针药结合治疗顽固性项痹一则
Chinese Journal of Rural Medicine and Pharmacy(2022)
Abstract
1 病历摘要
患者男,59岁,2019年7月19日初诊.主诉:项背强痛伴右肩酸胀10余年.患者10余年前无明显诱因下出现项背部强痛不适,背僵似板,活动轻度受限,伴右肩酸胀,受寒后加重,颈椎X线、CT检查示颈椎生理曲度变直,余未见明显异常,曾行针灸推拿治疗,病情易反复.刻下证:项背部抵抗感明显,俯仰不利,右肩胛内侧感疼痛,右肩酸胀,受风或受寒后疼痛、酸胀感加重,无汗出,口稍干不多饮,胃纳一般,二便无殊.
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