Mô tả các đặc điểm của yêu thống trên Y văn=Description of the characteristics of Yao Tong in the literature

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Tác giả: Thị Thùy Nhân Đỗ, Hoàng Minh Quân Lê, Thu Uyên Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y Dược Thái Bình (Đại học Y Dược Thái Bình), 2024

Mô tả vật lý: tr.82-91

Bộ sưu tập: Báo, Tạp chí

ID: 244518

Thêm vào giỏ

Để góp phần hỗ trợ thống nhất chẩn đoán từ y văn đến lâm sàng của các hội chứng bệnh liên quan đến yêu thống theo quan điểm Y học cổ truyền, đề tài “Mô tả các đặc điểm của yêu thống trên y văn” được thực hiện nhằm khảo sát các đặc điểm đau tại chỗ của yêu thống trên y văn. Thiết kế nghiên cứu: Mô tả phân tích. Kết quả nghiên cứu: Nghiên cứu trên 25 y văn ghi nhận 4 hội chứng bệnh thường gặp gồm Hàn thấp, Thận hư, Huyết ứ, Thấp nhiệt. Trong đó: Hàn thấp: Hoàn cảnh khởi phát: Thời tiết mưa lạnh, môi trường ẩm thấp
sau khi ra mồ hôi lại cảm nhiễm phải gió lạnh
dầm mưa/dầm nước nhiều
cảm nhiễm hàn thấp tà. Vị trí: Thường đau 1 bên
đau 2 bên
đau vùng eo lưng. Cường độ đau: Đau nhiều
đau khởi phát âm ỉ
tăng dần. Đặc điểm đau: Nặng mỏi vùng lưng
lạnh vùng lưng
nằm nghỉ đau không giảm
căng cứng cơ vùng lưng. Hướng lan: Không lan. Yếu tố tăng giảm: Tăng khi thời tiết ẩm thấp, mưa
gặp lạnh
giảm khi chườm ấm. Triệu chứng kèm theo: Hạn chế vận động. Thận hư: Hoàn cảnh khởi phát: Không ghi nhận. Vị trí: Thường đau 1 bên
đau 2 bên
đau vùng eo lưng. Cường độ đau: Đau âm ỉ. Đặc điểm đau: Thường xuyên tái phát
đau liên tục, kéo dài
thiện án
đau buốt. Hướng lan: Không lan. Yếu tố tăng giảm: Tăng khi vận động
mệt nhọc
giảm khi nghỉ ngơi. Triệu chứng kèm theo: Yếu vùng lưng
mỏi vùng lưng
thiên về Thận dương hư, có lạnh vùng thắt lưng. Huyết ứ: Hoàn cảnh khởi phát: Chấn thương, té ngã
mang vác nặng
thay đổi tư thế đột ngột
sai tư thế. Vị trí: Thường đau 1 bên
đau 2 bên
đau vùng eo lưng. Cường độ đau: Đau dữ dội. Đặc điểm đau: Cự án
đau như dao cắt, kim châm
co cứng cơ vùng lưng. Hướng lan: Cố định tại một điểm. Yếu tố tăng giảm: Tăng khi vận động
xoa bóp (ấn)
buổi tối, đêm khuya
giảm vào buổi sáng, ban ngày. Triệu chứng kèm theo: Hạn chế vận động. Thấp nhiệt: Hoàn cảnh khởi phát: Thấp nhiệt uẩn kết
cảm phải hàn thấp lâu ngày hóa nhiệt
mùa trưởng hạ chính khí không đủ bị cảm tà khí thấp nhiệt. Vị trí: Thường đau 1 bên
đau 2 bên
đau vùng eo lưng. Cường độ đau: Đau nặng. Đặc điểm đau: Đau kiểu nóng rát
nặng vùng thắt lưng. Hướng lan: Không lan. Yếu tố tăng giảm: Tăng khi gặp nóng
thời tiết ẩm thấp, mưa
giảm khi vận động. Triệu chứng kèm theo: Sưng vùng thắt lưng
đỏ vùng thắt lưng, hạn chế vận động. Kết luận: Để chẩn đoán hội chứng bệnh liên quan đến yêu thống chủ yếu dựa vào tính chất đau của bệnh, trong đó chủ yếu là vị trí, hoàn cảnh khởi phát và đặc điểm đau.To contribute to the unification of diagnosis from medical literature to clinical disease syndromes related to yao tong from the traditional medicine viewpoint, the topic “Description of the characteristics of yao tong in the literature” was carried out present to investigate the local pain characteristics of the yao tong in the literature.Method: Descriptive and analysis study.Results: A study of 25 kinds of literature recorded 4 common disease syndromes including Cold-dampness, Kidney deficiency, Blood stasis and Dampness-heat. In there:Cold - dampness: Onset: Cold rainy weather, residence in a humid locale
exposure to the wind while sweating profusely
wading in water or walking in the rain
invasion by external cold, damp. Location: One-sided
both-sided
lumbar region. Pain intensity: A lot of pain
dull onset pain
ascending. Pain characteristics: Lumbar heaviness
lumbar coldness
pain doesn’t relief even when lying down
stiffness and contraction of the back muscles. Direction of spread: Not spread. Aggravating and alleviating factors: Increased pain in humid and/or rainy weather
exposure to cold
decreased pain on obtain warmth. Associated symptoms: Difficulty turning over. Kidney deficiency: Onset: Not recorded. Location: One-sided
both-sided
lumbar region. Pain intensity: Dull pain. Pain characteristics: Frequent recurrence
constant and prolonged pain
pain improvement projects
sharp pain. Direction of spread: Not spread. Aggravating and alleviating factors: Worse with exercise
tiredness
better with rest. Associated symptoms: Weakness in the lumbar
fatigue in the lumbar
if it is caused by Kidney-Yang deficiency, there have a cold sensation in the lumbar. Blood stasis: Onset: Traumatic injury, fall
heavy lifting
a sudden change of position
wrong posture. Location: One-sided
both-sided
lumbar region. Pain intensity: Sharp stabbing. Pain characteristics: Deep pain court
pain like a knife, a needle
stiffness and contraction of the back muscles. Direction of spread: Fixed location. Aggravating and alleviating factors: Worse with exercise
pressure
at night
better on the day. Associated symptoms: Difficulty turning over.Dampness - heat: Onset: Accumulation of Damp - heat
persistent Cold - dampness can transform into Heat
invasion by Dampness and Heat occurs most commonly in summer. Location: One-sided
both-sided
lumbar region. Pain intensity: Severe pain. Pain characteristics: Hotness pain
lumbar heaviness. Direction of spread: Not spread. Aggravating and alleviating factors: Aggravated by warmth
humid and/or rainy weather
alleviated by exercise. Associated symptoms: Lumbar swelling
red waist area
difficulty turning over.Conclusion: Diagnosing the disease syndrome related to yao tong is mainly based on the pain nature of the disease, in which the important is location, onset and pain characteristics.

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