中醫治療便秘之病例報告

A Case Report of Constipation with Chinese Medicine Treatment

吳俊昌(Chun-Chang Wu) ； 張家國(Chia-Kuo Chang) ； 賴英秀(Ing-Shiow Lay) ； 何宗融(Tsung-Jung Ho) ； 陳香霓(Hsiang-Ni Chen)

《中醫內科醫學雜誌》 13卷2期 (2015/12) Pp. 62-73

https://doi.org/10.7102/JTCIM.201512_13(2).0008

摘要

便秘是中醫門診常見疾病之一，定義上為每週未能自動且完全解便三次或三次以下者，發生率平均為15%，且好發於大於60歲之老年人，性別方面女性為好發便秘的族群。本病例為25歲女性護理師，初診大便每週2-3次，診斷為陰液虧虛證，遣方用藥治以增液行舟合瀉下熱結，八週治療後，排便平均每週4-6次。我們藉此病例報告以提出治療經驗，供臨床上參考和運用。

關鍵字

功能性便秘 ； 便秘 ； 中醫

並列摘要

Constipation is one of the most common complaints at the Chinese medicine clinic. Constipation has been defined as a stool frequency of three or less than three per week. A prevalence of 12 to 19 percent (average 15 percent) has been reported in most studies, and constipation is more prevalent in women, and those over age 60. This patient is a 25-year-old female nurse. At first visit, her stool frequency was two to three per week, then after evaluation she was diagnosed in chinese medicine patterns which is insufficiency of yin humor. Based on TCM treatment principle, we treat with humor-increasing moist precipitation and cold precipitation for heat-bind constipation. After eight weeks treatment, her symptom improved of stool frequency of 4 to 6 per week. We demonstrated the experience in this case report for clinical reference and application.

並列關鍵字

Functional constipation ； Constipation ； Chinese Medicine

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