子宮內膜癌化療後睡眠障礙之中醫治療－4年追蹤案例

Traditional Chinese Medicine Care for Sleep Disturbance in Post-operation Patient with Endometrium Adenocarcinoma: A Four-year Follow-up Case

林臻瑋(Chen-Wei Lin)

《北台灣中醫醫學雜誌》 5卷1期 (2013/06) Pp. 47-57

摘要

57歲的子宮內膜惡性腫瘤患者，94年接受手術切除並進行放療，治療後只覺得胃口較差但無其餘不適。2年後出現頸部轉移增生團塊，經外科切除後接受化學治療，於化療後出現失眠的現象，需倚賴助眠藥劑始可入睡，因欲戒除助眠藥劑而尋求中醫協助，規律服用中藥後症狀改善並戒除助眠藥物，經服用中藥輔助睡眠3年後，雖因搬離祖厝等壓力出現睡眠不穩情形，仍順利獲得控制。化療後失眠，多因化療後出現噁心嘔吐、食慾不振、造血功能抑制或肝腎功能損害等毒副反應而引起氣陰耗傷、水火不濟、心神失養所致，中醫對於癌變術後或放化療後所進行的治療，仍遵循辨證論治原則進行，患者目前仍定期追蹤癌變情形，復原狀況良好。

關鍵字

子宮內膜癌 ； 睡眠障礙 ； 中醫調理

並列摘要

We report a fifty-seven year-old female suffered from endometrium adenocarcinoma with neck masses. In 2005, she received Uterus endometrium ATH and BSO and R/T. There is no any unwell but poor appetite. Until the left neck lymph node metastasis was noted in 2007, she receive chemotherapy. After chemotherapy, she suffered from insomnia and reliance on sedatives. Then, she gone to our Chinese Department as she wanted to stop taking sedatives. Causes of insomnia due to post-chemotherapy side effects mostly are because nausea, vomiting, loss of appetite, inhibition of hematopoiesis, liver and kidney dysfunction. After then, there is conditions of Qi and Yin consume, WATER and FIRE incompetent, MIND dystrophy. This patient's TCM diagnosis is BLOOD DEFICEINCY of HEAR, LIVER, SPLEEN. The symptom of insomnia were dramatically improved post the treatment of TCM.

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