夏玉清电热针联合毫针法治疗心脏肿瘤一则
Xia Yuqing Used Electrothermal Acupuncture Combined with Filiform Needle to Treat a Heart Tumor
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1.中国中医科学院望京医院,北京 100102
2.北京四惠中医医院,北京 100124
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郝璐,夏玉清.夏玉清电热针联合毫针法治疗心脏肿瘤一则[DB/OL].(2023-10-31)[2023-10-31].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394563&Fpath=home&index=0&lang=zh
HAO Lu,XIA Yuqing.Xia Yuqing Used Electrothermal Acupuncture Combined with Filiform Needle to Treat a Heart Tumor[J].,
郝璐,夏玉清.夏玉清电热针联合毫针法治疗心脏肿瘤一则[DB/OL].(2023-10-31)[2023-10-31].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394563&Fpath=home&index=0&lang=zh DOI:
HAO Lu,XIA Yuqing.Xia Yuqing Used Electrothermal Acupuncture Combined with Filiform Needle to Treat a Heart Tumor[J]., DOI:.
病史摘要,2,患者王某,女性,39岁,主因“发现右心房肿瘤14年,阵发性心前区胀痛1年”就诊。2006年11月体检时检查心脏彩超发现右心缘右房外侧肿物,怀疑心包囊肿,大小约25 mm×39 mm,无特殊不适症状,遂定期在中国医学科学院阜外医院复查,且不断增大(2008年9月35 mm×46 mm,2010年12月41 mm×35 mm,2014年7月68 mm×45 mm)。患者2020年9月开始出现阵发性心前区胀痛,每次持续5 min可缓解,未予重视。2020年11月由情绪诱发心前区胀痛,疼痛持续不缓解,遂2020年11月就诊于阜外医院心脏增强磁共振成像(MRI)示右侧房室沟区占位病变(108 mm×95 mm),较2010年12月23日MRI明显增大,伴少量心包积液,局部冠状静脉及右冠状动脉明显扩张,与肿物关系密切,考虑血管瘤类可能性较大,冠脉未见钙化,呈右优势型,少量心包积液,行冠脉造影:心脏占位性病变(右冠供血)。后就诊于中国医学科学院肿瘤医院、北京大学肿瘤医院、安贞医院、解放军总医院、北京大学第三医院等北京多家医院均无法治疗。中医诊断 心积(气虚血瘀证)。西医诊断 心房肿物、心包积液。干预措施 电热针联合毫针以补气养血,活血化瘀,扶正补虚为法,背腹两面针刺治疗,背面(俯卧位)重用督脉腧穴,配以膀胱夹脊穴,腹面(仰卧位)重用肺脾胃经腧穴,配以腹募穴,提倡俞募配穴,平衡脏腑阴阳。疗效转归 患者坚持一周5 d电热针联合毫针背腹两面治疗至今,心前区持续胀痛症状消失,复查心房肿块较前缩小,病情稳定,生活质量较高。
Summary of case history, Wang, female, 39 years old, went to the hospital because of "RHe presented with the disease mainly because he "found an atrial mass for 14 years and paroxysmal precordial distension pain for 1 year". In November 2006, during physical examination, color Dopplar ultrasound of her heart revealed a mass in the right margin and right lateral atrium, and a pericardial cyst was suspected, measuring about 25 mm and 39 mm, without any special uncomfortable symptoms. Hence, she was reexamined regularly at Fuwai Hospital of Chinese Academy of Medical Sciences and the mass kept increasing (2008.09 35 mm×46 mm,2010.12 41 mm×35 mm, 2014.07 68 mm×45 mm). In September 2020, our patient began to suffer from paroxysmal precordial distending pain, which could be relieved for 5min each time, but no attention was paid to it. In November 2020, emotion induced distending pain in the precordial region with persistent and unrelenting pain. As a result, he visited Fuwai Hospital in November 2020 and received cardiac contrast-enhanced MRI, which showed a space-occupying lesion in the right atrioventricular groove (108 mm×95 mm), which was significantly larger than that on December 23, 2010. With a small amount of pericardial effusion, the local coronary vein and right coronary artery significantly expanded, which was closely related to the mass. Considering the possibility of hemangioma, the coronary artery showed no calcification and showed a right dominant pattern. No stenosis was seen in the anterior descending and circumflex branches, and a small amount of pericardial effusion. Coronary angiography showed that no meaningful stenosis was seen in the coronary artery, and the space-occupying lesion in the heart (supplied by the right crown). Later, she was admitted to Tumor Hospital of the Chinese Academy of Medical Sciences, Peking University Tumor Hospital, anzhen hospital, General Hospital of the People's Liberation Army, the Third Hospital of Peking University and other hospitals in Beijing, where she was unable to be treated.,TCM Diagnosis, Xinji (Qi deficiency and blood stasis).,Western medicine diagnosis, Cardiac tumor pericardial effusion.,Therapeutic methods, The electrothermal acupuncture combined with filiform needling was performed on both sides of the back and abdomen using the methods of strengthening vital Qi and tonifying deficiency, promoting blood circulation and removing blood stasis. The acupoints of governor vessels were reused on the back (prone position), together with Jiaji (EX-B2) points of the bladder. The acupoints of the lung, spleen and stomach meridians were reused on the abdomen (supine position), together with the abdominal and recruitment acupoints. It was advocated that shu and recruitment acupoints were combined to balance the Yin and Yang of internal organs.,Clinical outcomes, The patient insisted on the electrothermal acupuncture combined with filiform needling on both sides of the back and abdomen for 5 days a week. Since then, the symptoms of persistent distension and pain in the precordial region disappeared, and the atrial mass became smaller than before after reexamination. The patient's condition was stable and his quality of life was high.
夏玉清电热针心脏肿瘤
Xia Yuqingelectroacupuncturecardiac tumor
张琳,何青.原发性心脏肿瘤的研究进展[J].北京医学,2020,42(8):747-750.
Yanagawa B, Mazine A, Chan E Y, et al. Surgery for tumors of the heart[J]. Semin Thorac Cardiovasc Surg, 2018, 30(4): 385-397.
夏玉卿,李汉友,李宝顺,等.电热针治疗皮肤癌疗效及机理研究[J].中国针灸,1994(2):58-59.
夏玉卿.中国电热针疗法(英文)[J].World J Acup Mox,2007(3):31-38.
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