中醫治療月經不規則病例報告

患者是一名23歲未婚女性護理師，初經12歲，剛開始的時候月經週期還算正常，直到2年多前開始從事護理工作，她注意到她的月經明顯不正常，有時候會2個禮拜就來月經，有時候會延遲，如果延遲超過半個月，就會至婦產科服催經藥，所以她的月經週期是15到50天左右。2020年5月開始規律至某醫院中醫部服中藥調經，中醫辨證其為肝氣鬱結合肝血虛證，給予疏肝理氣、補益肝血方藥治療，之後月經週期趨於正常，不用再到西醫婦產科催經，故中醫治療對於月經不規則應有幫助。

關鍵字

月經不規則；月經先後不定期；中醫藥

並列摘要

The patient is a 23-year-old unmarried female nurse. Her first menstrual period was 12 years old. The menstrual cycle was normal at the beginning, until she started working as a nurse more than 2 years ago. She noticed that her menstruation was obviously abnormal. Sometimes menstruation will come in 2 weeks, and sometimes it will be delayed. If the delay exceeds 2 weeks, she will go to the obstetrics and gynecology department to take menstruation drugs, so her menstrual cycle is about 15-50 days. The patient started taking Chinese medicine regularly in the Department of Traditional Chinese Medicine (TCM) since May 2020. The TCM doctor differentiate the syndrome of liver-Qi stagnation combined with liver-blood deficiency, and give TCM treatment of soothing the liver and regulating Qi and nourishing liver blood. After that, her menstrual cycle tended to be normal, and there was no need to go to the Western Medicine Obstetrics and Gynecology Department to regulate her period. Therefore, TCM treatment is obviously helpful for irregular menstruation.

並列關鍵字

Irregular menstruation ； Abnormal menstruation ； Chinese medicine

參考文獻

陳立德：《中醫婦科學》(臺中：弘祥出版社，2010)。

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唐娜櫻：《方劑學》(臺中：中國醫藥大學，2005)。

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張賢哲主編：《中醫中藥學》(臺中：中國醫藥大學，2006)。

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賴榮年：〈月經不調中醫臨床證候診斷標準及治療〉，《中國中醫臨床醫學會雜誌》9 卷 2 期(2003)，頁 8-14。

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Uptodate: Patient education: Absent or Irregular Periods (The Basics).取自：https://www-uptodate-com.autorpa.cmu.edu.tw/contents/absent-or-irregular-periods-the-basics?search=patient%20education%20absent%20or%20irregular%20periods&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

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中醫治療月經不規則病例報告

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