补气通络方治疗肺部结节病例报告1例
A Case Report of Buqi Tongluo Decoction in the Treatment of Pulmonary Nodules
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1.福建中医药大学附属第二人民医院中医内科,福州350003
2.福建中医药大学研究生院,福州 350122
3.福建中医药大学中医学院,福州 350122
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张喜奎, 吴起浩, 张红红, 等. 补气通络方治疗肺部结节病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29482117&Fpath=home&index=0
ZHANG Xikui, WU Qihao, ZHANG Honghong, et al. A Case Report of Buqi Tongluo Decoction in the Treatment of Pulmonary Nodules[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29482117&Fpath=home&index=0
张喜奎, 吴起浩, 张红红, 等. 补气通络方治疗肺部结节病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29482117&Fpath=home&index=0 DOI:
ZHANG Xikui, WU Qihao, ZHANG Honghong, et al. A Case Report of Buqi Tongluo Decoction in the Treatment of Pulmonary Nodules[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29482117&Fpath=home&index=0 DOI:
病史摘要,2,郭某某,男,70岁,胸痛一年,体检发现肺结节月余。患者平素烟不离手,2018年12月起自觉胸闷胸痛,咳嗽有痰,2019年11月3日于晋江市医院体检胸部CT示右肺结节,2019年11月11日至福建医科大学附属第一医院复查胸部CT示右肺多发结节,大者径约0.6 cm。患者不考虑手术治疗,亦未进行其他治疗。2019年12月3日张喜奎教授接诊后,见患者胸闷时刺痛,身倦乏力,晨起咳嗽有痰,痰白不粘,大便干结,纳寐尚可,舌质暗红苔白厚,脉沉涩。张喜奎教授辨本案为气虚络瘀、痰浊阻肺证,主治以补气通络、化痰散结,拟补气通络方加减施治。患者于2021年10月20日至晋江市医院复查胸部CT示右肺结节未见显示。中医诊断 胸痛(气虚络瘀、痰浊阻肺证)。西医诊断 肺部结节。干预措施 补气通络方加减,断续服中药360余剂。疗效转归 复查胸部CT示右肺结节未见显示。
Summary of case history, Mr. GUO, male, 70 years old, chest pain 1 year, physical examination found pulmonary nodules moon. Since December 2018, the patient has conscious chest tightness and chest pain, cough and sputum. On November 3, 2019, chest CT examination in Jinjiang Hospital showed right lung nodules. From November 11, 2019 to the First Affiliated Hospital of Fujian Medical University, chest CT examination showed multiple nodules of the right lung, with a large diameter of about 0.6 cm. Patients did not consider surgical treatment or other treatment. On December 3, 2019, after Professor Zhang Xikui's reception, he saw the patient's chest pain, tired and weak, coughing in the morning with sputum, sputum is not sticky, stool is dry, insomnia is acceptable, dark red tongue coating is white and thick, and the pulse is dull. Professor Zhang Xikui identified this case as syndrome of Qi deficiency and collateral stasis and turbid phlegm obstructing the lung. The main treatment is to replenish qi and dredge collaterals, dissolve phlegm and disperse knots. From October 20,2021 to Jinjiang Hospital, chest CT showed no right pulmonary nodules.,TCM diagnosis, Chest Pain (syndrome of Qi deficiency and collateral stasis and turbid phlegm obstructing the lung),Western medicine diagnosis ,pulmonary nodule.,Therapeutic methods ,Modified Buqi Tongluo Formula,Clinical outcomes, Chest CT examination showed no right pulmonary nodules.
肺部结节气虚络瘀补气通络化痰散结补气通络方
pulmonary nodulesQi deficiency and collateral stasistonifying qi and dredging collateralsresolving phlegm and dispersing stagnationBuqi Tongluo Decoction
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