中西医结合治疗乙型肝炎肝硬化合并新型隐球菌性脑膜炎1例

Integrated traditional Chinese and western medicine treating hepatitis B cirrhosis complicated with cryptococcus neoformans meningitis in 1 case

在临床上采用中西医结合治疗1例乙型肝炎肝硬化合并新型隐球菌性脑膜炎患者,其病机为鼓胀(水鼓)基础上湿热内蕴、痰瘀互结,兼外感风寒,上扰脑络致经络失濡,营卫不和,正虚邪实;辨证为湿热内蕴、痰瘀互结兼伤寒太阳病症,正虚邪实;治则为清下消补四法,以解肌祛风、生津舒经为主;治疗方法采用中药联合氟康唑注射液,中药组方为清下消补方与桂枝加葛根汤为主加减,取得满意疗效。

Integrated traditional Chinese and western medicine is used in clinic to treat hepatitis B cirrhosis complicated with eryptoeoeeus neoformans meningitis in 1 case,its pathogenesis is damp-heat brewing intemally,phlegm and blood stasis and exogenous wind-cold to disturb brain resulting in meridian and collateral lacking of nourishing, disharmony of nutrient-defensive qi,deficiency of healthy qi and sthenia of pathogenic qi based on tympanites（water treympanites）;its syndrome differentiation is damp-heat brewing internally,phlegm and blood stasis and greater yang disease of cold damage, deficiency of healthy qi and sthenia of pathogenic qi ;its treatment principle is four methods of clearing heat,purgation,eliminating and tonifying in order to relax muscle and expel wind,engender fluid and relax meridian and collateral;the treatment method is traditional Chinese medicine combined with fluconazole injection,prescription of traditional Chinese medicine should base on addition or subtraction of prescription of clearing heat, purgation,eliminating and tonifying and Cassia twig plusing the root of kudzu vine decoction.The treatment achieved satisfactory results.