慢性腎臟病水腫病例報告

本病例報告為一63歲男性患者，有慢性阻塞性肺疾病、高血壓合併心臟衰竭、第二型糖尿病，B型肝炎，肝硬化病史，於107年因發燒與呼吸喘促等因素先後入院三次，在第二次住院期間出現急性腎損傷，而後腎功能未完全恢復，為第三期慢性腎臟疾病，因雙下肢三度水腫，影響行走求診中醫。依中醫理論人體津液分佈與肺、脾、腎等有關，以溫腎利水，益氣健脾，活血通絡方式治療之。治療後效果明顯，因此以此病例報告提出有效治療經驗，供臨床醫師參考及運用。

關鍵字

腫；下肢水腫；慢性腎衰竭；中醫

並列摘要

This case report presented a 63-year-old male with chronic obstructive pulmonary disease, hypertension with heart failure, type 2 diabetes mellitus, hepatitis B and liver cirrhosis. He hospitalized three times because of remittent fever and asthma, exhibiting acute renal damage during the second hospitalization. He did not recover from the ill completely and was diagnosed as suffering from the third stage chronic renal disease. He came to visit our department of Traditional Chinese Medicine (TCM) for help due to third degree of bilateral lower leg edema. According to the theory of TCM, the distribution of the fluids within human body is related to the lung, spleen, and kidney; therefore, we treated him with the principles of diuresis through warming the kidney, nourishing Chi to invigorate spleen, and promoting blood circulation for removing obstruction in collaterals. We thought that the therapeutic efficacy of the case was good and could be taken as a reference with regard to similar cases for clinicians.