更年期症候群之中醫治療病案報告

早年更年期是女性的卵巢功能逐漸衰退至永久性停經所歷經之過渡期，隨著卵巢功能的衰退，荷爾蒙分泌的平衡也受到影響，患者會出現生殖功能障礙、血管運動性不穩定、心理症狀等各種不適的主訴。面對早年更年期所出現的各種更年期症狀，西醫普遍採用荷爾蒙療法，但目前仍沒有足夠的證據能夠證實長期使用荷爾蒙製劑的安全性。本例病案報告一47歲婦女以情緒抑鬱、焦慮為主，伴隨夜間潮熱盜汗、月經不規則等更年期早期症狀的診治過程，詳列臨床症狀、病機推演及治療方法。經過四週中醫藥物治療後，患者心理情緒症狀改善，且夜間潮熱盜汗等症狀消失，追蹤2個月經行正常，希望其治療結果可作為其他更年期症候患者治療參考。

關鍵字

更年期症候群；早年更年期；中醫藥

並列摘要

Perimenopause is a transitional period which female ovarian function gradually declines until permanent cessation of menstrual periods. At this stage, women experience many physiologic changes such as reproductive dysfunction, vasomotor symptoms and mood symptoms. Hormone therapy is currently recommended for short-term treatment while there is still epidemiologic data that reveals increased risk of women with breast cancer. Here presented a treatment course of an 47-year-old woman with early symptoms of menopause such as depression, anxiety, hot flashes, night sweats, and menstrual irregularity. The treatment course includes sophisticate description of clinical manifestation and method of treatment. Intervention in four weeks’ traditional Chinese medicine application, the patient’s mood symptoms improved significantly, meanwhile hot flashes and night sweats no longer relapse. To achieve satisfactory results, the treatment can be provided as a reference.