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中醫治療經前症候群之病例報告

Tradition Chinese Medicine Treatment for Premenstrual Syndrome: A Cases Report

摘要


經前症候群是婦女的一種常見疾病。本病的發生主要和賀爾蒙(動情激素、黃體激素等)失調有關,造成乳房脹痛、腸胃絞痛、頭痛、焦慮緊張易怒等。現代醫學以賀爾蒙藥物來治療。本病發病過程與中醫之心、肝、脾有關,常見的病機是肝鬱氣滯,影響到體內之肝氣疏泄失調均有可能造成經前症候群。本例病案報告是36歲的女性因經前症候群至中醫診治的過程,診治過程詳細描述臨床表現及治療方法,經由中醫治療兩個多月,病患之經前畏光、視物模糊、緊張、腹痛等症狀皆改善。希望其治療結果可以作為日後經前症候群的患者治療參考。

並列摘要


Premenstrual syndrome is a common disease of women. Occurrence of this disease with hormones (estrogen, progesterone, etc.) related disorders, causing breast pain, stomach cramps, headaches, anxiety, tension, irritability and so on. Modem medicine to treat hormone drugs. The disease is related to heart, liver, spleen. Medical record in this case is 36-year-old woman reported premenstrual syndrome due to Chinese medicine diagnosis and treatment process. Detailed diagnosis and treatment of clinical manifestations and treatment methods are described, by way of traditional Chinese medicine treatment more than two months, the patient's premenstrual photophobia, blurred vision, nervousness, abdominal pain and other symptoms are improved. I hope it can be used as treatment outcome in patients with the treatment of premenstrual syndrome.

參考文獻


Freeman, EW(2003).premenstrual syndrome and premenstrual dysphoric disorder : definitions and diagnosis.Psychoneuroendocrino1ogy.28,25-37.
顏兆雄(2005)。經前症候群。當代醫學雜誌。32(4),277-278。
謝伶瑜(2013)。服用草本植物萃取物對經前症候輯之改善成效系統性文獻回顧。中西整合醫學雜誌。15(3),37-46。
Mendelson, WB(2005).A review of the evidence for the efficacy and safety of trazodone in insomnia.J Clin Psychiatry.66,469.
夏桂成。實用中醫婦科學。中國中醫藥出版社。

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