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李博 男,中国中医科学院西苑医院 中医消化内科副主任医师,2006年毕业于北京中医药大学。 2005-2012曾担任丁香园循证医学版版主7年, 2014年获得NSFC国家自然科学基金青年项目资助 2015年入选北京市科技新星计划, 2015年入选中国中医科学院西苑医院育才计划。 2016年入选北京中医药传承“双百工程”唐旭东主任医师学术继承人 2016年1月出版小说体中西医消化内科科普书《胃靠养肠靠清》。

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TCM for Hyperthyroidism.一例印度甲亢病人的诊治  

2008-11-10 02:46:51|  分类: 坦桑特色 |  标签: |举报 |字号 订阅

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2008年11月7日星期五

TCM for Hyperthyroidism.一例印度甲亢病人的诊治

21st Oct 2008 first time  female 36 years old.

She is easily moved to anger with the onset of palpitation for the past 3 years.  TSH 5.53μm/ml (0.49~4.67)↑. Blood test was normal. Weight was lost, in spite of increased intake of food. Sleep was not deeply. Stool was soft and 3 times a day. Likes colder drink. Had received the tapazole.

Examine: HR 72/m ,when she swallow, feeling the glandula thyreoidea.

 

LMP: 14th~17th Oct.

Tongue: thin and small, red ,and the coated tongue was write.

Pulse: Xianhua (like chord and slide)

Diagnosis: Hyperthyroidism

Diagnosis of TCM: stagnation of liver-QI and renal deficiency;hypoactivity of spleen-YANG

Therapy: disperse the depressed liver-energy; invigorate the kidney; invigorate the spleen

Anagraph: YIGUAN JIAN and BANXIA XIEXINTANG

熟地10 沙参10 当归10 枸杞子10

麦冬10 川楝子10 半夏10 厚朴10

黄连6 白术10 炒谷麦芽各10 鳖甲10

炙甘草10

Six doses, take orally  twice a day.

28th Oct 2008 second time  female 36 years old.

After had those medicine, She feeling batter than before. Had not flustered and did not feel angry. Sleeping was very well and stool was started normal.

Tongue and the coated tongue and Pulse was the same to last time.

Anagraph: continue last medicine.

4th Nov 2008 third time

She feeling batter, so the same to last time

 

 

I look for TCM for Hyperthyroidism before and leaning.

 

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