化療引起周邊神經病變之中醫治療病例報告

CM treatment of peripheral neuropathy caused by chemotherapy: a case report

周維貞(Wei-chen Chou) ； 吳明遠(Ming-yuan Wu) ； 彭柏諭(Bai-yu Peng) ； 蔡金川(Chin-Chuan Tsai)

《中醫內科醫學雜誌》 20卷1期 (2022/06) Pp. 24-30

https://doi.org/10.7102/JTCIM.202206_20(1).0003

摘要

本次案例為60歲女性，有糖尿病過去病史，於十年前診斷罹患神經內分泌瘤，持續接受化放療治療，近半年開始出現四肢麻木感，尤其以上肢手指末梢特別嚴重，伴隨手指靈活度下降，遇冷則加劇麻木感，於2020年9月23日前來義大癌治療中醫門診就診，經過數次門診治療後較有改善。化療引起之周邊神經病變為常見之治療副作用，透過本案例期望提供一治療思路供臨床工作者參考討論。

關鍵字

化療導致的周邊神經病變（chemotherapy-induced peripheral neuropathy, CIPN） ； 四肢麻木 ； 中醫藥

並列摘要

A 60 years old female with a past history of diabetes was diagnosed with a neuroendocrine tumor ten years ago. She keeps taking chemotherapy and electrotherapy, and she has felt numbness in limbs for half a year. She felt numbness especially in the tips of fingers with decreased mobility, and it aggravates with cold conditions. She came to TCM OPD of EDA Cancer Hospital for treatment, and after several times of treatment, the symptom improved and the patient recovered the ability of daily life. Chemotherapy-induced peripheral neuropathy(CIPN) is a common side effect of chemotherapy. We expect to provide a reflection of treatment for clinical doctors through this case conference.

並列關鍵字

Chemotherapy-induced peripheral neuropathy ； numbness ； traditional Chinese medicine

參考文獻

柳硯文、蔡明諺，化學治療導致周邊神經病變之中醫藥：病例報告。中西整合醫學雜誌。2019；21(2):38-48。

李維哲、郭惠雯。大腸癌伴肝轉移經化療合併標靶藥治療後白血球減少症之中醫治療病例報告。中醫內科醫學雜誌。2021；19(2):61-69。

Shin et al.。Analysis for Compatibility of Gyejibongnyeong-hwan and Its Biological Activities。Herb.Formula Sci。2016；24(4):353-365。

Jung-yun Yang. Se-won Kim。A Case of Restless Legs Syndrome Patient with Numbness in Both Soles Using Gyejibongnyeong-hwan。J. Int. Korean Med.。2019；40(2):270-278。

Yamazaki et al. 。Two Cases of Vasospastic Angina Poorly Controlled with Western Medicine Successfully Treated with a Combination of Traditional 4. 6. Shigyakusan and Keishibukuryogan Japanese Herbals。Kompo Med。2014；65(4):287-292。