慢性胃炎中醫門診病例報告

TCM Outpatient Case Study of Chronic Gastritis

許維宏(Wei-Hung Hsu) ； 黃雅慧(Ya-Hui Huang) ； 陳乃菁(Nai-Ching Chen)

《台灣中醫臨床醫學雜誌》 13卷3期 (2007/10) Pp. 232-236

https://doi.org/10.6968/TJCCM.200710.0232

摘要

慢性胃炎屬中醫胃脘痛的範疇，典型症狀包括腹部不適感、噁心、腹脹等由於胃的運動機能發生障礙所引起的症狀，也可能出現類似潰瘍的症狀，病情容易反覆(1)。此男性病人，胃脹痛反覆發作已數年，經胃鏡檢查診斷慢性胃炎並曾服西藥。96年1月自覺晨起口苦明顯，繼而胃脹氣不舒，食後腹脹甚，納差，中脘壓痛，冷痛感並有長期便溏的現象，故前來本院中醫科就診，經診斷處以溫中袪寒、健脾益氣、佐以舒肝利膽的治療原則後，病患症狀得到緩解。3個月後〈96年4月〉電訪病症未復發，起居飲食排便正常。

關鍵字

慢性胃炎 ； 胃脘痛

並列摘要

Chronic Gastritis belongs to epigastric pain in TCM with typical symptoms such as abdominal discomfort, nausea and distention which caused by blockage of stomach motor function. Ulcers-like symptoms might occur occasionally. The symptoms are prone to be repetitive. A male patient has repetitive stomach pain for several years. He has been taking Western medication after being examined by gastric endoscope. Starting in January 1997, He experienced prominent bitter taste when getting up in the morning, distending pain that aggravates after meals, poor appetite, tender in epigastric region, cold pain and persistent diarrhea, and came to the TCM department of the hospital for treatment. The patient’s symptoms are relieved after treatment based on warming the middle jiao and dispersing the cold, strengthening the spleen qi, and soothing liver to facilitate gall bladder. The patient didn’t have recurrent symptoms and has regular diet and bowel movement when followed up with phone 3 months later.

並列關鍵字

chronic gastritis ； epigastric pain