清热利湿理气法治疗痛风验案一则
增强出版Treatment of Gout by Clearing Heat and Removing Dampness and Regulating Qi: A Case Report
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1.中国中医科学院望京医院肾病内分泌科,北京 100102
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李心怡, 张宁. 清热利湿理气法治疗痛风验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31424584&Fpath=home&index=0
LI Xinyi, ZHANG Ning. Treatment of Gout by Clearing Heat and Removing Dampness and Regulating Qi: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31424584&Fpath=home&index=0
李心怡, 张宁. 清热利湿理气法治疗痛风验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31424584&Fpath=home&index=0 DOI:
LI Xinyi, ZHANG Ning. Treatment of Gout by Clearing Heat and Removing Dampness and Regulating Qi: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31424584&Fpath=home&index=0 DOI:
病史摘要,2,患者马某,男性,27岁,2021年6月1日因“单侧手足小关节疼痛1周”就诊。患者4年前体检发现血尿酸升高,外院诊断为“高尿酸血症”,间断口服药物治疗,血尿酸时正常时偏高。1周前进食海鲜后出现单侧手足小关节疼痛,遂来我院诊治。四诊信息:手足小关节疼痛,口干口苦,多汗,腰痛,大便干稀不调。舌淡黯,有齿痕,脉滑。中医诊断 痹症(湿热痹)。西医诊断 高尿酸血症;痛风。干预措施 中医以清化湿热,理气止痛为法,予四妙散加减方治疗;西医予溴马隆降尿酸治疗;控制饮食,注意卧床休息,多饮水,忌饮酒、进食高嘌呤食物,如内脏、海鲜等。疗效转归 经过多次调整用药,患者诸症消失。
Summary of case history ,The patient Ma, male, 27 years old, was treated on June 1, 2021 due to "unilateral facet joint pain of hand and foot for one week". The patient's physical examination found elevated serum uric acid 4 years ago, and was diagnosed with "hyperuricemia", and was treated with intermittent oral medication. Pain in the small joints of hands and feet occurred after eating seafood 1 week ago, so he came to our hospital for diagnosis and treatment Symptoms and signs: Pain in the small joints of the hands and feet, dry mouth and bitter taste, profuse sweating, low back pain, dry and loose stools, dull tongue, tooth marks, slippery pulse.,TCM diagnosis, Paralysis (damp heat paralysis).,Western medicine diagnosis ,Hyperuricemia gout.,Therapeutic methods ,Traditional Chinese medicine treatment to clear Dissolving dampness and heat, regulating qi and relieving pain are the treatment principles, and modified Simiaosan is is used for treatment; Western medicine gives bromarone to reduce uric acid;Conventional treatment: control diet, pay attention to bed rest, drink plenty of water, avoid drinking alcohol, and eat high-purine foods, such as internal organs, seafood, etc.,Clinical outcomes ,After several adjustments to the medication, the patient's symptoms gradually disappeared.
痛风痹症医案
goutparalysismedical case
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