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A Typical Case in Treatment of Pulmonary Interstitial Fibrosis Caused by Systemic Sclerode

Time:2022-10-21 00:07:54

Ms. Wang, 57, came to our hospital for five years' stiff skin with her both hands and limbs and two years' asthma and dry cough after body movement. Symptoms included when being hospitalized: cyanosis of both hands at cold temperature, stiff skin with face and limbs, asthma after body movement, chest stuffiness, cough, little phlegm but sticky and hard to be expectorated, obvious Velcro rale with both lungs at middle and lower position, uniform heart rhythm at 90 C.P.M. along with systolic murmur at pulmonary artery. The CT examination of chest region indicated pulmonary interstitial fibrosis and color B-ultrosonic sound examination of heard indicated slight backflow at the pulmonary valve. The examination of pulmonary function indicated poor ventilation perfusion ratio and moderate diffusion disturbance. The routine blood test and the function test of liver and kidney indicated normal. Therefore, she was diagnosed as systemic scleroderma along with pulmonary interstitial fibrosis; meanwhile, as per TCM theory, she was diagnosed as arthraligia syndrome caused by deficiency of pulmonary and renal yin. After 40 days' treatment with Chinese herbal medicines to nourish kidney and strengthen lung, oral administration of No.3 Yingpiling, intravenous transfusion of Kalii Dehydrographolidi Succinatis(DAS) Injection Solution, Red Sange Root Injection Solution and Ligustrazine Injection Solution along with aerosol inhalation of TCM extracts, such symptoms as asthma and cough after body movement as well as cyanosis of both hands at cold temperature were eased obviously. CT check of chest region showed no obvious change while pulmonary function, vital capacity and forced expiratory volume per second were enhanced then before.