恐慌症之臨床治療新法與中醫病例報告

A Case Report of Panic Disorder Treated by Traditional Chinese Medicine with New Clinical Method

王隆碩(Lung-Shuo Wang) ； 陳冠佐(Kuan-Tso Chen) ； 蕭銘輝(Ming-Hui Xiao) ； 倪健航(Chien-Hang Ni)

《台灣中醫臨床醫學雜誌》 20卷1期 (2014/12) Pp. 47-53

https://doi.org/10.6968/TJCCM.201412_20(1).0007

摘要

恐慌症是一種精神疾患，患者對某些特定的情境刺激，會產生極度害怕的感覺。本病例為一名五十九歲男性，對駕車行駛高速公路、通過隧道、進入金融機構等極度畏懼，西醫久治未癒，因而前來本院中醫求診。根據內經「恐則氣下」之原則，我們認為本病係因氣陷不上，心氣不足，致生驚恐。因此，其治則當為升舉陽氣，而治法為補脾、調肝、運腎，使脾能升清、肝氣條達、腎氣上行。患者服用中藥後，恐慌感明顯改善，從此停服西藥，病情亦快速改善。於中醫治療約17個月間，患者極少恐慌發作。停藥後陸續追蹤，亦無復發，療效良好。

關鍵字

恐慌症 ； 中醫藥

並列摘要

Panic disorder is categorized as psychiatric disorder in which the patient stimulated by particular situation has a sudden attack of extreme fear. In this case report, a male aged 59 years old with phobia experiences which occurred when driving on the highway, crossing through the tunnel, and entering the bank, had been treated before but failed to relieve, therefore he sought for therapy with traditional Chinese medicine in our hospital. According to the therapy principal that ＂fear causes qi to precipitate down＂, summarized from ＂The Yellow Emperor's Inner Canon＂, we consider that the cause of this disease is due to falling of qi that induce insufficient heart energy, which result in fright and fear. Therefore, the principal of treatment is to uplift yang qi, and the treatment method are composed of activating the spleen, adjusting the liver, and energizing the kidney, thus leading qi to go upward to the heart. After treatment of herbs, phobic syndromes were significantly alleviated, so the patient stopped taking western medicines later. Panic disorder in this patient was pacified and rarely relapsed for 17 months with herbs administration. After ending his treatment, routine follow-up is continued, and the patient didn't relapse.

並列關鍵字

panic disorder ； phobic syndrome ； Chinese medicine ； herb