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砭石加中药直流电导入治疗脾胃虚寒型腹痛 1 例报告。

Treatment of abdominal pain due to deficiency syndrome of the spleen and stomach with Bian stone plus TCM iontophoresis: A case report.

机构信息

Department of Gastroenterology, Beijing Daxing District Hospital of Integrated Chinese and Western Medicine, Beijing, China.

Department of Gastroenterology, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing, China.

出版信息

Medicine (Baltimore). 2024 Apr 26;103(17):e37858. doi: 10.1097/MD.0000000000037858.

DOI:10.1097/MD.0000000000037858
PMID:38669397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11049772/
Abstract

RATIONALE

Bian stone ironing and rubbing traditional Chinese medicine penetration method is based on the theory of regulating the middle and restoring balance. By using Bian stone to heat, ironing, and rubbing, pushing and rubbing in the epigastric area can regulate the spleen and stomach, restore the normal function of the middle jiao qi movement and the functions of the five organs. Bian stone hot ironing can harmonize stomach qi, nourish qi and assist yang, clear the internal organs and clear turbidity, regulate intestinal qi circulation, and promote qi stagnation.

PATIENT CONCERNS

The VAS score for stomach pain is 6 points, and the SAS score is moderate anxiety, which seriously affects sleep and daily life.

DIAGNOSES

epigastric pain, spleen, and stomach deficiency cold syndrome.

INTERVENTIONS

Easy to digest diet, Western medicine provides famotidine acid inhibiting and protecting gastric mucosa, and mosapride promoting gastrointestinal peristalsis medication treatment; Traditional Chinese Medicine provides oral administration of Huangqi Jianzhong Tang and traditional Chinese medicine techniques such as Bianchi Ironing and Moxibustion for treatment.

OUTCOMES

The patient's symptoms of stomach pain have significantly improved, with a decrease in the epigastric pain score to 0, improved anxiety, reduced fatigue, improved sleep, improved epigastric fullness, unobstructed bowel movements, and improved quality of life. The patient is very satisfied.

LESSONS

The method of using Bian stone ironing and rubbing traditional Chinese medicine to treat stomach pain caused by the spleen and stomach deficiency cold can alleviate the symptoms of stomach pain in patients, and the improvement of symptoms shows a gradual increase, with significant effects. At the same time, it significantly improves patient anxiety and fatigue symptoms and can increase the sample size in future work to further clarify its clinical effects.

摘要

原理

砭石熨烫揉中医疗法是基于调理中焦、恢复平衡的理论。通过使用砭石加热、熨烫、揉推在上腹部,可调理脾胃,恢复中焦气机的正常运动和五脏功能。砭石热熨可调和胃气、补气助阳、清内浊、调肠气循环,促进气滞。

患者关注点

胃痛的视觉模拟评分(VAS)为 6 分,焦虑自评量表(SAS)为中度焦虑,严重影响睡眠和日常生活。

诊断

胃脘痛,脾胃虚寒证。

干预措施

易消化饮食,西医提供法莫替丁酸抑制和保护胃黏膜,莫沙必利促进胃肠蠕动的药物治疗;中医提供口服黄芪建中汤和砭石熨烫等中医疗法治疗。

结果

患者胃痛症状明显改善,上腹疼痛评分降至 0 分,焦虑改善,疲劳减轻,睡眠改善,上腹饱胀减轻,大便通畅,生活质量提高。患者非常满意。

经验教训

使用砭石熨烫揉中医疗法治疗脾胃虚寒引起的胃痛的方法,可以缓解患者的胃痛症状,且症状的改善呈逐渐增加趋势,效果显著。同时,它显著改善了患者的焦虑和疲劳症状,在未来的工作中可以增加样本量,进一步明确其临床效果。

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本文引用的文献

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Heliyon. 2023 May 27;9(6):e16764. doi: 10.1016/j.heliyon.2023.e16764. eCollection 2023 Jun.
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Chinese herbal compound prescriptions combined with Chinese medicine powder based on traditional Chinese medicine syndrome differentiation for treatment of chronic atrophic gastritis with erosion: a multi-center, randomized, positive-controlled clinical trial.基于中医辨证的中药复方联合中药散剂治疗慢性萎缩性胃炎伴糜烂:一项多中心、随机、阳性对照临床试验
Chin Med. 2022 Dec 22;17(1):142. doi: 10.1186/s13020-022-00692-7.
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Regulatory effect of traditional Chinese medicines on signaling pathways of process from chronic atrophic gastritis to gastric cancer.中药对慢性萎缩性胃炎向胃癌转变过程中信号通路的调控作用
Chin Herb Med. 2021 Dec 21;14(1):5-19. doi: 10.1016/j.chmed.2021.10.008. eCollection 2022 Jan.
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Traditional Chinese Nursing Using Fennel With Coarse Salt for Ironing and Umbilical Moxibustion for Epigastric Pain With Spleen-stomach Vacuity Cold.传统中医护理使用茴香和粗盐熨烫以及脐灸治疗脾胃虚寒型胃脘痛。
Altern Ther Health Med. 2022 Oct;28(7):88-94.
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