第47期中医病例讨论
<FONT style="BACKGROUND-COLOR: #f3fff8"><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">病史：患者曾行人工流产术。术后月经能正常来潮。遂口服</SPAN><FONT face="Times New Roman"> </FONT><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">复方十八甲</SPAN><SPAN lang=EN-US><SPAN style="mso-spacerun: yes"><FONT face="Times New Roman"> </FONT></SPAN></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">避孕药避孕。共服药半年。停药后月经闭止不行，曾在医院做人工周期治疗，月经尚可来潮。此后继续做人工周期治疗，停药后月水不来，迄今历时</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">15</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">个月未至。带下一般，饮食如故，二便自调，周身无明显不适，苔薄白脉细弦。无结核肝炎等传染病史。</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">12</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">岁初潮</SPAN><SPAN lang=EN-US><FONT face="Times New Roman"> 4</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">天</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">/25-26<SPAN style="mso-spacerun: yes"> </SPAN></FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">量中等，色红。</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">23</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">岁结婚孕</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">1</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">产</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">0.</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">妇科检查</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">;</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">外阴已婚型，阴道畅，阴道壁皱褶减少，宫颈小光滑，子宫后位，如核桃大小，质中，活动度佳，压痛（</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">-</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">），右侧附件增厚，压痛（</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">-</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">）左侧附件（</SPAN><SPAN lang=EN-US><FONT face="Times New Roman">-</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">），盆腔未及明显包块，乳房无溢液。</SPAN><SPAN lang=EN-US><?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><O:p></O:p></SPAN></FONT></P>
<P><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">诊断：</SPAN></P> O4h|rR
<P><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">方药：</SPAN></P>
<P><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">辨证论治;</SPAN></P>
<P><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA"></SPAN> </P>5Z l|+JJx]
<P><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">[hhde] 诊断：闭经 <BR> 肾虚精亏，冲任不足，血海匮乏</SPAN></P>
<P><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA">治法：补肾添精 佐以益气养血<BR>方药：菟丝子30克 女贞子 25克 枸杞子 15克 覆盆子15克 车前子 10克 党参10克 当归10克 白芍10克 地黄 15克 茺蔚子10克 紫河车10克</P>
<P><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-font-kerning: 1.0pt; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA"></SPAN> </P>
<P>[/hhde]</SPAN></FONT></P>
[[i] 本帖最后由 在网缘 于 2008-8-17 20:35 编辑 [/i]] <P><FONT style="BACKGROUND-COLOR: #f3fff8">闭经</FONT></P>
<P><FONT style="BACKGROUND-COLOR: #f3fff8">血虚精亏</FONT></P>
<P><FONT style="BACKGROUND-COLOR: #f3fff8">四物汤加六味地黄加减</FONT></P>S$o?K#@F
<P><FONT style="BACKGROUND-COLOR: #f3fff8">当归、 熟地、 白芍、 川芎、</FONT></P>A-H2G Kr
<P><FONT style="BACKGROUND-COLOR: #f3fff8">山药、丹皮、茯苓、百合、</FONT></P>1q+O%GW-X/eN ]
<P><FONT style="BACKGROUND-COLOR: #f3fff8">女贞子、旱莲草、丹参、人参、</FONT></P>
<P><FONT style="BACKGROUND-COLOR: #f3fff8">黄芪</FONT></P> <P>**** Hidden Message *****</P>
[[i] 本帖最后由 雪嫚 于 2008-8-13 15:29 编辑 [/i]]
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