放療後咽喉痛導致失眠加重中西醫治療病例報告

Sore Throat Caused Insomnia Aggravated by Radiotherapy Treated with TraditionalChinese and Western Medicine: A Case Report

林致展(Jhih-Jhan Lin) ； 陳俊良(Jiun-Liang Chen) ； 曾印正(Yin-Cheng Tseng) ； 黃千甄(Chien-Chen Huang)

《中醫內科醫學雜誌》 21卷1期 (2023/06) Pp. 49-58

https://doi.org/10.7102/JTCIM.202306_21(1).0005

摘要

口腔癌是發生於口腔內的各種惡性腫瘤。絕大多數的口腔癌是由黏膜上的麟狀細胞惡化所形成，約佔口腔癌90％以上。在台灣地區以舌癌與頰黏膜癌佔大多數。此案為49歲的男性本身具有舌癌病史，於2022年復發開始進行放化療治療，期間出現咽痛引起失眠加重等不適，故欲前來中西醫合療，因考慮到化療毒邪及久耗陰分，所以治法以滋陰降火及清熱解毒為主，在治療期間咽痛明顯下降，進而改善睡眠品質，以利患者減少西藥止痛藥服用。

關鍵字

中西醫合療 ； 中醫藥 ； 放療 ； 口腔癌 ； 舌癌 ； 咽痛 ； 失眠 ； 清熱解毒 ； 養陰清熱

並列摘要

Oral cancer is a type of malignant tumor that develops in the oral cavity. The majority of oral cancers are derived from the degeneration of squamous cells on the mucous membranes, accounting for over 90% of cases. Tongue cancer and buccal mucosa cancer are the most common types in Taiwan. In this particular case, a 49-year-old man had a history of tongue cancer. He experienced a relapse in 2022 and subsequently underwent chemotherapy and radiotherapy. During the course of treatment, the patient developed insomnia, which was further exacerbated by the radiotherapy. As a result, he sought to integrate Western and traditional Chinese medicine approaches. From the perspective of traditional Chinese medicine, the side effects of chemotherapy and prolonged illness can deplete the body's Yin fluid. Therefore, the primary focus of treatment is to clear heat-toxins, nourish Yin, and alleviate heat. Following the treatment, the patient experienced significant relief from sore throat symptoms, and his sleep quality also improved.

並列關鍵字

Western and traditional Chinese medicine ； Chinese medicine ； Radiotherapy ； Oral cancer ； Tongue cancer ； Sore Throat ； Insomnia ； Clearing heat-toxin ； Nourishing yin and clearing heat

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