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中醫治療良性攝護腺增生之病例報告

A Case Report of Benign Prostatic Hyperplasia with Chinese Medicine Treatment

摘要


一位65 歲男性患者因患有良性攝護腺增生,導致近三個月頻尿、排尿不清、解尿費意與夜尿,服用西藥後症狀仍未改善,故尋求中醫治療。經辨證屬腎氣虛、腎陽虛導致膀胱氣化不利,用濟生腎氣丸合桑螵蛸散以補腎助陽、通利小便為主要處方,服藥2個月後症狀獲得改善,藉此病例報告以提出治療經驗,供臨床上參考和運用。

並列摘要


A 65-year-old male had urinary frequency, incomplete emptying, straining and nocturia in recent three months due to benign prostatic hyperplasia. He took western medicine but the symptoms still persisted, so he went to our Chinese Medicine OPD for help. Identifying the disease pattern was kidney qi and yang vacuity induced in dysfunction of bladder, we used Ji Sheng Shen Qi Wan and Sang Piao Xiao San as the main prescriptions to supple kidney qi and yang for promoting urination. After two months treatment, the symptoms got great improvement. We demonstrated the experience in this case report for clinical reference and application.

參考文獻


Alan J. Wein, MD, PhD (Hon), Louis R. Kavoussi, MD, Andrew C. Novick, MD, Alan W. Partin, MD, PhD and Craig A. Peters, MD, FACS, FAAP:Campbell-Walsh Urology, 10e, 2011, 33-70:2570-2694
William J.C. Amend, Jr., MD:Smith's General Urology, 17e, 2007:1-16; 166-177; 348-369
李良明、陳光國:台灣良性攝護腺 ( 前列腺 )肥大症臨床診療指引,國家衛生研究院,第2 版,2010
Chun-Kai Wang, M.D., Hong-Jeng Yu, M.D.: Benign Prostatic Hyperplasia in Taiwan: Epidemiology, Diagnosis and Pharmacological Therapy of Lower Urinary Tract Symptoms Suggestive of BPH in Ageing Men, Incont Pelvic Floor Dysfunct 2007; 1(Suppl 2):5-8
陳榮洲:中醫內科證治學,弘祥出版社,2003:280-285

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