中醫治療膀胱過動症之病例報告

Treatment for Overactive Bladder with Traditional Chinese Medicine: A Case Report

蕭丙昆(Ping-Kun Hsiao) ； 楊士樑(Shih-Liang Yang) ； 江科郁(Ke-Yu Jiang)

《醫學與健康期刊》 13卷1期 (2024/03) Pp. 71-79

摘要

本病例是一位37歲女性，有子宮肌瘤、混合焦慮及憂鬱情緒的病史，自2020年11月開始出現頻尿症狀，至泌尿科診斷為膀胱過動症，經過2年多藥物及電刺激治療後，症狀仍反覆發作而到中醫科求診。中醫診斷為脾腎兩虛型的小便數，治療方針為補脾益腎，疏肝解鬱。筆者整理中西醫對於泌尿系統的理論架構以及近年治療研究，希望能提供對這類疾病治療上的參考。

關鍵字

尿失禁 ； 膀胱過動症 ； 中醫

並列摘要

This case report describes a 37-year-old female patient with a medical history of uterine fibroids, mixed anxiety, and depression symptoms. She began experiencing frequent urination symptoms in November 2020, and was diagnosed with overactive bladder by the urology department. After more than two years of medication and electrical stimulation therapy, her symptoms continued to recur, leading her to seek treatment from traditional Chinese medicine (TCM). The TCM diagnosis identified urinary issues related to spleen and kidney deficiency, and the treatment approach focused on tonifying the spleen, nourishing the kidneys, and regulating liver function to alleviate depression. In this article, the author compiles both TCM and Western medicine theories regarding the urinary system, as well as recent treatment research, with the aim of providing insights into the treatment of such conditions.

並列關鍵字

Urinary incontinence ； Overactive bladder ； Traditional Chinese medicine

參考文獻

Abrams P, Andersson KE, Apostolidis A, et al.: 6th International Consultation on Incontinence. Recommendations of the International Scientific Committee: EVALUATION AND TREATMENT OF URINARY INCONTINENCE, PELVIC ORGAN PROLAPSE AND FAECAL INCONTINENCE. Neurourol Urodyn 2018;37:2271-2.

Peyronnet B, Mironska E, Chapple C, et al.: A Comprehensive Review of Overactive Bladder Pathophysiology: On the Way to Tailored Treatment. Eur Urol 2019;75:988-1000.

Li YT, Chang CP, Wang PH: Overactive bladder: An underestimated troublesome problem in women. Taiwan J Obstet Gynecol 2022;61:735-6.

Coyne KS, Sexton CC, Kopp ZS, Ebel-Bitoun C, Milsom I,Chapple C: The impact of overactive bladder on mental health, work productivity and health-related quality of life in the UK and Sweden: results from EpiLUTS. BJUInt 2011;108:1459-71.

Chuang YC, Liu SP, Lee KS, et al.: Prevalence of overactive bladder in China, Taiwan and South Korea: Results from a cross-sectional, population-based study. Low Urin Tract Symptoms 2019;11:48-55.