{"id":9176,"date":"2024-06-06T01:50:57","date_gmt":"2024-06-06T01:50:57","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e5%bf%b5%e7%8f%a0%e8%8f%8c%e9%98%b4%e9%81%93%e7%82%8e\/"},"modified":"2025-05-09T10:51:40","modified_gmt":"2025-05-09T00:51:40","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e5%bf%b5%e7%8f%a0%e8%8f%8c%e9%98%b4%e9%81%93%e7%82%8e","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e5%bf%b5%e7%8f%a0%e8%8f%8c%e9%98%b4%e9%81%93%e7%82%8e\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u7ecf\u65b9\u6cbb\u7597\u5ff5\u73e0\u83cc\u9634\u9053\u708e"},"content":{"rendered":"

患者，女，30多岁，欧裔，主诉为性生活后外阴念珠菌阴道炎（Thrush），反复发作。伴见寒热似外感，梦魇眠差而不敢入睡，患处局部红肿，伴瘙痒，小便色深浑浊，面色罩一层黑色，心下微痞，伴脐左压痛。左脉滑弱，右脉细弦，苔薄舌尖略红。<\/p>\n

《金匮要略》第三篇云：狐惑之为病，状如伤寒，默默欲眠，目不得闭，卧起不安，蚀于喉为惑，蚀于阴为狐，不欲饮食，恶闻食臭，其面目乍赤，乍黑，乍白。甘草泻心汤主之。<\/p>\n

这个患者所得相似于中医所讲的狐惑病，既有身体的症状，也有精神的症状，栩栩如生地复现了两千年前的仲景条文。故而处方为甘草泻心汤加味，并配合外洗。五天药后，复诊告知诸症消除。<\/p>\n

一般认为古之狐惑病更类似于现代的白塞氏综合征或者外阴溃疡。虽然念珠菌阴道炎也有发展为溃疡的可能性，但该患者自述中并未出现溃疡。白塞氏综合征和念珠菌阴道炎在西医看来是完全不同类别的病种，一个是免疫系统疾病，一个是真菌感染。但从中医的特点来看病，病脉相应，随证治之，并不在乎西医疾病名称的界定。从结果来看，患者外阴症状完全缓解，且梦魇眠差等精神层面的问题也得到了有效解决。这说明中医看病最重要的还是切中（中医的）病机，不应受西医疾病分类的影响，中医治病的思维才能更彻底地打开。<\/p>\n

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延伸阅读：宋柏杉：中医不该用西医的病名来看病<\/a><\/span><\/p>\n

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注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

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NO.061<\/p>\n","protected":false},"excerpt":{"rendered":"

患者，女，30多岁， […]<\/p>\n","protected":false},"author":1,"featured_media":9177,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76],"tags":[],"class_list":["post-9176","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-76"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-150x150.jpeg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-300x188.jpeg",300,188,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",435,272,false],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-320x200.jpeg",320,200,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-66x41.jpeg",66,41,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-200x125.jpeg",200,125,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-400x250.jpeg",400,250,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-600x375.jpeg",600,375,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-540x338.jpeg",435,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-460x288.jpeg",460,288,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-300x188.jpeg",300,188,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-177x111.jpeg",177,111,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-500x313.jpeg",500,313,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1.jpeg",640,400,false],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u72d0\u60d1-100x100.jpeg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"患者，女，30多ì…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=9176"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9176\/revisions"}],"predecessor-version":[{"id":13880,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9176\/revisions\/13880"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/9177"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}