罗颂平治疗月经后期病例报告1例
One Case Report of LUO Songping for Delayed Menstruation
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1.广州中医药大学,广州 510405
2.广州中医药大学第一附属医院,妇科,广州 510405
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曾丽华, 郜洁, 罗颂平. 罗颂平治疗月经后期病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602462&Fpath=home&index=0
ZENG Lihua, GAO Jie, LUO Songping. One Case Report of LUO Songping for Delayed Menstruation[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602462&Fpath=home&index=0
曾丽华, 郜洁, 罗颂平. 罗颂平治疗月经后期病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602462&Fpath=home&index=0 DOI:
ZENG Lihua, GAO Jie, LUO Songping. One Case Report of LUO Songping for Delayed Menstruation[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602462&Fpath=home&index=0 DOI:
病史摘要,2,育龄期女性患者,G1P0A1,因“月经稀发4年,停经48天”就诊,PCOS史多年,症见:形体肥胖,面部痤疮,易烦躁,便秘。舌淡,苔薄黄,脉细滑。辅助检查:性激素检查提示睾酮水平稍高,B超提示卵巢多囊样改变。中医诊断 月经后期 肝郁脾虚,痰瘀互结证西医诊断 多囊卵巢综合征干预措施 中药以疏肝健脾、理气化痰、活血调经为法,方以苍附导痰丸加减,同时配合针灸治疗改善排卵及内膜功能,嘱患者调整生活方式,改善胰岛素抵抗与脂代谢紊乱。疗效转归 经中医药治疗,患者排卵及内膜厚度均有所改善,并成功妊娠。孕后积极安胎并顺利生产。
Summary of case history ,The patient was at child-bearing period, G1P0A1. Because of oligomenorrhea for 4 years and cessation of menstruation for 48 days, she came to the clinics. She has been diagnosed with PCOS for many years. Symptoms including: fat body, acne on face, easy to be agitated, constipation, pink tongue with slightly yellow flur, thready and slippery pulse.,TCM diagnosis ,delayed menstruation syndrome of stagnation of liver qi and spleen deficiency, syndrome of intermin-gled phlegm and blood stasis,Western medicine diagnosis, polycystic ovarian syndrome (PCOS),Therapeutic methods ,Therapies of smoothing liver and strengthening spleen, regulating qi-flowing for eliminating phlegm, promoting blood circulation for regulating menstruation were used based on Cangfu daotan wan. Acupuncture and moxibustion were combined to improve ovulation and endometrium growth. Life style was also advised to regulate to improve insulin resistant and lipid metabolism disorder.,Clinical outcomes ,After treatment with TCM, the menstruation was recovered, ovulation and endometrium thickness were improved. The patient was successfully pregnant and treated actively to prevent miscarriage. Finally, she delivered a healthy child.
月经后期多囊卵巢综合症【适合阅读专业】 中医学妇科
delayed menstruationpolycystic ovarian syndrome【Suitable majors】 TCMgynecology
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