首页|津气并调治疗以淋巴液渗出为主症的外阴获得性淋巴管瘤1例

津气并调治疗以淋巴液渗出为主症的外阴获得性淋巴管瘤1例

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外阴获得性淋巴管瘤是一种诱发于其他疾病的淋巴管扩张性皮肤疾病,其临床发病率低,临床少见,病理学检查前极易误诊.西医治疗方法多样但尚未形成系统的治疗方案.本文介绍1例以津气并调为治法论治的以淋巴液渗出为主症的外阴获得性淋巴管瘤医案.初诊前患者已于外院确诊为外阴获得性淋巴管瘤,其以外阴渗液的主症,可将其归属为中医学"水饮病"范畴,其病机为脾胃虚弱津液运化失司、正气亏虚水液调摄失司,治疗上予参苓白术散强卫气助运化、五苓散加黄芪调三焦补中气,最终获效甚佳.本案以"以证统病,祛邪扶正"为指导思想论治罕、少疾病,其中医诊疗特色鲜明,疗效显著,可供临床参考.
A case of acquired lymphangioma of the vulvar with lymph exudation as the main symptom treated by regulating body fluid and qi
Acquired lymphangioma of the vulva is a kind of lymphangiectatic skin disease induced by other diseases.Its clinical incidence is low and rare,and it is easy to be misdiagnosed before pathological examination.Western medicine has various treatment methods,but it has not yet formed a systematic treatment plan.This paper introduces a case of vulvar acquired lymphangioma with lymph exudation as the main symptom,which is treated by regulating body fluid and qi.Before the initial diagnosis,the patient was diagnosed as acquired lymphangioma of the vulvar in another hospital.According to the main symptoms of vulvar exudation,the author classified it as"fluid retention"in traditional Chinese medicine,and thought that its pathogenesis was spleen and stomach weakness,fluid transport and absorption,and vital qi deficiency.In the treatment,Shenling Baizhu Powder was given to strengthen the defense of qi and help transport,and Wuling Powder and Huangqi were added to adjust triple-energizer to replenish middle energizer,which finally achieved good results.This case is based on the guiding principle of"unifying the disease with evidence,dispelling the evil and strengthening vital qi"in the treatment of rare and rare diseases,with distinctive characteristics of traditional Chinese medicine diagnosis and treatment and remarkable therapeutic effect,which can be used as a clinical reference.

Acquired lymphangioma of the vulvaFluid retentionRegulation of both fluid and qiShenling Baizhu PowderWuling PowderMedical records

闵川、谭华儒

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广州中医药大学第七临床医学院,广东 深圳 518100

广州中医药大学附属宝安中医院,广东 深圳 518100

外阴获得性淋巴管瘤 水饮病 津气并调 参苓白术散 五苓散 医案

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(25)