針藥並用治療腺病毒腦膜腦炎後之四肢無力

本病例報告為一6歲女童，於民國106年5月15日開始，出現發燒、腹脹等症狀，經過高雄市博仁醫院治療5天仍未改善。後來患者出現活動力降低、四肢無力且反覆發燒送至高雄醫學大學附設中和紀念醫院檢查（高醫）診斷為腺病毒感染引起之腦膜腦炎。經過一個月的住院治療後出院，但患者仍有四肢無力需依靠家屬協助推輪椅，因此於民國106年6月20日至本院中醫門診就診，經中醫辨證論治後，我們臆斷為痿證，其證型為肺有餘熱、心脾兩虛及濕熱內蘊。我們採用中藥與針灸的治療，治則為清熱潤肺、補益心脾及清利濕熱。經過了一週的治療後患者即可自行行走；兩週後可以奔跑。本文首先發現中藥與針灸治療可以做為腺病毒腦膜腦炎後四肢無力的治療選擇之一。

關鍵字

中醫；針灸；中藥；腺病毒腦膜腦炎；四肢無力

並列摘要

This was a 6-year-old girl patient who suffered from fever and abdominal distension on May 15^(th), 2017 and went to POJEN General Hospital for medication but in vain. On May 20^(th), 2017, the girl still had fever with activity reduced and paraplegia and she was brought to Kaohsiung Medical University Chung-Ho Memorial Hospital for further management. After survey, the girl was diagnosed with meningoencephalitis caused by adenovirus and she was hospitalized for 1 month. Because of her stable condition, she was discharged from Kaohsiung Medical University Chung-Ho Memorial Hospital but still with paraplegia and needed a wheelchair for moving. She visited our Chinese Medicine Department for help on June 20^(th), 2017. The diagnosis of flaccidity syndrome (痿證)was impressed and the syndrome type in Traditional Chinese Medicine(TCM) were incomplete abatement of heat in lung (肺有餘熱), heart and spleen deficiency (心脾兩虛) and retention of damp-heat in the body (濕熱內蘊). Then we used Chinese medicine combined with acupuncture to clean the abatement of heat in lung, nourish heart and spleen and clean the damp-heat in the body. After 1-week treatment, the girl could walk and she could run in 2-week treatment. In this case report, we first showed that acupuncture combined with Chinese Medicine could become a therapeutic option for paraplegia after meningoencephalitis caused by adenovirus.

並列關鍵字

Traditional Chinese Medicine ； acupuncture ； Chinese Medicine ； meningoencephalitis caused by adenovirus ； paraplegia

參考文獻

Neofytos, D., Ojha, A., Mookerjee, B., Wagner, J., Filicko, J., Ferber, A., Dessain, S., Grosso, D., Brunner, J., Flomenberg, N., Flomenberg, P. Treatment of adenovirus disease in stem cell transplant recipients with cidofovir. Biol Blood Marrow Transplant, 2007; 13(1): 74-81.