae, Rheum officinale, Chinese ephedra, Plaster stone, Rhizoma anemarrhenae and Cassia twig. The principle of last treatment was invigorating spleen, promoting blood circulation, nourishing yin and clearing heat. The components of water Traditional Chinese Single herbal decoction include Radix pseudostellariae, Polygonatum, Dendrobe, Chinese yam, Common Macrocarpium Fruit, Rhizoma polygonate, Angelica sinensis, Peach kernel, Plaster stone, Rhizoma anemarrhenae, Rheum officinale and Fructus Gardeniae.,Clinical outcomes, The symptoms of the patient's yellow body, yellow eyes, yellow urine and others had significant improvement. Total Bilirubin, Direct Bilirubin and Indirect Bilirubin Indexes had been significantly Recovered.
肝病药物性肝损伤黄疸中医治疗
HepatopathyDrug-induced liver injuryJaundiceTraditional Chinese medicine Therapy
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