附子理中湯加減治療急性胃脘痛病例報告

A Case Report of Treating Acute Stomach Ache with Fu-Zi-Li-Zhong Decoction

王瑜婷(Yu-Ting Wang) ； 許堯欽(Yao-Chin Hsu)

《台灣中醫臨床醫學雜誌》 20卷1期 (2014/12) Pp. 23-30

https://doi.org/10.6968/TJCCM.201412_20(1).0004

摘要

患者為29歲女性患者，平素即常因腹瀉就診。本次疑在服用Cefspan後腹瀉而自行服用止瀉劑，服後腹瀉止，但出現胃痛及嘔吐情形。門診時患者表現有腹痛、嘔吐、且有面色灰暗、脈沉細無力、上腹硬痛等情形，診為脾陽不振併胃氣上逆，故予急煎附子理中湯加減頻服，並追蹤服藥後症狀變化過程，結果患者急性胃痛及嘔吐的症狀在服藥一帖後迅速得到緩解，後續再以健脾疏肝法予以調理鞏固療效。

關鍵字

胃痛 ； 脾陽虛 ； 胃氣上逆 ； 附子理中湯

並列摘要

This is a 29-year-old female patient who often visits our out-patient department due to diarrhea. This time, she suffered from diarrhea and side effect of antibiotic agents cannot be rule out. The diarrhea was relief but stomach ache and vomit were noted after taking Imodine without prescript. The symptoms were: stomach ache, vomit, pale complexion, pulse were felt deep, thready and weak, and tenderness in epigastric region of abdomen. The holistic differential diagnosis was Spleen Yang deficiency, combine with Stomach Qi adverse rising. The prescription are Fu-Zi-Li-Zhong decoction with Xiao-Xian-Xiong decoction and was given immediately. We followed-up the changes of symptoms and found that the stomach ache and vomit were relieve right after taking the prescription.

並列關鍵字

stomach ache ； Spleen Qi deficiency ； Stomach Qi adverse rising ； Fu-Zi-Li-Zhong decoction ； Xiao-Xian-Xiong decoction