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笔者从1982～1996年间,根据温阳利水的治疗法则,自拟温利排石汤合黄体酮治疗输尿管结石76例,取得了满意的疗效,现报告如下:1 临床资料1.1 一般资料:治疗组76例,男54例,女22例;年龄18～71岁,平均39.5岁.对照组40例,男26例,女14例,年龄21～61岁,平均41岁.所有病例经X线腹平片或泛影葡胺静脉肾盂输尿管造影或B超等检查证实.其中结石位于输尿管上段24例,中段34例,下段18例,肾盂、输尿管有不同程度积水41例.临床主要有腰、腹部剧痛、绞痛或隐痛、部分病人可见肉眼血尿.1.2 治疗方法:治疗组:用温利排石汤,药物组成:肉桂1.5g、制附子3 g、茯苓15 g、白术10 g、猪苓15 g、泽泻10 g、金钱草30 g、郁金10 g、白芍20 g、琥珀6 g(分两次冲服).痛甚者加元胡索、鸟药;血尿多者加蒲黄炭、小蓟;湿热偏重者加瞿麦、扁蓄、车前子;肾阴虚者加熟地、拘杞、肾阳虚者加仙灵牌、杜仲.
The author from 1982 to 1996, according to the rule of Wenyang water treatment, self-Wenli Paishi Decoction progesterone treatment of ureteral stones in 76 cases, and achieved satisfactory results, are as follows: 1 Clinical data 1.1 General Information: The treatment group 76 cases, 54 males and 22 females, aged from 18 to 71 years, with an average of 39.5 years old.The control group of 40 cases, 26 males and 14 females, aged 21 to 61 years old, average 41 years old.All cases were X-ray Plain film or intravenous ureteropelvic ureterography or B ultrasound examination confirmed.Among them in the upper ureteral stones in 24 cases, 34 cases in the middle, lower 18 cases, the renal pelvis, ureter with varying degrees of water in 41. Clinical main lumbar, Abdominal pain, angina or dull pain, some patients can be seen gross hematuria .1.2 treatment: treatment group: with Wenli Paishi, drug composition: cinnamon 1.5g, made of aconite 3 g, Poria 15 g, Atractylodes 10 g, pig Ling 15 g, Alisma 10 g, money grass 30 g, turmeric 10 g, white peony root 20 g, amber 6 g (divided into two times.) Pain worse plus yuanhu, bird medicine; Yellow charcoal, thistle; plus those who are hot and humid plus Dim Sum, flat savings, Plantago; Kidney Deficiency and cooked land, arrest Qi, kidney yang plus Xianling card, Eucommia.