问止中医 | 杨康医师：中医治骨髓反常增生综合症(MDS)
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">Y女士今年64岁，2021年10月21日来问止中医就诊，看诊<span style="color: black;">时期</span>由其女儿代诉。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">Y女士近几年的身体<span style="color: black;">状况</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2015年<span style="color: black;">起始</span><span style="color: black;">始终</span>说<span style="color: black;">疲劳</span>，体检<span style="color: black;">亦</span>未<span style="color: black;">检测</span>出原委；2018年4月体<span style="color: black;">检测</span>出<strong style="color: blue;">血小板低至40+，</strong>住院抽骨髓体检得知患了<strong style="color: blue;">骨髓增生<span style="color: black;">反常</span><span style="color: black;">综合症</span>（MDS），</strong>后<span style="color: black;">始终</span><span style="color: black;">长时间</span>用西药未见好转，并<span style="color: black;">显现</span>眼睛干涩、夜醒等症状。女儿带她找了中医，过程中<span style="color: black;">亦</span>找了坊间中医试错，但未见好转。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><strong style="color: blue;"> 初诊 </strong></h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q4.itc.cn/images01/20240327/d7863841fe704befa4f993fbdc0132f3.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当时<span style="color: black;">检测</span>血常规报告如下：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/images01/20240327/575431964c52423ca8d1348746d6a4ee.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我<span style="color: black;">仔细</span>询问病情后将其症状录入中医大脑，直奔主题：辨别体质，对病治疗！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">同期</span><span style="color: black;">协同</span>兼证平衡、指标调控药对。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/images01/20240327/bc99ed31a2964af0bf1c3cd691150993.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">首诊我开方7付，<span style="color: black;">协同</span>问止气血丸补益气血，整体改善<span style="color: black;">病人</span>体质。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><strong style="color: blue;"> 二诊 </strong></h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病人</span>服药后反馈：心慌好转，别的没什么变化；胃口<span style="color: black;">通常</span>；<span style="color: black;">睡觉</span><span style="color: black;">欠好</span>；眼睛干涩<span style="color: black;">显著</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span><span style="color: black;">病人</span>服药后的反应，我<span style="color: black;">思虑</span>到<span style="color: black;">病人</span><span style="color: black;">长时间</span><span style="color: black;">吃下</span>西药对身体的<span style="color: black;">损伤</span>，<span style="color: black;">调节</span>处方改善<span style="color: black;">病人</span>最不适症状，<span style="color: black;">同期</span>通调三焦，清泄少阳之热。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/images01/20240327/d932bce08fb54880b47c1efffb78b85c.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"> <strong style="color: blue;">三诊</strong></h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">三诊时，<span style="color: black;">病人</span>反馈：眼睛干涩好转；全身<span style="color: black;">病痛</span>；<span style="color: black;">膳食</span>可；<span style="color: black;">睡觉</span>后半夜容易醒。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病人</span><span style="color: black;">膳食</span>可即是胃气恢复的表现，<span style="color: black;">亦</span>是<span style="color: black;">咱们</span>治疗疑难重症贯穿始终的思想，<strong style="color: blue;">即“扶阳气，保胃气，存津液”。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">本诊<span style="color: black;">病人</span><span style="color: black;">显现</span>全身痛症，<span style="color: black;">咱们</span><span style="color: black;">能够</span>理解为<span style="color: black;">咱们</span>中药治疗后正气恢复，此时正邪交争于表，此时应<span style="color: black;">快速</span>转方。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q3.itc.cn/images01/20240327/32461f1b2a7d455f9ffaa880b957735b.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">四诊、五诊，<span style="color: black;">病人</span>身体<span style="color: black;">情况</span><span style="color: black;">连续</span>好转。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"> <strong style="color: blue;">六诊</strong></h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">六诊<span style="color: black;">病人</span>反馈：<span style="color: black;">睡觉</span>还<span style="color: black;">能够</span>；走路有点晃，<span style="color: black;">头昏</span>，身体动摇感，想摔倒；眼睛不干了；吃东西没味道，不香。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">重视</span>：走路有点晃，走路<span style="color: black;">头昏</span><span style="color: black;">便是</span><span style="color: black;">咱们</span>《伤寒论》上非常典型的“振振欲僻地”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q0.itc.cn/images01/20240327/951c45afc36949b4a1310390c93d9e54.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"> <strong style="color: blue;">七诊</strong></h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">七诊时，<span style="color: black;">病人</span>反馈：停了西药后<span style="color: black;">睡觉</span>还是不行；身体失衡感觉没了；胃口好多了，<span style="color: black;">然则</span>吃了不长肉；血小板正常，白细胞略低。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">从这一诊<span style="color: black;">起始</span>，<span style="color: black;">病人</span>的病情进入<span style="color: black;">安稳</span>期，我加用改善<span style="color: black;">睡觉</span>以及对指标调控的药对。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q6.itc.cn/images01/20240327/95ad9655b4cd44cfb3d9b2937a4d6d95.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"> <strong style="color: blue;">八诊</strong></h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">八诊时，<span style="color: black;">病人</span>复查血常规报告如下图：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q3.itc.cn/images01/20240327/9956b9964dd34c8289c1f2acfc1ea09e.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">虽然仍<span style="color: black;">无</span>完全恢复正常，<span style="color: black;">然则</span><strong style="color: blue;"><span style="color: black;">日前</span>各项指标<span style="color: black;">已然</span><span style="color: black;">无</span><span style="color: black;">连续</span>往下掉了，<span style="color: black;">况且</span>原来的很多<span style="color: black;">关联</span>症状都已消失，<span style="color: black;">病人</span>病情稳定，</strong>我继续守方，每诊处方略做变化，<span style="color: black;">连续</span>巩固治疗。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"> <strong style="color: blue;">总结</strong></h1>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">截止</span><span style="color: black;">日前</span>，该<span style="color: black;">病人</span>前后经过12诊的治疗，病情已趋于<span style="color: black;">安稳</span>，中医认为的六大健康标准基本正常，西医化验指标<span style="color: black;">亦</span>接近正常值，<span style="color: black;">病人</span>老是担心自己的血色素往下掉，我每次问诊都会给她<span style="color: black;">自信心</span>，<span style="color: black;">通知</span>她“恐伤肾”，肾气下陷则什么病都<span style="color: black;">欠好</span>恢复，别老是自己吓自己。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>，该位<span style="color: black;">病人</span>仍在继续巩固治疗中，2022年，<span style="color: black;">咱们</span><span style="color: black;">期盼</span>以中医大脑的力量为病患带来更大的<span style="color: black;">帮忙</span>。<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛：http://www.fok120.com/</span>，查看<span style="color: black;">更加多</span></span></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">责任编辑：网友投稿</span></p>
楼主节操掉了，还不快捡起来！ 你的见解独到，让我受益匪浅，非常感谢。
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