針刺改善抽搐病例報告一則

Seizure Associated with Acupuncture-A Case Report

江裕陽(Yu-Yang Chiang) ； 林在裕(Tsai-Yu Lin) ； 張志杰(Chih-Chich Chang)

《台灣中醫臨床醫學雜誌》 18卷4期 (2012/12) Pp. 26-33

https://doi.org/10.6968/TJCCM.201212.0026

摘要

本個案是針刺改善抽搐發作（Seizure）的一個罕見病例。41歲男性，具有癲癇病史，每天服用利褔全（Rivotril 0.5mg）2顆、樂命達（Lamictal 100mg）1顆等鎮靜安神藥超過5年，全身仍常不自主顫動，故尋求針刺治療。個案每次被針刺時，即出現抽搐發作的症狀，但治療後，即使一天不服藥，仍不致於因咽喉緊縮，吞嚥困難，而影響正常生活。針刺治療6個月的過程中，每次針刺誘發肢體抽搐發作至症狀平復的時間，有愈來愈短的趨勢，抽搐發作反應，亦愈來愈緩和。由本個案的臨床觀察顯示，針刺可能誘發抽搐發作，但利用針刺治療抽搐發作症狀，有其潛在的效益存在。

關鍵字

針刺 ； 抽搐發作

並列摘要

This is a rare case that experienced seizures treated by acupuncture. A 41-year-old male who had epileptic seizure history had suffered from uncontrolled fine movement of muscles for more than 5 years, although he have taken Rivotril 1mg and Lamictal 100mg every day. So he sought for help and received acupuncture treatment. However he experienced seizures as soon as being inserted a needle. Once a needle triggered seizures, other needles were inserted to sedate the symptoms. The patient could live a normal life without any medication for one day after each acupuncture treatment. The episodes of seizures were shorter and symptoms were milder gradually after 6 months acupuncture treatments. Although acupuncture may provoke seizure, this case revealed potential beneficial effects of acupuncture in treating seizure.

並列關鍵字

acupuncture ； seizure