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作 者:Jia-Min Yang Yu Wang Yu-Qing Zhang Hong-Lin Zhang Zhi-Yun Bo
机构地区:[1]College for People's Livelihood and Well-being,Beijing Vocational College of Labor and Social Security,Beijing 100029,China [2]College of Acupuncture and Moxibustion,Beijing University of Chinese Medicine,Beijing 100029,China [3]Guang'Anmen Hospital,China Academy of Traditional Chinese Medicine,Beijing 100053,China [4]Beijing Zhiyuntang Traditional Chinese Medicine Clinic,Beijing Bo’s Abdominal Acupuncture Research Institute,Beijing 100122,China
出 处:《World Journal of Clinical Cases》2025年第8期41-48,共8页世界临床病例杂志(英文)
基 金:Supported by Beijing Municipal Commission of Education,No.SM202214075001。
摘 要:BACKGROUND Adult-onset Still's disease(AOSD)is a rare autoinflammatory disease charac-terized by nonspecific symptoms such as fever,rash,sore throat and arthralgia.This paper reports a clinical case of AOSD successfully treated with Bo’s abdo-minal acupuncture(BAA).CASE SUMMARY We report a 20-year-old man who suffered from cold exposure,presenting with high fever,rash,sore throat,arthralgia,and elevated erythrocyte sedimentation rate,leukocytosis with neutrophilic predominance,elevated ferritin,elevated C-reactive protein,and negative rheumatoid factors.He was diagnosed with AOSD based on the Yamaguchi criteria.After treatment with traditional Chinese medi-cine(TCM)decoction and prednisone acetate tablets,there was some alleviation of sore throat,joint and muscle pain,and fever,but he still had persistent low-grade fever,rash,sore throat and arthralgia.He went to the TCM acupuncture outpatient department to receive BAA.Abdominal acupoints Zhongwan(CV12),Xiawan(CV10),0.5 cm below Xiawan(CV10),Qihai(CV6),Guanyuan(CV4),bilateral Qixue(KI13),bilateral Huaroumen(ST24),bilateral Shangfengshidian(AB1)and bilateral Daheng(SP15)were selected.After 3 months treatment,all symptoms disappeared,and the laboratory examination returned to normal levels.He did not take glucocorticoids or nonsteroidal anti-inflammatory drugs afterwards,and no relapse was observed during the 3-year follow-up period.CONCLUSION BAA can be used as a complementary medical approach for treatment of AOSD.
关 键 词:Adult-onset Still’s disease Bo’s abdominal acupuncture Traditional Chinese medicine Complementary medicine Case report
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