中药禁食疗法治疗类风湿关节炎及多种合并症1例

Jiying Zhu, Nan Cao, Hongda Chen, J. Qin
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摘要

中医断食疗法是由秦健教授根据《黄帝内经》中的脂脂学说,在布辛格断食疗法的基础上加以修改而提出的。本文报告一例以关节痛为主诉的女性患者,经诊断为类风湿关节炎、非酒精性脂肪肝、疑似2型糖尿病,同时经中医诊断为脾虚痰湿痹证。入院后给予中药禁食治疗1周。考虑到她正处于月经期,在此期间她的饮食热量非常低。每日给予左旋肉碱注射液、健康教育及中医治疗,包括足部按摩、针灸、穴位敷穴。出院后给予低热量饮食及加味灵归专肝汤治疗1周。在那之后,她按照医生的指示长期控制卡路里。一年后,复查显示她的病情正在好转。
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Fasting Therapy of Chinese Medicine for Rheumatoid Arthritis and Multiple Comorbidities: A Case Report
Fasting therapy of Chinese Medicine was put forward by Professor Qin Jian based on the theory of fat and grease from The Yellow Emperors Internal Classi and modified on the basis of Buchinger fasting therapy. Here we try to report a female patient with the chief complaint of arthralgia who was diagnosed as rheumatoid arthritis, non-alcoholic fatty liver disease and suspected type 2 diabetes mellitus, also diagnosed by Chinese medicine with Bi disease of spleen deficiency and phlegm dampness syndrome. After admission, the patient was treated with fasting therapy of Chinese Medicine for a week. Considering that she was in the menstrual period, she was given a very-low-calorie diet during that time. Moreover, she was given L-carnitine injection, health education and traditional Chinese medicine treatment, including foot massage, acupuncture and acupoint application everyday. After discharge, she was asked to take low-calorie diet and modified Linggui Zhugan Decoction for another week. After that, she followed the doctor's instructions for long-term caloric control. A year later, the reexamination showed that her condition was improving.
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