中醫治療青少女痤瘡併月經不規則之病例報告

本病例為一位15歲的女性，其臉部痤瘡已至少兩年，近三個月痤瘡患處紅、腫、癢及膿皰徵狀加重，範圍甚至擴及胸、背及臀，伴有手足汗皰疹等，並自訴自青春期起便有月經週期紊亂現象，於2017年7月17日抽血檢查中得知其黃體生成素與促卵泡激素的比值大於3，合併相關臨床表徵，疑似為多囊性卵巢症候群，患者欲藉中醫治療以改善臉部痤瘡、汗皰疹等問題。患者經中醫辯證為肝鬱脾虛、濕熱蘊結及腎虛血瘀，故治療上採用調肝理脾、清熱利濕及補腎通經等方式用藥，而患者的痤瘡、汗皰疹得以獲得改善。本病例報告可提供中醫治療因荷爾蒙異常所導致的痤瘡之治療參考。

關鍵字

痤瘡；月經不規則；多囊性卵巢症候群；汗皰疹

並列摘要

In this case, a 15-year-old woman with long-term irregular menstrual cycles had acne on her face for over two years. The redness, swelling and purulence of skin lesions had exacerbated, even affecting chest, back, and buttocks, accompanied with dyshidrosis over extremities. This patient had an indicator of polycystic ovary syndrome (PCOS). The ratio of luteinizing hormone to follicle stimulating hormone raised and with other relevant clinical manifestations. The patient preferred using Chinese medicine treatment to improve facial acne and dyshidrosis. The traditional Chinese medicine (TCM) syndrome differentiation for the patient was liver stagnation, spleen deficiency, damp-heat accumulation, kidney deficiency with blood stasis. Thus, the principle of treatment was "coordinating liver and spleen, clearing heat and eliminating dampness, nourishing kidney and promote menstruation." The patient’s skin symptoms had been gradually relieved. This effective case report could provide evidence of the treatment to alleviate worsened acne associated with hormonal imbalance by TCM.

並列關鍵字

acne ； irregular menstruation ； polycystic ovaries syndrome ； dyshidrosis

主題瀏覽