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婦女頻尿中醫治療病例報告

Traditional Chinese Medicine Treatment on Female Frequent Urination: Case Reports

摘要


頻尿是婦女常見的症狀。造成婦女頻尿的原因很多,包括生理性頻尿、心理性因素、病理性因素及膀胱功能障礙等。本文所探討的兩個病例分別爲42歲及57歲的婦女,前者西醫診斷爲過動性膀胱症,在儲尿期膀胱逼尿肌不自主性的收縮,導致頻尿的症狀。後者爲年紀較大,勞動力大旦貧血之氣血兩虛導致頻尿的患者。雖然同樣都是頻尿的症狀,但是本著中醫辨證論治的原則,給予不同治療方向的處方,而獲致令人滿意的療效。綜而言之,西藥在治療上以抗乙醯膽鹼藥物爲主,常有口乾、便秘的副作用,且停藥後可能症狀即再復發,兩個病例使用中藥未見有副作用,日其療效較西醫治療爲佳。

關鍵字

頻尿 過動性膀胱症 中醫

並列摘要


Frequent urination is a common symptom in women. Various causes including physiological frequent urination, psychological factors and urinary bladder dysfunction can result in frequent urination. Two cases of female frequent urination are discussed in this article. One is a 42-year-old female who was diagnosed with overactive urinary bladder with involuntary contraction of detrusor; the other is a 57-year-old female who has a history of anemia and deficiency of both qi and blood. Although both cases are diagnosed with frequent urination, different herbal formulas are prescribed based on different pattern differentiations according to traditional Chinese medicine theory. Thus, the results are satisfactory. In conclusion, the use of anti-acetylcholine often results in side effects such as dry mouth and constipation, and reoccurrence upon withdrawal. The two cases reaches better efficacy by using traditional Chinese medicine with no side effect.

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