癲癇針灸治療病例報告

一位37歲的女性患者，在25歲起有癲癇發作的情形，西醫診斷為原發性癲癇，服用西藥治療約3至4年後自行停藥，約3年後復發，再服西藥已無法控制，發作時神志昏迷、瞳孔放大、牙關緊閉、雙手緊握約一分鐘，再過2分鐘才回過神來，現在持續接受西醫治療，但近來發作頻率增加，故求治於針灸治療。治療以額五針或四神聰為主穴，取其寧心安神之鎮靜作用，配合體針及耳針，針法平補平瀉為主，每周2-3次。患者發現癲癇發作與頭暈、頭痛、睡眠障礙、月經前後有關。治療結果近2個月癲癇發作次數較減，且患者主觀認為針灸治療前後頭痛及頭暈較改善。

關鍵字

癲癇；針灸；四神聰；額五針

並列摘要

Our patient a 37 year old woman first began having episodes of epilepsy when she was 25 years old. She was diagnosed as having primary generalized epilepsy and after taking westerns medicines for 3 to 4 years decided on her own to stop treatment. Three years later, after experiencing a recurrence of symptoms, she began taking medicine again but it was ineffective. During episodes her symptoms included; delirium, dilated pupils, and clenching of the teeth and hands. Symptoms lasted for about one minute. After two minutes she would regain consciousness. The patient is currently taking western medicine, but the rate at which the episodes occur has been increasing, so she decided to seek help from acupuncture. The primary points used for treatment were the Five Forehead points and Si Shen Cong, chosen for their calming effects on the heart and spirit. These points were combined with points on the body and ears and the primary needling technique was even supplementation and drainage. Treatment was given 2-3 times per week. The patient noticed that there was a correlation between the occurrence of an episode and her symptoms of dizziness, headaches, sleep problems and the time just before and after her menstrual period. Treatment resulted in fewer episodes during the past two months and the patient reported that there has been an improvement in her headaches and dizziness since receiving acupuncture.

並列關鍵字

epilepsy ； acupuncture ； si shen cong ； five forehead points

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癲癇針灸治療病例報告

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