- 期刊
小兒腹脹之中西醫治療病例報告
Combination of TCM and Western Medicine Treatments on Juvenile Abdominal Distension: A Case Study
摘要
腹脹(abdominal distension)是以腹圍增加爲定義。因腹內壓力增加使腹壁突出，腹脹可能是生理或病理徵象，可能因爲脂肪組織、脹氣、懷孕、體液，使腹部突出，需仔細評估診斷。中醫對於腹脹區分爲實證與虛證，依據證型不同處以中藥。 這是一位5歲的小男孩病患，平時身體狀況良好，因急性化膿性闌尾炎(acute suppurative appendicitis)診斷而施行闌尾切除手術(appendectomy)及後續清除膿瘍手術，之後出現上呼吸道感染且合併腹脹等腸胃不適之症狀，如鼻涕、鼻塞、咳嗽、喉稍痛、腹脹甚、便軟稀等，且因腹脹之故只進食粥品，經診斷爲肺氣宣發降氣失司，脾氣虛，脾胃氣滯，治療上以宣肺解表，降肺氣，溫補脾胃及理氣之藥物。其間仍陸續發生上呼吸道感染，經中西藥治療後病情得到顯著之改善。由此患者之治療病程可知，應用中醫對於小兒腹脹病因病機之認識而處以中藥之治療有不錯之療效。
並列摘要
Abdominal distension is the increment of abdominal gird due to the protrusion of abdominal wall resulted from development of pressure inside abdomen. Abdominal distension has either physiological or pathological manifestations. The protrusion of abdominal wall might result from accumulation of fatty tissues, gas, body fluid, or pregnancy. Traditional Chinese medicine has categorized abdominal distension into excess syndrome and deficiency syndrome. Different formulas are prescribed accordingly. The case is a 5-year-old boy who has good health before. He had appendectomy to remove acute suppurative appendicitis and operation to clean abscess. After surgery, he started to have upper respiratory tract infection, abdominal distension and symptoms such as running nose, stuffy nose, cough, sore throat, extreme fullness of abdomen and soft stools. He can only eat congee because of the abdominal distension. His TCM diagnosis is Lung qi stagnation and Spleen qi deficiency, and qi stagnation of Spleen and Stomach. Herbs of dispelling exterior, soothing lung qi, and supplementing spleen and stomach nature are used. Upper respiratory infection was improved through integrated TCM and Western medicine treatment.