癢疹中醫治療病例報告

Traditional Chinese Medicine Treatment of Prurigo: A Case Study

楊淑媚(Shu-Mei Yang) ； 劉于瑩(Y-Ing Liu) ； 蔡昆道(Kun-Dau Tsai)

《台灣中醫臨床醫學雜誌》 17卷1期 (2011/03) Pp. 39-46

https://doi.org/10.6968/TJCCM.201103.0039

摘要

此患者爲40歲女性，已有五年的血糖控制病史，但血糖控制數值並不理想，有聽力不佳、黴菌性外耳炎、視力不良、慢性結膜炎及陰道念珠菌感染的就診紀錄。自述於99.08至安養中心工作後，99.10起下肢開始出現搔癢、紅疹，夜間癢尤甚，並陸續遍及胸、腹、背部，部分丘疹頂端凹陷有化膿結痂現象。患者大便一日一行，難解；小便正常；苔白、有剝苔；舌質裂、色淡紅，脈沉。皮膚科曾給予抗組織胺、類固醇藥膏塗抹，但效果有限，實驗室檢查IgE及腎功能數值正常。中醫給予清熱解毒及排膿消腫之劑治療，患者夜間搔癢症狀明顯改善，皮膚膿腫也大多獲得改善。

關鍵字

癢疹 ； 瘡瘍 ； 排膿消腫

並列摘要

The patient is a 40-year-old female with 5 years of history of controlling her blood sugar with no satisfying effect. She has a history of hearing impairment, fungal otitis externa, vision impairment, chronic conjunctivitis and vaginal candidiasis. Since she started working in a nursing facility in Aug. 2000, she started to experience itchiness and rash on the lower extremities and spread to chest, abdomen and back. Some rashes appear to have pus on the top and scars. Her bowel movement is once a day with difficulties. Urination is normal. Coating is white with patches. Tongue is pink and cracked. Pulse is deep. The dermatology department has given her antihistamine and steroids for external use, but the result is limited. The lab result shows normal IgE and kidney function. TCM applies herbs that clear heat, detoxify drain pus, and relieve swelling. The patient feels improvement in the degree of itchiness at night as well as swelling and pus in the skin.

並列關鍵字

prurigo ； sore ； drain pus and relieve swelling