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| 題 名 | 巴金森氏病中醫治療病例報告=A Case Report: Treatment of Chinese Medicine on the Patient with Parkinson's Disease |
|---|---|
| 作 者 | 何秀琴; 李政育; 蔣永孝; 黃文盛; | 書刊名 | 中國鍼灸學雜誌 |
| 卷 期 | 5:1 2017.12[民106.12] |
| 頁 次 | 頁81-92 |
| 分類號 | 413.36 |
| 關鍵詞 | 中醫治療; 巴金森氏病; 修正補陽還五湯; 右歸飲; 補腎陽; 補氣補血; 活血化瘀; 通經活絡; Chinese medicine; Parkinson's disease; Modified bu-yang huan-wu decoction; You-gui yin brew Yu-Sheng; Rreplenishing kidney yang; Combined replenishing of energy and blood; Improving blood circulation and breaking down stagnation; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6528/CAMS.2017.0007 |
| 中文摘要 | 目的:觀察中醫治療巴金森氏病的療效。臨床病例:72歲女性病例,肢體僵硬、笨拙,動作遲緩,步態不穩,轉身困難,右腳震顫,約二年。近日睡眠障礙,夜間盜汗,便秘。行走時右足步伐拖曳、手臂擺動消失,面部缺乏表情及笑容,情緒憂鬱焦慮,情緒起伏時,震顫更顯著;常感覺疲累、說話聲音單調。病例神識清楚,感覺及智力並無影響。治療方藥為修正補陽還五湯、右歸飲合方加味,全部藥材皆由何合安中醫診所提供,依臨床病患服用方式調理,口服,每日一劑,每二周複診一次,以觀察臨床症狀改變。結果:1.病例自2016/03/05規律服中藥,其肢體僵硬、動作遲緩改善,與人應對反應較快,說話較為流暢清晰,震顫減輕。2.目前病例仍持續規律服藥。結論:臨床觀察發現:修正育生補陽還五湯、右歸飲合方加味,具補氣補血補陽、活血化瘀、通經活絡作用。病例規律服用該方藥後,其顫抖、僵硬、動作遲鈍等主要臨床症狀顯著的穩定進步,但其治療作用機轉為何,值得更深入的研究和探討。 |
| 英文摘要 | Purpose: To evaluate the effects of Chinese Medicine therapy on the patient with Parkinson's Disease. Method and Material: A 72 year-old female presented with Parkinsonism for 2 years: unsteady gait, clumsiness in action and difficulty in body turning, stiffness in limbs, resting tremor of right limbs, and the intensity of left body's muscle decreased. The Tc- 99m TRODAT brain SPECT shown severe reduced uptake of tracer in the right caudate nucleus and relatively reserved in the left side; moderate decreased uptake of tracer in the bilateral putamens, more on the left side. Gloss appearance: the right striatium was atrophied compared with the left side. The left caudate nucleus presented compensated uptake of the tracer. The patient was diagnosed with Parkinson's disease at Taipei Veterans General Hospital. Depending on her clinical presentations , different dosages of combination of Modified Bu-Yang Huan-Wu Decoction (修正補陽還五湯), and You-Gui Yin (Brew) (Yu-Sheng) (右歸飲) were applied regularly. Results: After the application of the prescription, the patient could walk stably without escort, and able to clothe by own. Her postural coordination was improved and presentin energetic looks. Conclusions: We conclude that clinical-dependent varying-dosage combinations of Modified Bu-Yang Huan-Wu Decoction (修正補陽還五湯) and You-Gui Yin (Brew) (Yu-Sheng)(右歸飲), may play important roles in replenishing kidney yang, combined replenishing of energy and blood, improving blood circulation and breaking down stagnation, by which effectively enhancing and enlivening the activity of nerve cells as well. Further advanced clinical and basic researches on these chinese medicine remedies could be worthy performed. |
本系統中英文摘要資訊取自各篇刊載內容。