Non-surgical recovery from splenic rupture hemorrhage using herbal medicine: Insights from a case report.

Q4 Medicine
Trauma Case Reports Pub Date : 2026-05-28 eCollection Date: 2026-08-01 DOI:10.1016/j.tcr.2026.101371
Xiaowang Nie, Songbo Yang, Xianghuai Long, Wuliang Diao
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引用次数: 0

Abstract

Background: To date, there have been no documented cases of complete recovery from hemorrhage due to traumatic splenic rupture treated exclusively with Chinese herbal medicine. This case report details a 54-year-old Han male who achieved full recovery from splenic rupture-induced hemorrhage through the self-administration of oral and topical Chinese herbs following an accident.

Case presentation: The patient fell from approximately 3 m while collecting herbs, landing on his left chest and abdomen, resulting in persistent pain and discomfort. Initially, he self-treated with Chinese herbs, but his symptoms worsened, leading to bloating, general weakness, dizziness, chest tightness, and fever. Imaging revealed multiple left rib fractures, splenic contusions, and significant blood and fluid accumulation in his abdominal and pelvic cavities. Despite these serious findings, the patient chose to continue managing his condition at home with Chinese herbal remedies. Five days later, due to ongoing symptoms, his family insisted on hospitalization for a thorough evaluation. During his stay, he received general medical treatment while continuing with the Chinese herbs. After four days, his condition improved, and subsequent imaging showed a reduction in blood and fluid accumulation. Follow-up over a year confirmed complete recovery without the need for surgery or blood transfusion.

Conclusion: This case illustrates the potential effectiveness of Chinese herbal medicine in managing hemorrhage from traumatic splenic rupture. The patient's significant recovery without surgical intervention or blood transfusion suggests a promising role for Chinese herbal treatments in acute traumatic hemorrhage, warranting further research and clinical investigation.

脾破裂出血的非手术治疗:草药治疗1例。
背景:迄今为止,还没有文献记载的单纯用中药治疗外伤性脾破裂出血完全康复的病例。本病例报告详细介绍了一位54岁汉族男性,在一次意外事故后,通过口服和外用中药的自我管理,从脾脏破裂引起的出血中完全恢复。病例描述:患者在采药时从约3米高的地方坠落,左胸腹着地,造成持续疼痛和不适。最初,他用中药自我治疗,但他的症状恶化,导致腹胀、全身乏力、头晕、胸闷和发烧。影像学显示左肋骨多处骨折,脾脏挫伤,腹腔和盆腔内明显积血和积液。尽管这些严重的发现,病人选择继续在家用中草药治疗他的病情。五天后,由于症状持续,他的家人坚持住院进行彻底评估。在他逗留期间,他接受了一般治疗,同时继续服用中草药。四天后,他的病情好转,随后的影像学显示血液和液体积聚减少。一年多的随访证实患者完全康复,无需手术或输血。结论:本病例说明中药治疗外伤性脾破裂出血的潜在疗效。该患者无需手术或输血即可明显恢复,提示中药治疗急性外伤性出血具有良好的临床应用前景,值得进一步研究和临床研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Trauma Case Reports
Trauma Case Reports Medicine-Emergency Medicine
CiteScore
0.60
自引率
0.00%
发文量
131
审稿时长
26 weeks
期刊介绍: Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.
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