梨狀肌症候群之中醫治療

Traditional Chinese Medicine for the Treatment of Piriformis Syndrome

葉裕祥(Yuh-Hsiang Yeh) ； 鄭婷宜(Ting-Yu Tseng) ； 陳瑞文(Jui-Wen Chen) ； 洪尚綱(Shang-Gang Hong) ； 郭威均(Wei-Chun Kuo)

《北市醫學雜誌》 4卷8_S期 (2007/09) Pp. 762-766

https://doi.org/10.6200/TCMJ.2007.4.8.15

摘要

梨狀肌症候群或綜合症是梨狀肌損傷後，刺激或壓迫坐骨神經而產生的坐骨神經痛相關的神經症狀，所以是坐骨神經痛的原因之一，屬中醫「傷筋」和「痺證」的範疇，症狀可有患側臀部酸痛，或有大腿後側或小腿外側的放射性疼痛或不適等，觸診時在梨狀肌部位有壓痛，局部肌肉可觸及條索狀，診斷梨狀肌症候群是以物理檢查為主，並可用放射線檢查來排除其他疾病。本病例是－61歲男性患者，主訴右小腿外側酸痛與無力感，經物理檢查後診斷為梨狀肌症候群。以合併推拿，針刺以及中藥內服等療法治療，其右小腿外側酸痛、無力等問題逐漸緩解，終至完全改善的一個梨狀肌症候群以中醫治療的病例報告。

關鍵字

梨狀肌症候群 ； 推拿 ； 針刺 ； 中藥

並列摘要

Piriformis syndrome usually results from compression or irritation to the sciatic nerve by the pirimormis muscle after injury. It could be called ”soft tissue impairement” or ”obstructive syndrome” in Chinese medicine terms. The clinical features include soreness and pain in the gluteal area and radiation symptoms to the posterior side of the thigh and the lateral side of the lower leg. There are palpable taut bands and tenderness in the piriformis muscle. Physical examination tests aide in the diagnosis and help to differentiate other diseases. The subject of the case report is a man of sixty-one years old, who complained soreness, pain and weakness on lateral side of right lower leg. The diagnosis of piriformis syndrome. was made after physical examination. We treated the patient with the combination of Chinese massage, acupuncture, and herbs. After several times of treatment, the symptoms and signs were completely resolved.

並列關鍵字

piriformis syndrome ； Chinese massage ； acupuncture ； Chinese herbs