中醫治療胃脘痞滿病例報告

Case Report: TCM Treatment of Epigastric Fullness

楊淑媚(Shu-Mei Yang) ； 張文禎(Moon-Jung Chang) ； 蔡昆道(Kuen-Daw Tsai)

《台灣中醫臨床醫學雜誌》 20卷1期 (2014/12) Pp. 55-61

https://doi.org/10.6968/TJCCM.201412_20(1).0008

摘要

這是ㄧ位31歲的女性病患，有氣喘及過敏性鼻炎過去病史。根據病患所述，因胃脘不舒反覆發作約8個月，胃脘脹悶，按之不痛，泛酸，胃灼熱感，易打嗝，胃食道逆流感，納略差，腹脹，咽痰哽阻感，曾至腸胃科診所接受胃鏡檢查，結果無異常，故至本院中醫門診來就醫。她的個性容易緊張，善怒，胃脘不舒平常下午4-5點容易發作，自述無特別加重或緩解因素。她另外有胸悶，心悸，口乾，眠差的症狀，經行乳脹及頭暈，其脈弦細數，苔白，質淡紅。中醫辨證屬肝氣犯胃型，給予中藥治療後胃脘痞悶症狀改善，泛酸，打嗝及胃灼熱感減輕許多，證實中醫對於胃脘痞滿及其他胃不舒服的症狀有一定的治療效果。

關鍵字

痞滿 ； 肝氣犯胃

並列摘要

This is a 31-year-old female patient with asthma and allergic rhinitis history. According to the patient, because of repeated episodes of epigastric discomfort about eight months, epigastric fullness, nausea, no epigastric tenderness, heartburn, acid reflux, belching , phlegm in throat , the endoscopy showed no abnormalities.She come to the hospital for medical treatment of traditional Chinese medicine. She is nervous, hottempered, epigastric discomfort usually occurred at 4-5 pm, no particular aggravating or mitigating factors. She also complianed chest tightness, palpitations, dry mouth, poor sleep, breast swelling and dizziness duirng menstruation. She had string, thin and rapid pulse. the white fur and pale red tongue. TCM diagnosis is liver qi invading stomach. The symptoms relieve after TCM treatment, that prove the therapeutic effect of TCM in epigastric fullness and other stomach symptoms

並列關鍵字

epigastric fullness ； liver qi invading stomach