The story of Zou Xu diagnosis room | The cells do not blame the sputum, and the phlegm and blood are eliminated.

Author:Guangdong Provincial Hospital Time:2022.06.17

Open column: [Zou Xu Diagnosis Room Story] The column is a special issue column led by Professor Zou Xu, director of the Department of Critical Medicine, the Department of Critical Medicine, Guangdong Province, and will focus on the real cases of Zou Xu's diagnosis room. Guidance, there is a professional medical analysis, and at the same time introduce some daily conditional tricks with accurate effects, operability, simple and honest daily conditioning to achieve the role of nourishing spirit, cultivating righteousness, and improving resistance. Bleak

Diagnosis

Ms. Liu, at the age of 28. After 40 days of menopause, irregular vaginal bleeding lasted for several days. She accompanied her abdominal pain. She went to the gynecological department of the local hospital to check HCG (+) and considered a threatened abortion. Because the patient has no fertility requirements, the local hospital recommends that patients are hospitalized for treatment. However, the patient was worried about the risk of surgery and refused to surgery, and then went to Professor Zou Xu for outpatient treatment for TCM treatment.

Seeing the symptoms, the patient's body is thin and mentally poor, and occasionally feels less abdominal pain. There is no vaginal bleeding, sleeping more dreams, fatigue, back pain and discomfort, cold limbs, cold hands and feet, occasional palpitations, stomach discomfort, discomfort in the stomach, stomach discomfort, Ghost, dry mouth, poor stool, yellow urine, LMP: 10/3, the regular menstrual cycle, small amount, large amount of leucorrhea, breast pain during menstruation, spicy, hot drinks, dark red tongue, white fur and greasy fur greasy, greasy fur and greasy tongue, white greasy greasy fur, greasy fur and greasy tongue , The pulse strings slide tightly. Gynecological color Doppler ultrasound: The thickness of the endometrium is about 0.6cm, and an uneven qualitative low echo is seen on the right side of the uterine cavity. The size is about 1.3x0.6 x1.1cm. In the pelvic symbol, the pelvic cavity is about 2.8x1.2cm by the side of the pelvic cavity; the small sac in the right ovary; no obvious abnormalities are seen in the left attachment. The HCG value is 2366 mLU/ml. Western medicine diagnosis is incomplete abortion (?), Chinese medicine diagnose as cells. In terms of syndrome differentiation, Professor Zou considers the patient's disease position in the cell palace. The original is in the three cokes. In addition to one drink, the prescription is 20 grams of Poria, 10 grams of cinnamon branches, 15 grams of osteoplastia, 5 grams of rhubarb, 5 grams of Evodia, 10 grams of betel nut, 10 grams of Pinellia, 10 grams of Hou Pu, 10 grams of 枳合, 10 grams 3 grams of cooked aconite, 5 grams of dried ginger, 10 grams of licorice, 10 grams of roads, 10 grams of saponin thorns, 10 grams of Sichuan Achyranthes knee, 30 grams of blood vine, 10 grams of talc, 5 grams of grass. A total of 14 doses, warm after decoction.

After two weeks of follow -up, the patient described the traditional Chinese medicine. During the period of vaginal bleeding, the dark red color blocks were discharged. It was cleaned in about 7 days. The less abdominal pain disappeared, the back pain was reduced, the sleep and stomach discomfort improved significantly, the mental improved, and the stool returned to normal. Review gynecological color Doppler ultrasound: No obvious abnormalities were found in the uterus and bilateral accessories. The HCG value is reduced to 4.6mlu/ml.

Professor Zou Xu pointed out that the patient still has residual tissue in the uterus after pregnancy and abortion, which is diagnosed as "the cells can not be lower". From the perspective of traditional Chinese medicine, it is a stasis obstructive cell palace. bleed. The blood stasis is the result of the disease, not the cause of the disease, so the treatment cannot be used to promote blood circulation and stasis. Based on the condition of his tongue, Professor Zou considers his illness because of phlegm drinking three cokes, and the performance of poor sleep, chills and coldness, and backache fatigue, etc., are due to insufficient vitality, weakened spleen and stomach transportation, water and fluid staying into drinking into drinking into drinking into drinking into drinking into drinking. The stagnation of the three cokes caused the gas machine to fail, and the blood was not smooth.

"Fu Qing Master Female" has said: "The cells are not lower, and the blood stasis is difficult to do. The professor believes that the fundamental treatment of incomplete fetal excuses is to give birth to new stasis. If the blood loss caused by excessive blood loss, the treatment is mainly based on great blood and blood. The root cause of blood stagnation is that the gas machine caused by sputum drinking is not transported by the three cokes, and the water valleys are subtle to transport the deserted divisions. Therefore, during treatment, not only should it be given to the sputum and stasis, but also the aircraft, and start from the fundamental. The whole whole is mainly based on the wet and wet air, so that the three -focus gas machine can be smooth, the qi and blood transform the source, and then the product of activating blood and blood stasis.

