
24/05/2023
女,85岁,下肢水肿
患者出现了双脚水肿3天,右脚比较严重。按之凹陷,有按压痛。右眼皮水肿和脱屑,呼吸急促,小便不畅,大便正常。她在服用中药治疗三天后,肿胀减少,但第五天又复发。诊断结果为心脾肾阳虚,治疗方法是清热利湿,健脾益肾,温通心阳。中药与针灸治疗约一周后的深夜,患者开始排尿增多,隔天早上双脚肿胀几乎完全消失。经过更换药物并继续服用5天,肿胀没有复发,呼吸也更加畅顺。目前仍在进行治疗中。
这种病情表明患者可能患有心脏、肾脏和脾脏的功能衰弱,导致水液潴留和气滞。中医的治疗方法是通过调理心、脾、肾三脏的功能来达到疏散水湿和补益阳气的效果。
在治疗过程中,排尿增多可能是由于药物的利尿作用或身体内部水湿排出所致。双脚脚肿胀消散,说明治疗取得了一定的效果。
建议继续遵循医生的指导并进行进一步的治疗。
Female, 85 years old, lower limb edema
The patient has had swelling in both feet for 3 days, with the right foot being more severe. The swelling depresses upon touch and is painful when pressed. The right eyelid is swollen and scaly, there is shortness of breath, and there is difficulty urinating, but normal bowel movements. After taking traditional Chinese medicine for 3 days, the swelling decreased, but recurred on the forth day. The diagnosis indicates a deficiency of the heart, spleen, and kidney yang, and the treatment method involves clearing heat, promoting diuresis, invigorating the spleen, benefiting the kidney, and warming and promoting the circulation of heart yang. The night after about a week of herbal and acupuncture treatment, the patient started to urinate more frequently, and by the next morning, the swelling in both feet had almost completely disappeared. After changing the medication and continuing for another 5 days, the swelling did not recur, and breathing became smoother. The patient is currently still undergoing treatment.
This condition suggests that the patient may have weakened function of the heart, kidneys, and spleen, leading to fluid retention and qi stagnation. Traditional Chinese medicine treatment aims to regulate the functions of the heart, spleen, and kidneys to disperse dampness and tonify yang qi.
During the treatment process, increased urination may be due to the diuretic effect of the herbal medication or the elimination of internal dampness from the body. The disappearance of foot swelling indicates that the treatment has achieved some effect.
It is advisable to continue following the doctor's guidance and undergo further treatment.