温阳扶正法治疗慢性鼻窦炎一例医案报告
A case report on the treatment of chronic rhinosinusitis with Wenyang Fuzheng method
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1.曲靖市中医医院,云南 昆明 655000
2.云南中医药大学第一附属医院,云南 昆明 650000
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田文霞, 李治金, 黄春江. 温阳扶正法治疗慢性鼻窦炎一例医案报告[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394481&Fpath=home&index=0
TIAN Wenxia, LI Zhijin, HUANG Chunjiang. A case report on the treatment of chronic rhinosinusitis with Wenyang Fuzheng method[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394481&Fpath=home&index=0
田文霞, 李治金, 黄春江. 温阳扶正法治疗慢性鼻窦炎一例医案报告[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394481&Fpath=home&index=0 DOI:
TIAN Wenxia, LI Zhijin, HUANG Chunjiang. A case report on the treatment of chronic rhinosinusitis with Wenyang Fuzheng method[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394481&Fpath=home&index=0 DOI:
病史摘要,2,患者因“反复鼻塞、头痛、粘涕半年余,加重伴嗅觉减退2月”门诊就诊,视频鼻内镜下见:鼻黏膜色淡白、水肿,双下鼻甲肿胀,中鼻道见大量白黏脓涕,鼻咽部未见明显异常,双侧圆枕对称,咽鼓管咽口开放。副鼻窦CT示:右侧上颌窦炎、左侧上颌窦口粘膜增厚;双侧筛窦炎。中医诊断 慢鼻渊(寒湿阻窍证)西医诊断 慢性鼻窦炎干预措施 予苍耳子散合麻黄附子细辛汤加减,以温阳扶正,化浊通窍。疗效转归 患者三诊后诉头痛及黏涕已无,鼻塞好转,纳食较前好转。视频鼻内镜示:鼻腔未见脓涕,中鼻道及嗅裂未见明显异常。副鼻窦CT示:未见明显异常。鼻窦炎已痊愈。
Summary of case history, The patient went to the outpatient clinic due to "repeated nasal congestion, headache, mucus for more than half a year, aggravation with hyposmia for 2 months", Video nasal endoscopy showed that the nasal mucosa was pale and edematous, the bilateral inferior turbinates were swollen, a large amount of white mucus were seen in the middle meatus, no obvious abnormality was found in the nasopharynx, bilateral round pillows were symmetrical, and the eustachian tube were open. CT of paranasal sinuses showed: right maxillary sinusitis, left maxillary sinus ostium mucosal thickening; bilateral ethmoid sinusitis.,TCM diagnosis, Chronic rhinorrhea- syndrome Cold dampness block orifice.,Western medicine diagnosis, Chronic rhinosinusitis.,Therapeutic methods, Cang Er Zi San and Ma Huang Fu Zi Xi Xin Decoction are added and subtracted to warm the yang and straighten the body, dispel turbidity and clear the orifices.,Clinical outcomes, After the third consultation, the patient said that the headache and mucus were gone, the nasal congestion was improved, and the appetite was better than before. Video nasal endoscopy showed that there was no purulent discharge in the nasal cavity, and no obvious abnormality in the middle meatus and olfactory cleft. CT of paranasal sinuses showed no obvious abnormality. Chronic rhinosinusitis has healed.
慢性鼻窦炎温阳扶正法中医治疗
Chronic rhinosinusitis (CRS)Wenyang Fuzheng MethodTraditional Chinese Medicine treatment
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