周绍华从脾肾肝论治吉兰-巴雷综合征病例报告1例
A case on the treatment of Guillain-Barré syndrome from the perspective of the spleen, kidney and liver
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1.中国中医科学院西苑医院脑病科,北京 100091
2.北京市东城区第一人民医院骨科,北京 100075
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梁晓, 石静资, 梁栋, 等. 周绍华从脾肾肝论治吉兰-巴雷综合征病例报告1例[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35102503&Fpath=home&index=0
LIANG Xiao, SHI Jingzi, LIANG Dong, et al. A case on the treatment of Guillain-Barré syndrome from the perspective of the spleen, kidney and liver[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35102503&Fpath=home&index=0
梁晓, 石静资, 梁栋, 等. 周绍华从脾肾肝论治吉兰-巴雷综合征病例报告1例[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35102503&Fpath=home&index=0 DOI:
LIANG Xiao, SHI Jingzi, LIANG Dong, et al. A case on the treatment of Guillain-Barré syndrome from the perspective of the spleen, kidney and liver[DB/OL].(2023-03-03)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35102503&Fpath=home&index=0 DOI:
病史摘要,2,患者2020年2月于感冒后出现四肢无力,行走困难,双手握力差,伴麻木,呈手套袜套样感觉改变,后于当地医院诊断为吉兰-巴雷综合征,予免疫球蛋白治疗后症状未见明显改善,于2020年6月12日就诊于我院门诊。中医诊断 痿病(脾肾不足,气血亏虚,湿瘀阻络)西医诊断 吉兰-巴雷综合征干预措施 针对痿病脾肾不足,气血亏虚,湿瘀阻络之证,中医治疗以温补脾肾、益气养血柔筋治其本,化瘀祛湿通络治其标,方予当归补血汤、桃红四物汤合温补脾肾之药加减。疗效转归 患者服汤药后约1周即自觉双下肢力弱改善,服1个月后行走困难明显改善,基本可正常行走,双手力弱、背屈力弱均改善。服用5个月后患者四肢麻木消失。于2022年7月12日对患者进行随访,患者未诉明显不适,已痊愈。
Summary of case history, In February 2020, the patient developed limb weakness, walking difficulties, poor grip on both hands, accompanied by numbness, glove and sock-like sensory changes after a fever, and was diagnosed with Gillan-Barré syndrome in the local hospital. The patient did not achieve the desired effect after immunoglobulin treatment. He was admitted to our outpatient clinic on June 12, 2020.,TCM diagnosis, Paralysis disease, Spleen and kidney insufficiency, deficiency of qi and blood, wet stasis obstruction syndrome.,Western medicine diagnoses, Guillain-Barré syndrome.,Therapeutic methods, Intervention measures TCM treatment was based on Chinese medicine decoction of Dangguibuxue, Taohongsiwu and spleen- kidneyWarm up medicines to warm the spleen and kidney, nourish the blood and soft tendons, and treat the symptoms of stasis and dampness.,Clinical outcomes, About 1 week after the treatment of traditional Chinese medicine the patient felt that the weakness of both lower limbs improved, and after 1 month, the walking difficulty improved significantly, the strength of the hands improved, and the weak dorsal flexion improved. After 5 months of treatment, the numbness of the patient's limbs improved significantly. The patient did not complain any discomfort during the latest follow-up observation on July 12, 2022.
吉兰-巴雷综合征痿病周绍华【适合阅读专业】 脑病老年病急诊
Guillain-Barré syndromeParalysis diseaseZhou Shaohua【Suitable majors】 EncephalopathyGeriatric diseasesEmergency
Shahrizaila N, Lehmann HC, Kuwabara S. Guillain-Barré syndrome[J]. Lancet, 2021,397(10280):1214-1228.
Sejvar JJ,Baughman AL,Wise M,et al. Population incidence of Guillain -Barre syndrome:a systematic review and meta-analysis[J].Neuroepidemiology,2011,36(2):123-133.
Dahbour SS.Clinical experience with Gullain-Barre syndrome over a 6- year period in one hospital in the Middle East[J]. Jordan Med J,2009,43(4):280-285.
Yuki N, Susuki K, Koga M, et al. Carbohydrate mimicry between human ganglioside GM1 and Campylobacter jejuni lipooligosaccharide causes Guillain-Barré syndrome[J]. Proceedings of the National Academy of Sciences, 2004, 101(31): 11404-11409.
Souayah N, Nasar A, Suri MFK, et al. National trends in hospital outcomes among patients with Guillain-Barre syndrome requiring mechanical ventilation[J]. Journal of clinical neuromuscular disease, 2008, 10(1): 24-28.
侯赛赛,李燕梅,时亚苹,等.基于《黄帝内经》理论探讨从脾胃论治重症肌无力[J].中国民间疗法,2021,29(22):6-8.
曾进浩,郭亚蕾,刘友章.刘友章从"风药起痿"治疗重症肌无力经验[J].中国中医基础医学杂志,2019,25(10):1456-1459.
陈智能,谢丽丽,李桂锦,等.姚新苗"治痿独取阳明"在糖尿病性骨质疏松症中应用经验探析[J].中华中医药杂志,2019,34(9):3077-3080.
黄子天,邱仕君.益气升阳、强肌健力治疗重症肌无力[J].中医杂志,2020, 61(7): 632- 634.
李瀚旻,张六通,邱幸凡."肝肾同源于脑"与肝肾本质研究[J].中医杂志,2000(2): 69-71.
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