臏下滑囊炎(infrapatellar bursitis)中醫治療病例報告

Traditional Chinese Medicine Treatment on Infrapatellar Bursitis: A Case Report

吳炫璋(Hsien-Chang Wu) ； 吳佩青(Pei-Ching Wu) ； 游志勤(Chih-Chin Iou)

《台灣中醫臨床醫學雜誌》 14卷4期 (2008/12) Pp. 270-277

https://doi.org/10.6968/TJCCM.200812.0270

摘要

傳統中醫認爲痹症形成的原因是由於正氣虛弱、風寒濕三氣雜至，《素問‧痹論》提到：「風寒濕三氣雜至，合而爲痹，其風氣勝者爲行痹，寒氣勝者爲痛痹，濕氣勝者爲著痹。」。至於熱痹形成的原因，主因感受風濕熱邪或風寒濕痹鬱火化熱而成。
本病例介紹一位50歲女性病患，風寒濕痹日久不愈，再加上慢性勞損與體質因素，導致臏下滑囊發炎，中醫診斷爲熱痹熱勝證急性發作，經處以清熱利濕中藥治療一週後完全痊癒。本文藉由此病案之探討，討論熱痹之病因與用藥及西醫在類似膝關節附近發炎可能之診斷，並探討患者體質因素與長期勞損是否爲產生熱痹的主要原因。

關鍵字

痹證 ； 膝關節勞損病 ； 臏下滑囊炎 ； 熱痹

並列摘要

Traditional Chinese Medicine (TCM) theory reasons that the deficiency of healthy Qi and attack of pathogenic wind, cold and damp factors on the meridians of the limbs induce the Bi-syndrome, a syndrome marked by arthragia, numbness and dyskinesia of the limbs. As for the Pyretic Bi, it's due to invasion of joints by toxious heat or by accumulated heat and further complicated by pathogenic wind, cold and dampness, characterized with pain, redness, heat and swelling of the joint, thirst and fever.
This case introduced a 50 years old female suffered from arthragia that caused by wind-cold-damp pathogenic factors in the past. Her Yin-deficiency constitution and overstrain of the knee muscle and tendon further caused the infrapatellar bursitis. TCM diagnosis of this disease is acute Pyretic Bi with heat predominated.
After treatment with heat and toxic clearing and diuretic herbal formula for one week, the patient recovered completely. This article further discusses the etiology and the treatment of Pyretic Bi, and also the differential diagnosis with similar arthralgia or tendonitis around knee joint in modern medicine.

並列關鍵字

Arthralgia ； Strain of knee joint ； Infrapatellar bursitis ； Pyretic Bi