血管炎之中醫治療病例報告

本病例為37歲男性病患，在105年11月中旬，雙下肢陸續出現紫斑，上肢發作輕微，導致夜間搔癢難眠，所以在105/11/15時前往台大新竹分院就診，並被診斷為『動脈炎』，西醫給予NSAID（diclofenac）治療，但是不幸的是藥物未見療效。於是患者於105/11/25回診續服用相同藥物（diclofenac）。在未見改善的狀況下，於105/11/28轉就診於新竹馬偕紀念醫院尋求進一步的治療，他被診斷為『其他血管炎局限於皮膚』，並給予類固醇prednisolone。服藥後紫斑搔癢獲得控制，在服用類固醇prednisolone兩周餘後，紫斑搔癢復發，患者希望停用類固醇，遂來本院尋求中醫診治。在經過中藥療程治療之後，紫斑和搔癢消失。

關鍵字

熱入血室；小柴胡湯；血管炎；紫斑

並列摘要

This is a 37-year-old male patient. In mid-November, purpura appeared on both lower extremities and minor on upper extremities, resulting in itching at night and sleeping disorder. So he went to National Taiwan University Hospital Hsin-chu Branch on 105/11/15,then diagnosed as ＂arteritis＂. The doctor treat with NSAID (diclofanac). Unfortunately, the drug was ineffective. The patient came back to the hospitsal on 105/11/25 and treat with the same drug (diclofenac) again. Without any improvement, he transfered to Hsinchu MacKay Memorial Hospital for further help on 105/11/28. He was diagnosed as ＂other vasculitis confined to the skin＂ and given steroids (prednisolone). Then, the itching and purpura were under control. After taking more than two weeks of steroids(prednisolone), with recurrent itching and purpura the patient asked to stop steroids. Therefore he came to our clinic for Chinese medicine treatment. After Chinese medicine treatment course, the itching and purpura vanished.

並列關鍵字

Vasculitis ； Purpura ； Xiao Chai Hu Tang ； Heat into the blood chamber

參考文獻

Dennis L. Kasper, Anthony S. Fauci, Dan L. Longo, Stephen L. Hauser, J. Larry Jameson, Joseph Loscalzo : Harrison’s Principles of Internal Medicine, 19e, McGraw-Hill Companies, USA, 2015