膽管癌之中醫診療病例追蹤報告

本例患者為69歲女性，近半年發現脅下悶痛伴見帶有大便金屬色（銀色），小便茶色，西醫診斷為肝外膽區膽管癌（cholangiocarcinoma）。自民國100年六月開始由於膽管癌西醫方面建議開刀，患者前來本院就診。中醫診斷為肝鬱脾虛，飲食不節導致脅痛之症。故採用養肝疏肝，瀉腑利膽之法治療。經六個月的治療之後，患者脅肋痛及胸悶次數均有顯著減少，二便顏色也漸轉為正常色，也願意接受西醫治療以及中醫術後調養。患者持續門診追蹤治療中，狀況良好。

關鍵字

膽管癌；脅下肋痛；膽管癌的中醫治療

並列摘要

The patient was a 69 year-old female and diagnosed with extrahepatic biliary cholangiocarcinoma (cholangiocarcinoma). She has suffering from bilateral subcostal dull pain, clay stool and tea color urine for half year. She was recommended to receive tumor excision with chemotherapy and radial therapy. However, this suggestion was refused and the patient came to our hospital seeking help. The traditional Chinese medicine (TCM) diagnosis was liver dysfunction, spleen deficiency and improper diet. We used the principle of enrichment of liver and spleen function to solve the obstruction of biliary tract. After six months of treatment, flank pain with chest tightness were significantly improved, additionally, clay stool and tea color urine disappeared. Furthermore, the operation of excision tumor was performed and the patient had continued follow up in our hospital with good condition.

並列關鍵字

Cholangiocarcinoma ； Subcostal pain ； cholangiocarcinoma treatment ； with Traditional Chinese Mesdicine

國際替代計量

膽管癌之中醫診療病例追蹤報告

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