C型肝炎急性發作之中醫診療病例追蹤報告

A Case Report of Treatment with Traditional Chinese Medicine for Acute Exacerbation of Chronic Hepatitis C

黃鳳玉(Fong-Yu Huang) ； 唐慶齡(Ching-Lin Tang) ； 林偉椿(Wei-Chun Lin) ； 許中華(Chung-Hua Hsu)

《中醫內科醫學雜誌》 10卷1期 (2012/06) Pp. 13-21

https://doi.org/10.7102/JTCIM.201206.0013

摘要

患者為60歲女性，C型肝炎病史32年，初始症狀輕微不影響生活功能，未長期定期追蹤。患者於民國98年開始於本院看診，肝功能指數維持在穩定狀況，AST平均40U/L以內，ALT平均60U/L以內。患者於100年五月中旬罹患重感冒，隨即出現下列症狀，包括倦怠、納差、頭暈、身重、口淡、口乾、胸悶，患者於5/21回本院抽血檢驗後發現AST/ALT為324/510U/L。西醫診斷為慢性C型肝炎之急性發作，中醫診斷為肝鬱脾虛，濕阻中焦之證型。故採用疏肝解鬱，健脾和胃之法治療。治療三次之後，上述症狀皆顯著改善，AST/ALT降回32/60U/L。

關鍵字

C型肝炎 ； 疏肝解鬱 ； 健脾和胃

並列摘要

We presented a 60 year-old female with chronic hepatitis C for 32 years. She didn't be regularly followed up in a hospital because there were not severe symptoms. The patient was referred to our outpatient department with continually traditional Chinese medicine (TCM) therapy since 2009. She was suffering from severe influenza with series symptoms include poor appetite, dizziness, sore throat, fatigue and chest tightness in May 2011. Laboratory studies showed elevation of transaminase levels (aspartate aminotransferase [AST]: 324 and alanine aminotransferase [ALT]: 510 U/ml.) Acute exacerbation of chronic hepatitis C was diagnosed. In the other hand, TCM diagnosis was liver depression with spleen deficiency and dampness obstruction of middle energizer. Principle of fortifying the spleen with harmonize the stomach was used. After three times of treatment, there was significant improvement of all her symptoms and transaminase decreased to normal level (AST: 32, ALT: 60 U/ml.).

並列關鍵字

Hepatitis C ； Acute exacerbation of chronic hepatitis ； TCM treatment of