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中醫治療偏頭痛之病例報告

A Case Report of Migraine Treated by Chinese Medicine

摘要


偏頭痛是一種出現反覆輕度或重度頭痛的慢性疾病,通常伴有各種自主神經系統症狀。偏頭痛通常是單側,其相關症狀可能包括噁心、嘔吐、對光線與聲音更加敏感,且肢體活動會加重疼痛的感覺。本案例是一位53歲退休女性,偏頭痛已二十多年,伴隨頭暈、頭重、肩頸痠痛、噁心想吐等症狀。診斷為痰濁上擾與外感風寒症,處方用藥治以燥濕化痰以及解表散寒。經過數個月治療,其偏頭痛有改善。

並列摘要


Migraine is a chronic disease with repeated mild or severe headaches, usually accompanied by various autonomic nervous system symptoms. Migraine is usually unilateral, and its related symptoms may include nausea, vomiting, more sensitivity to light and sound, and physical activity can aggravate the pain. This case is a 53-year-old retired woman who has had migraines for more than 20 years, accompanied by dizziness, head congestion, shoulder and neck pain, and nausea. The diagnosis was the headache with syndrome of phlegm-turbidity, and the exogenous wind and cold. The prescription was used to deprive the evil wetness and eliminate sputum, and relieve the appearance and dispel the cold. After several months of treatment, her migraine got well improved.

參考文獻


中醫證候鑑別診斷學,啟業出版社。
David S Younger. Epidemiology of Migraine.
F Michael Cutrer, MD. Pathophysiology, clinical manifestations, and diagnosis of migraine in adults.
葉篤學醫師。頭痛電子報第九十八期台灣頭痛學會。http://www.taiwanheadache.com.tw/
鄭婷宜醫師。頭痛中西醫論述。2004 年中醫藥研究論叢。

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