中醫治療原發性痛經病例報告

痛經是一個困擾全球婦女生活、工作的疾病。在此篇病例報告中，這位19歲的女性病患自12歲初經時並無經痛症狀，初經後一年開始於生理期前1~2天下腹悶，生理期第1~2天下腹持續性悶痛，此痛經困擾持續至今已經六年，伴隨月經前易怒，經來腹瀉與面部痘瘡加重的情形。此病患經血量正常、色暗紅、無血塊、無異味，平日無腹部不適或異常分泌物等症狀。面對患者經痛與伴隨的症狀，中醫以溫陽化濕、補養氣血、理氣祛瘀的方式來治療。經過一個月中藥調理，患者自覺經痛改善(VAS:6降為VAS:0)，故提供此病例作為臨床參考、運用。

關鍵字

痛經；婦科疾病；中藥

並列摘要

Dysmenorrhea is a disease that plagues the lives and working of women around the world. In this case report, the 19-year-old female patient from the age of 12 when there is no symptoms of menstruation. After one year of the menarche, she felt abdominal inflate 1 to 2 days before menstrual period and persistent pain in lower abdomen during menstrual period. She has suffered dysmenorrhea for six years with irritability before menstrual, furthermore, diarrhea and facial pimples aggravated during menstrual phase. It is normal to her menstrual blood volume with dark red color, no blood clots, no smell, usually no abdominal discomfort or abnormal secretions and other symptoms. In the face of this patient with primary dysmenorrhea and concomitant symptoms we use Chinese medicine to warm yang and dry dampness, nourish blood and clear qi stasis. After a month of traditional Chinese medicine remedy the patient felt pain improved (VAS: 6 reduced to VAS: 0). Consequently, we proposed the experience in this case report for clinical reference and application.