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中醫治療下肢水腫病例報告

Integration of Chinese and Western Medicine in Treating Proteinuria: A Case Report

摘要


水腫是由於液體在血管、淋巴和組織間隙之間平衡失調,造成體內水液鬱積而形成水腫,以下肢水腫最為常見。下肢水腫的發生率與盛行率雖高,但是確實的數值仍有待研究。水腫可能是許多疾病發展過程中的臨床表現,故正確分析是何種原因造成水腫是有效治療的重要依據,尤其是病史的詢問及藥物使用史上亟需仔細搜集資訊。本病例探討一位22歲女性下肢腫脹痛,接受中醫治療的歷程、進而分析水腫可能的病因病機與運用中藥方劑治療之成效。

關鍵字

水腫 中醫 中藥 下肢水腫

並列摘要


Edema is due to the imbalance of liquid between vessels, lymph system and tissues, causing the accumulation of liquid within body, mostly exhibited as lower limb edema. Edema might be one clinical performance in the development of many diseases; therefore, it is essential for the efficacy of treatment to analyze the real causes of the edema, especially the inquiry of past medical and medicine history to collecting useful data carefully. This case report presented a 22-year-old female with swelling and pain in lower limb regarding the process of receiving Traditional Chinese Medicine, the possible causes and mechanism of her edema and the efficacy of the combined herbs used.

參考文獻


姚乃禮主編,中醫症狀鑒別診斷學,人民衛生出版社,2000。
Pereira de Godoy JM, Pereira de Godoy HJ, Pereira de Godoy LM, Guerreiro Godoy MF. Prevalence of Idiopathic Cyclic Edema in Women with Lower Limb Lymphedema. J Clin Med. 2018;7(1):2.
謝美芬顏兆熊:下肢水腫的原因及處置。基層醫學 2008 23(9):287-293。
莊惠蓉,廖文評,周稚傑,羅慶徽:水腫之鑑別診斷。基層醫學 2008 23(7):214-218。
王嘉倫,衛軍營, 範建偉,楊洪軍,張衛, 蘇瑞強:基於古代文獻分析經典名方四逆湯的主治疾病。中國實驗方劑學雜誌2018,8(24):15-18。

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