豬苓湯治療慢性攝護腺炎臨床病例報告

The Therapeutic Effect of Chu Ling Tang on Chronic Prostatitis-A Case Report

翁逸翔(Yi-Xiang Weng) ； 楊晉瑋(Ching-Wei Yang)

《台北市中醫醫學雜誌》 24卷2期 (2018/06) Pp. 15-21

https://doi.org/10.6718/TJCM.201806_24(2).0003

摘要

本病例報告為一48歲男性，自述2016年2月開始有下腹部有腫脹情形，並且有血精，且攝護腺液呈現深咖啡色，於西醫門診斷為慢性攝護腺炎。2016年12月14日於桃園長庚中醫內科就診，經中醫診治辨證為下焦濕熱。初診處方給予豬苓湯加減，一週後症狀減緩，二診三診持續進步，五診時已無下腹部腫脹和血精，攝護腺液也不呈現深咖啡色，治療效果令人振奮，本病案說明傳統醫藥治療慢性攝護腺炎不失為另一選擇。

關鍵字

慢性攝護腺炎 ； 豬苓湯 ； 中醫藥

並列摘要

A 48-year-old male had suffered from lower abdominal fullness since 2016/02. The symptoms included hemospermia, and prostate fluid revealed dark brown. He visited Urologist, and chronic prostatitis was diagnosed. He visited our Chinese Medicine department on 2016/12/14. After four examinations were performed, we determined the patterns is dampness-heat in lower jiao. Based on Chinese medical differential diagnosis, we prescribed Chu Ling Tang. The symptoms improved after one week TCM treatment. After two months, there were no lower abdominal fullness, no hemospermia, and no dark brown within prostate fluid. In conclusion, Chinese Medicine may be the complementary therapy of chronic prostatitis and even can be the first choice of this intractable disease.

並列關鍵字

Chronic prostatitis ； Chu Ling Tang ； traditional Chinese medicine

參考文獻

Chronic prostatitis/chronic pelvic pain syndrome, Michel Pontari, uptodate, Literature review current through: Mar 2017.

中醫治療慢性攝護腺炎淺見，張景琛，傳統醫學雜誌 16 期 (2005/04), 102-106。

http://www.urokingdom.com/ 泌尿專欄 /攝護腺疾病 / 攝護腺炎 prostatitis/

中醫症狀鑑別診斷學第二版：尿血