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| 題 名 | 中醫治療老人肺炎、肺結核暨反覆肋膜積水、心包填塞(乳糜屯積)病案探討=Clinical Case Study of TCM Treatment for Senilel Pneumonia, Tuberculous Accompanied with Relapsed Pleural Effusion and Cardiac Tamponade (Chylopericardium) |
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| 作 者 | 林坤成; 李政育; 廖炎智; 黃財旺; | 書刊名 | 中國鍼灸學雜誌 |
| 卷 期 | 9:1 2021.12[民110.12] |
| 頁 次 | 頁52-62 |
| 分類號 | 413.341 |
| 關鍵詞 | 肺炎; 肺結核; 老人肋膜反覆積水; 肋膜積水; 老人肺炎; 老人肺結核; 老人心包填塞; 老人乳糜屯積; Pneumonia; Tuberculosis; Relapsing senile pleural effeusion; Senile pneumonia; Senile tuberculosis; Senile pericadial tamponade; Senile chylopericardium; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6528/CAMS.202112_9(1).0007 |
| 中文摘要 | 老人或重症病人常因肺炎、肺結核或反覆肋膜積水、心包填塞(乳糜屯積)而導致死亡。老人肺炎常不典型,多以喘或其他症狀表現。肺炎屬於中醫的表風熱或表裡三焦實熱,以大青龍湯加減治之,可取得療效。肺結核在台灣並未絕跡,老人肺結核症狀似乎也不典型!肺結核屬於中醫肺癆瘵或骨蒸勞熱的範圍,應以養肺陰藥物治之。老人肋膜反覆積水是西醫棘手的問題,屬於中醫懸飲範圍,以大劑量育生五苓散(腎炎方)加重防己、葶藶子、黃耆,可以有效控制病情。 |
| 英文摘要 | Pneumonia with relapsing pleural effusion , cardiac tamponade(chylopericardium) are frequent causes of death in the aged population and patients in critical care units. Senile pneumonia presents mostly with labored breathing or other symptoms instead of classic manifestations. In TCM differentiation, pneumonia belongs to wind heat or excess heat in San-jiao. Da Qing Long Tang is the commonly used formula with clinical success. Tuberculosis still exists in Taiwan. Senile tuberculousis typically doesn't present with classic clinical symptoms. In TCM theory ,tuberculosis is differentiated as lung wasting disease or steaming bone syndrome. The classic formula used for tuberculosis focuses on yin tonifying herbs. Relapsing pleural effusion is a difficulty and tricky condition in aged patients even in conventional clinical settings. Pleural effusion is differentiated as Suspended fluid in TCM. Clinical finding in pleural effusion treatment using high dose of Yu Sheng Wu Ling San (Nephritis formula) with high dose of Fang Ji (Radix Stephaniae Tetrandrae), Ting Li Zi (Semen Lepidii) , and Huang Qi (Radix Astragali) shows significant effectiveness in managing pleural effusion. |
本系統中英文摘要資訊取自各篇刊載內容。