Can not be under the clothes, the effect of reducing phlegm and diarrhea

With the improvement of social openness and the promotion of fertility policies, the pregnancy rate has gradually increased. Whether it is natural or abortion, abortion may occur. The risk of complications such as adhesion and pelvic inflammatory disease. For such patients, timely use Chinese medicine dialectical theory can often achieve good results.

The common causes of cells are qi deficiency, blood stasis and phlegm. Those with qi deficiency, promote weakness, stagnation of qi and not transportation, mild water valleys must not be lost, sperm and blood biochemicals are lacking, so new blood does not give birth, blood stasis does not lower; people with blood stasis, blocked cell veins, local new blood, old, old, old, old, old, old, old, old, old, old, old, old, old, old, old, old, old, old, old, old, old, old, old, and old blood. Blood does not get rid of. In addition to the cause of qi deficiency and blood stasis, Professor Zou also emphasized whether to pay attention to whether the patients have phlegm. Because phlegm turbidity is blocked, it will not only cause the vitality to be blocked, but also causes qi and blood to disorders, but also the phlegm is susceptible to the fire, the fire evils will cause the stasis, and the phlegm and stasis are difficult to remove. Pay attention to the drugs of phlegm, diarrhea, and adding blood blood stasis or nourishing qi and spleen. If you only pay attention to qi and promoting blood circulation, and ignore the fundamental cause of phlegm turbidity, it will be difficult to heal. Prevention after incomplete abortion

1. The cold temperature is suitable

After abortion, the body is in a state of "lack of blood, qi is also false". In addition, Professor Zou suggested that patients can bask in the sun during the recovery stage to adopt the sun and make up the yuan to promote recovery.

2. Successful love

After abortion, blood loss can be caused by different degrees of blood loss. Pay attention to regulating the mind to avoid emotional disorders caused by external stimuli. At the same time, family members should communicate with patients more. It is conducive to the recovery of the body after abortion.

3. Diet adjustment

In terms of diet, it should be warm and easy to digest, eat less, avoid stagnation, avoid cold, and avoid serving hot blood and blood foods, such as pepper, high concentration wine, coffee, etc.; Such as jujube, mulberry, pork liver, black chicken, etc.

4. Combination of labor and rest

According to the appropriate amount of personal conditions, the amount of exercise is gradually increased to avoid long -term standing, squatting and hand -heavy objects. In the early stage of the disease, you can choose qigong exercise such as Ba Duanjin and Tai Chi; in the later stage of recovery, you can choose to walk quickly. If you can tolerate, you can also choose to run such as jogging and exercise for about 20 minutes a day.

Zou Xu, professor, chief physician, doctoral supervisor, director of the Department of Critical Medicine, Department of Critical Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine. Professor Deng Tietao, a master of Chinese medicine, the heir, the seventh batch of academic experience inheritance of academic experience in the academic experience of old traditional Chinese medicine experts, the third batch of national outstanding Chinese medicine clinical talents, the second national outstanding youth traditional Chinese medicine, Guangdong Province famous Chinese medicine, the Chinese Academy of Traditional Chinese Medical Sciences Name Chinese medicine. He is good at treating cardiovascular diseases, urgency and critical illness, infectious diseases, and suspicious diseases in the treatment of cardiovascular disease.

He served as the leader of the Guangdong team leader in Hubei ’s fourth Chinese medicine medical team and the head of the C6 ward of the Leishan Hospital in Wuhan. The title of "Model of Times" of the Central Propaganda Department.

Later, as a member of the State Council ’s joint prevention and control mechanism and a member of the New Crown Pneumonia Epidemic Extraction of the State Administration of Traditional Chinese Medicine, he assisted Hebei Xingtai, Guangzhou Eighth People's Hospital, Yunnan Ruili, Fujian Xiamen, Shaanxi and other places to conduct joint Chinese and Western medicine joint diagnosis In 2022, as a member of the Central Expert of the Central Division of the Central Affairs of the Central Affairs of the Central Committee, they all achieved good results and were recognized by patients and Chinese and Western medicine.

Won the Central Civilization Office, the National Health and Health Commission "China Good Doctor", the Guangdong Provincial Party Committee and Provincial Government "Guangdong Provincial Advanced Personal Personal Personal Personal Personal Extraordinary Personal", the Provincial Health Commission of the Propaganda Department of the Guangdong Provincial Party Committee, "Guangdong Good Doctor" The title of "the most beautiful retrograde of the new crown virus COVID-19" and the "People's Good Doctor-Medical People Special Contributors" and other titles.

Supply: Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital Lingnan Deng's Nei Keliu Panging Studio