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題名 | 不明原因全身性紅斑及發疹中醫治療經驗--病例報告=The Therapeutic Experience of Unspecific Erythema and Punctate Pruritus with Chinese Medicine--A Case Report |
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作者 | 李冠東; 何宗融; 沈哲民; 賴英秀; 徐堅銘; Lee, Kuan-tung; Ho, Tsung-jung; Sheen, Jer-ming; Lay, Ing-shiow; Hsu, Chian-ming; |
期刊 | 北臺灣中醫醫學雜誌 |
出版日期 | 20130600 |
卷期 | 5:1 2013.06[民102.06] |
頁次 | 頁19-35 |
分類號 | 413.33 |
語文 | chi |
關鍵詞 | 紅斑; 發癢; 紅疹; 輔助療法; 中醫藥; Erythema; Pruritus; Complementary therapy; Traditional Chinese medicine; TCM; |
中文摘要 | 本病歷報告為50歲女性,無特殊家族史及過去病史,自97年-98年1月起 在臉部、上肢、下肢、腹部、背部、臀部的皮膚出現發紅、起疹、發癢的現象,在 某地區醫院診斷為異位性皮膚炎,口服抗組織胺(cetirizine 10mg bid)及外用類固醇 (betamethasone)、嚴重時使用類固醇針劑注射(Dexamethasone),但沒有顯著的改善。 患者曾至免疫風濕科檢查,其抽血數據亦無異常,也陸續在某醫學中心皮膚科、新陳代謝 科、婦產科等治療及檢查,病情反復,沒有明顯的檢查異常報告。患者於102/03/05至本 院中醫部就診。經中醫辨證為陰虛陽亢,肝鬱脾虛、營熱瘀結、濕鬱化熱,給予中藥煎劑 治療。經治療後患者紅斑、發癢、發熱的狀況改善,此次中醫治療期間,患者並未服用或 塗抹任何西藥,是純粹用中醫治療的案例。此患者目前仍於本院就診,雖然外在紅斑已改善,但內在體質仍需進一步持續治療,以鞏固療效。 |
英文摘要 | A 50-year-old woman with no past history or systemic disease has been from erythema and with pruritus over her face, upper limbs ,lower limbs, back, and hip since 2008. She was diagnosed with atopic dermatitis and prescribed 10mg bid PO, betamethasone cream, and Dexamethasone IM but no effect. She visited Dermatology, Metabolism & Endocrinology and Obstetrics & Gynecology department,but there was no obvious therapeutic results or a final diagnosis. Because of persisting symptoms, she went to our Chinese medicine clinic for treatment. Based on Chinese medical differential diagnosis, the Traditional Chinese Medicine syndrome includes syndrome of deficiency of liver yin and hyperactivity of liver yang, stagnation of liver qi, spleen deficiency and wet-sheng, production of fire due to stagnation of damp, blood stasis, external cold and internal heat. After approximately one month of Chinese herbs decoction treatment, the erythema and pruritus improved dramatically without any western medical assistance. In conclusion, Chinese Medicine might be a complementary therapy of unspecific erythema and pruritus. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。