以「小柴胡湯加減」合併治療肝癌栓塞「潮熱不退」一例報告

"Sho-Saiko-To" TCM Combined MWM Therapy for Treatment Hepatocellular Carcinoma TAE Non-refundable Tide Fever; a Case Report

林慶鐘(Chin-Chung Lin) ； 何明印(Min-Ing Ho)

《台灣中醫臨床醫學雜誌》 18卷3期 (2012/10) Pp. 1-7

https://doi.org/10.6968/TJCCM.201210.0001

摘要

一76歲女性患者疑似惡性肝腫瘤至本院住院治療，經腹超及電腦斷層發現肝腫瘤分別位於S4/5 11.4公分及S3 2.6，診斷為肝癌T3bN0M0。第七日進行動脈栓塞（TAE）治療，住院第二日後即開始反覆潮熱發燒不退，於住院第八日亦即栓塞第二日會診中醫。患者神智清楚，但發燒寒熱往來如瘧蓋綿被不能止寒，依中醫四診診為為邪擾少陽，濕熱毒邪鬱積。採和解少陽、清熱解毒，處方以小柴胡湯合茵陳五苓散及佩蘭、藿香等加減給藥。患者經合併服用中藥後發燒消退體溫正常於第十四日順利出院，故提出中西醫治療過程供同道參考。

關鍵字

惡性肝腫瘤 ； 發燒寒熱如瘧 ； 小柴胡湯 ； 茵陳蒿湯

並列摘要

A 76-year old female patient was suspected suffering malignant hepatocellular carcinoma from other personal clinic. The liver tumors were found to locate at S4/5 11.4 cm and S3 2.6 cm cm by abdominal ultra- sona and computed tomography, It was diagnosed T3bN0M0 as hepatocellular carcinoma. The arterial embolization (TAE) treatment was perfomed at 7th day after hospitalized. However; the persist tide fever cold-like malaria was continued despite the antibacterial drugs usage began the 2nd day after hospitalized . The Traditional Chinese Medicine (TCM) Doctor was consulted to solve the tide fever at 8th day (the 2nd day of TAE) after hospitalized. TCM treatment combined with TACE was prescribed according to syndrome differentiation to overcome tide fever. The Sho-Saiko-To of TCM treatment was prescripted and combined with Modem Western Medicine. It has also been shown to improve immune system functions and inhibit hepatocellular carcinoma TAE tide fever. The temperature was normal and fever was non refundable, on the second day of consultations of TCM treatment (the eighth day in hospital). The patient was dicharged from hospital on the 14th day. A detailed mechanism combination of TCM and MWM was discussed in this article.

並列關鍵字

hepatocellular carcinoma ； fever ； cold-like malaria ； Sho-Saiko-To ； Yin-Chen-Hao Tang