中醫治療圍絕經期盜汗病例報告

Treatment Of Perimenopausal Night Sweats Using Traditional Chinese Medicine -A case report

林俊佑(Jun-You Lin) ； 楊淑媚(Shu-Mei Yang)

《中醫內科醫學雜誌》 16卷2期 (2018/12) Pp. 117-126

摘要

本病案探討一名50歲的婦女，受潮熱、盜汗等更年期症狀困擾，接受三個多月中醫診察治療後，盜汗明顯改善。此患者睡眠不足或壓力大時容易誘發盜汗，中藥治療主要以當歸六黃湯與一貫煎，原本上半身大量出汗需要更衣，進步到背部、手肘少量出汗而不需更衣，盜汗發生的頻率從一週4〜5次進步到一週1〜2次。文中分析其中的病因病機與理法方藥，以作為更年期盜汗的診治參考。以期能對乳癌防治有所貢獻。

關鍵字

更年期 ； 盜汗 ； 中醫

並列摘要

The case report describes a three-month treatment course of Traditional Chinese Medicine in a 50-year-old woman who has experienced perimenopausal symptoms such as hot flashes and night sweats. The patient's symptoms, especially night sweats, improve significantly after intervention. Both sleep deprivation and life stress can precipitate night sweats in this case. A mixed formula of Chinese herbs containing mainly dang-gui-liu huang-tang and yi-guan-jian was prescribed for her. Originally, she needed to change clothes due to excessive sweating of the upper body. After treatment, only small amount of sweating of the back and elbows was noted. She does not have to change clothes anymore while sleeping. The frequency of night sweats has decreased from 4~5 times to 1~2 times a week. Analysis of etiology and pathogenesis as well as dialectical treatments, theory and formula in the article can provide a reference for the diagnosis, syndrome differentiation and treatment of this disease

並列關鍵字

perimenopause ； night sweats ； Traditional Chinese Medicine

參考文獻

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鄭碧華：台灣更年期婦女現況，2016 http://www.menopause.org.tw/newsdetail.php?title_id=1&ca_id=25&news_id=38