子宮內膜異位症術後仍痛經的中醫治療

Treating Persistent Dysmenorrhea after Post-Operation Endometriosis Using Traditional Chinese Medicine

廖振凱(Chen-Kai Liao) ； 陳曉萱(Hsiao-Hsuan Chen) ； 方瑞琪(Ruei-Chi Fang) ； 李盛豪(Sheng-Hao Lee) ； 賴榮年(Jung-Nien Lai)

《北市醫學雜誌》 8卷4期 (2011/12) Pp. 62-71

https://doi.org/10.6200/TCMJ.2011.8.4.07

摘要

子宮內膜異位症是女性常見疾病之一，常困擾著女性日常的生活品質。子宮內膜異位症的症狀包括慢性盆腔疼痛、性交疼痛、子宮異常出血、痛經及降低生育能力，尤其是痛經的症狀，影響女性們的工作能力及其自信心。本案例報告一位19歲患有重度子宮內膜異位症的年輕女孩，因為數年來每次月經來都疼痛難忍到需服止痛藥，故接受腹腔鏡手術及術後柳培林針劑抑制復發等療法，然而術後再來的月經仍疼痛且嚴重到需服止痛藥才得以緩解，因此尋求中醫療法，以桂枝茯苓丸加味再搭配藥草薰蒸，共為期二個月的治療，終於解除多年來重度痛經不適的症狀。

關鍵字

子宮內膜異位症 ； 桂枝茯苓丸 ； 痛經

並列摘要

Endometriosis is one of the prevalent diseases that severely affect women's quality of life while they are of childbearing age. The symptoms of endometriosis include chronic pelvic pain, painful intercourse, abnormal uterine bleeding, painful menstruation, and decreased fertility. One of the most common clinical manifestations of endometriosis is painful menstruation or dysmenorrhea, which may negatively affect the woman's ability to work and reduces self-confidence. A 19-year-old girl who had taken painkillers during every menstrual cycle for several years presented at our outpatient clinic complaining again of intolerable abdominal pain after laparoscopic surgery and leuplin-depot injection therapy. She no longer suffered from dysmenorrhea after two-months of treatment with modified Gui-Zhi-Fu-Ling Wan thrice a day in combination with herbal fumigation. This case supports the use of Chinese herbal medicine in combination with herbal fumigation as an alternative therapy when relieving recurrent endometriosis.

並列關鍵字

endometriosis ； Gui-Zhi-Fu-Ling Wan ； dysmenorrhea