EPISODE · Aug 10, 2023 · 10 MIN
结石,结石,中药能行吗丨中医入门
from 中医入门|小白神必备
病例:男,55岁,腰腹部绞痛,小便刺痛短涩2天,血尿1次,经B超检查,提示右输尿管上段结石横径6mm,舌红苔黄,脉滑数,诊断为石淋。方药:石韦15g,瞿麦15g,冬葵子15g,车前子20g,通草10g,白芍药30g,木瓜15g,杜仲15g,牛膝10g,枳实15g,川续断15g,枸杞子15g,郁金15g,黄芪30g,甘草10g,仙鹤草20g,小蓟15g,5剂,每剂药加水3斤,煎成药液1斤,分3次温服,每日1剂。服药半小时后酌情慢走十几分钟。过程:服1剂,当晚疼痛消失。服4剂后,B超提示输尿管扩张至8mm,结石由输尿管上段下至膀胱入口处。效不更方,服药至第9剂,当天小便时有排石感,发现排出与B超所见形状相似结石1粒,全程无痛感。继续服药1剂,B超复查:双侧肾及输尿管未见结石。
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结石,结石,中药能行吗丨中医入门
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