- 期刊
中藥治療小兒多汗症病例報告
Traditional Chinese Medicine for Hyperhidrosis in Children: A Case Report
摘要
多汗症是一種以出汗過多為特徵的皮膚病，常見好發部位為手掌、腳、腋窩和頭部，臨床上稱為局部性多汗症。這種過度出汗會出現手汗、足汗，干擾日常活動、社交和工作，迫使患者尋求治療。西醫治療局灶性多汗症包括內服藥、外用藥、理療、手術等，但部分治療有局限性，並常伴隨明顯的副作用，故中醫對於多汗症的治療值得進行研究。本病例報告一位8歲11個月的男童，上小學後手掌、腳掌出現出汗情形，影響學業及生活。患者過去有胎便吸入症候群（meconium aspiration syndrome, MAS）病史，且家族有遺傳性的局部多汗症。曾於國小三年級首次就診，近日升上四年級後，準備考試時，又出現手腳出汗情形，故再次尋求中醫治療。本患者先天肺氣虛，造成表衛固攝不足而致手腳出汗，本案例使用參蘇飲搭配補中益氣湯；搭配緩解肝氣不舒的抑肝散，有效降低手腳出汗的頻率及程度。本病例探討多汗症的中醫病因、病機與治則，並整理相關中醫療法，且使用多汗症疾病嚴重程度量表，和多汗症評估量表完整追蹤療效。本病例緩解出汗療效良好，臨床上可做為中醫藥治療多汗症之參考。
並列摘要
Hyperhidrosis is a dermatology disease characterized by excessive sweating, which usually affects discrete sites, such as the palms, feet, armpits, and head. The symptom of excessive sweating on hands and feet results in patients' impairment of ac-tivities of daily living, social life, and work, which forced the patients to seek treat-ments. Conventional therapy for focal hyperhidrosis includes internal medication, topifical medication, physical therapy, and surgery, etc. However, some of them are reported to have limited efficacy with obvious side effects. Thus, traditional Chinese medicine is a promising therapy for hyperhidrosis. is case report is about an 8y11m-boy with sweating palms and feet, and therefore, his study efficiency and daily life were limited. With a history of meconium aspiration syndrome and family history of focal hyperhi-drosis, he sought traditional Chinese medical assistance during his third grade. The dis-turbing symptoms aggravated during his fourth grade. Therefore, he needs our help once more. According to the Chinese Medical Syndrome Differentiation, the pattern of identification was deficiency of the of lung-qi, causing insufficient surface defense. Bu Zhong Yi Qi Tang, Shen Su Drink, and Yi Gan Powder were prescribed, which e ectively reduce the frequency and degree of sweating symptoms. This case report discuss-es the etiology, pathogenesis, principle, and methods of treatment for hyperhidrosis in children, including the advantages of Chinese medicine. The successful case indicates the good efficacy-Chinese medicine ends up with less sweating palms and feet. We want to share this case in clinical treatments for hyperhidrosis in Chinese medicines.