闫颖治疗早发性卵巢功能不全(亚临床期)验案1则
YAN Ying Treated A Case of Aubclinical POI
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1.天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津 300381
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褚梦圆, 闫颖. 闫颖治疗早发性卵巢功能不全(亚临床期)验案1则[DB/OL].(2023-03-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35741380&Fpath=home&index=0
CHU Mengyuan, YAN Ying. YAN Ying Treated A Case of Aubclinical POI[DB/OL].(2023-03-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35741380&Fpath=home&index=0
褚梦圆, 闫颖. 闫颖治疗早发性卵巢功能不全(亚临床期)验案1则[DB/OL].(2023-03-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35741380&Fpath=home&index=0 DOI:
CHU Mengyuan, YAN Ying. YAN Ying Treated A Case of Aubclinical POI[DB/OL].(2023-03-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35741380&Fpath=home&index=0 DOI:
病史摘要,2,患者董某,女性,33岁,主因“月经紊乱2年,闭经6月余”就诊,患者既往月经规律,7/30天,量中,色红,夹血块,痛经(+),Lmp:2018年11月13日,Pmp:2018年7月7日。2年前无明显诱因出现月经紊乱,7天/1~6个月,量中,色红,夹血块,痛经(+),经前腰酸。2018年10月因近3个月月经未潮遂就诊于天津市中心妇产科医院,诊断为“POI(亚临床期)”,予雌二醇-雌二醇地屈孕酮(2/10)片,1片/次,1次/日,28天,服药后于2018年11月13日月经来潮,后至今未潮,既往体健。四诊信息:神清,头晕耳鸣,燥热,腰酸,失眠多梦,舌淡,苔白,脉沉细。中医诊断 闭经(肝肾阴虚证)西医诊断 POI(亚临床期)干预措施 采用中西医结合治疗,予地屈孕酮片以促月经来潮,中医治疗总以补虚为主,补中有行,辨为肝肾阴虚证时,法以补益肝肾,方以哈氏育阴汤加减;正值经期时,法以补肾养血调经为主,兼以理气活血,方以哈氏行血汤加减;辨为肾阴虚,心肝脾郁证时,法以“散心肝脾之郁,大补肾水”,方以益经汤加减,如此调治3月余。疗效转归 随访半年,期间行经4次。
Summary of case history, Patient Dong Mou, female, 33 years old, mainly due to "menstrual disorder for 2 years, amenorrhea for more than 6 months", the patient's previous menstrual pattern, 7/30 days, moderate menstrual flow,red color, blood clots, dysmenorrhea (+), Lmp: November 13, 2018, Pmp: July 7, 2018. 2 years ago there was no obvious precipitating menstrual disorder, 7 days / 1-6 months, the amount of medium, red color, blood clots, dysmenorrhea (+), premenstrual back acid. In October 2018, due to nearly 3 months of menstruation, he was treated at Tianjin Central Obstetrics and Gynecology Hospital and diagnosed as "POI (subclinical phase)?", give complex packing estradiol tablets/estradioland dydrogesterone tablets 1 tablet / time a day for 28 days, after taking the drug on November 13, 2018 menstruation, has not been wet. Past healthy.,Symptoms and signs, Clear mind, dizzy tinnitus, dry heat, waist acid, insomnia and dreams, pale tongue, deep and faint pulse.,TCM diagnosis, amenorrhea with syndrome of yin deficiency of liver and kidney,Western medicine diagnosis, subclinical POI,Therapeutic methods, Treatment with combination of traditional Chinese and Western medicine, giving dydrogesterone tablets to promote menstrual cramps.Traditional Chinese medicine treatment is always based on deficiency, when it is identified as l yin deficiency of liver and kidney, the method is to supplement the liver and kidneys, and the party is added or subtracted by Ha's Yuyin decoction; during the menstrual period, the method is mainly to tonify the kidneys and nourish the blood and adjust the menstruation, and to rationalize the qi and invigorate the blood, and to add and subtract the Ha's promoting circulation of blood decoction; when identifying the kidney yin deficiency and the heart, liver and spleen depression, the method is to "scatter the depression of the liver and spleen, and greatly replenish the kidney yin", and the party is added and subtracted by the yijing decoction . Treatment is given for more than 3 months.,Clinical outcomes, Follow-up for half a year, during which menstruation came 4 times.
早发性卵巢功能不全亚临床期中医药验案天津哈氏妇科流派
POIsubclinical stagetraditional Chinese Medicinecase inspectionTianiin Ha's fynecology
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