右歸丸治療過敏性鼻炎之臨床案例

過敏性鼻炎好發於各年齡層，主要症狀有打噴嚏、流鼻水、鼻塞、鼻癢，是個影響人類健康的全球性問題。據報導，過敏性鼻炎的全球盛行率是百分之11.8到46。本病例報告之30歲男性患者，自小即有晨起流鼻水、打噴嚏、鼻塞、鼻癢等症狀，反覆發作已多年。病患平素怕冷、便軟溏泄、舌淡苔白、脈沉弱，經中醫辨證屬腎陽虛證型。右歸丸為中醫傳統的溫腎陽藥方，臨床上使用於腎陽虛的患者。本病患服用以右歸丸為主方之科學中藥，諸症狀明顯緩解，綜合鼻腔症狀評分從7分進步到3分。

關鍵字

過敏性鼻炎；腎陽虛；右歸丸

並列摘要

Allergic rhinitis(AR), characterized by sneezing, rhinorrhea, nasal congestion, and nasal pruritus, is a worldwide health problem affecting people of all ages. The reported incidence of AR is 11.8-46 % worldwide. This thirty years old male who suffered from rhinorrhea, nasal itching, nasal obstruction, and sneezing in the morning recurrently for many years from childhood. Based on the theory of syndrome differentiation of TCM, patient is diagnosed as Kidney Yang Vacuity ,whose symptom include aversion to cold, diarrhea containing untransformed food, pale tongue with white fur, sunken weak pulse. After taking You-Gui-Wan, a classical herbal formula in Traditional Chinese Medicine, warming the Yang of the kidney and used clinically in patients with Kidney Yang vacuity, this patient's symptom are significantly improved in the scores from seven to three by the total nasal symptom score(TNSS).