巴元明教授治疗肾结石病例报告
增强出版A Case Report on Professor Ba Yanming's Treatment of Kidney Stone
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1.湖北省中医院,湖北 武汉 430061
2.湖北中医药大学附属医院,湖北 武汉 430061
3.湖北省中医药研究院, 湖北 武汉 430074
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石丽君, 李成银, 巴元明. 巴元明教授治疗肾结石病例报告[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31857080&Fpath=home&index=0
SHI Lijun, LI Chengyin, BA Yuanming. A Case Report on Professor Ba Yanming's Treatment of Kidney Stone[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31857080&Fpath=home&index=0
石丽君, 李成银, 巴元明. 巴元明教授治疗肾结石病例报告[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31857080&Fpath=home&index=0 DOI:
SHI Lijun, LI Chengyin, BA Yuanming. A Case Report on Professor Ba Yanming's Treatment of Kidney Stone[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31857080&Fpath=home&index=0 DOI:
病史摘要,2,王某,男,38岁,因“双肾结石反复发作10年余”来诊,患者在2012年因腰部剧烈痛于当地医院查CT诊断为双肾结石,行体外碎石术进行排石;2017年患者因肾结石复发再次行钬激光碎石术,排出数颗小结石;现今患者复查泌尿系超声提示双肾结石。患者为求中医治疗,于2022年5月17日求诊巴元明教授,辨为石淋,证属下焦湿热、气虚血瘀,治以清热利湿、益气活血之法,拟二金排石汤加减治疗,服药后患者排出六颗结石,最大长度为1.4 cm,泌尿系彩超示双肾结石明显缩小。四诊信息 腰酸乏力,精神不振,口干口苦,排尿梗阻感,大便每日2次,质可,纳眠尚可,舌质淡红,苔薄黄,脉沉细。中医病证 石淋(下焦湿热、气虚血瘀证)中医治法 清热利湿、益气活血西医诊断 双肾结石干预措施 二金排石汤加减疗效转归 患者排出六颗结石,最大长度为1.4 cm,泌尿系彩超示双肾结石明显缩小。
Summary Medical history, :Mr Wang ,male, 38 years old, came to see doctor, because of recurrent double kidney stones for more than 10 years. In 2012, the patient was diagnosed with double kidney stone in the local hospital after CT due to severe waist pain, and underwent extracorporeal lithotripsy for stone removal; In 2017, the patient underwent holmium laser lithotripsy again due to the recurrence of renal stone, and discharged several small stones. In order to be treated by traditional Chinese medicine, the patient sought Professor Ba Yuanming on May 17, 2022, was diagnosed as urolithic stranguria due to dampness heat in lower jiao, qi deficiency and blood stasis, and was treated with the method of clearing heat and dampness, invigorating qi and promoting blood circulation. The Erjin Paishi decoction was proposed. After taking the medicine, the patient discharged six stones, with a maximum length of 1.4 cm. Urology color ultrasound showed a significant reduction of both kidney stones.,Symptoms and signs ,soreness of waist, lassitude, dry and bitter taste in mouth, urination obstruction, Stool~2 times a day, eating and sleeping are normal,the tongue is pale red, thin and yellow moss, heavy and thin pulse.,TCM disease and syndrome, urolithic stranguria (Syndrome of dampness-heatin lower jiao, qi deficiency and blood stasis;),TCM treatment, clearing heat and disinhibiting, invigorating qi, promoting blood circulation,Western medicine diagnosis, Double kidney stones,Therapeutic methods ,Erjin Paishi, Decoction. ,Clinical outcomes, The patient discharged six stones with a maximum length of 1.4cm, and the urinary color ultrasound showed that both kidney stones were significantly smaller.
肾结石临床经验清热利湿益气活血二金排石汤
kidney stonesclinical experienceclearing heat and disinhibiting dampnessinvigorating qi promoting blood circulationErjin Paishi decoctionKidney disease of internalurology
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