中醫治療髕骨骨折後膝關節僵硬病例報告

Traditional Chinese Medicine treatment of knee stiffness after patella fracture: a case report

李俞生(Yu-Sheng Li) ； 蕭坤元(Kun-Yuan Hsiao)

《北台灣中醫醫學雜誌》 13卷1期 (2021/03) Pp. 35-44

摘要

本病歷紀錄一名三十九歲女性患者因不慎摔倒導致左髕骨骨折，接受骨科手術內固定後，發生左膝關節僵硬，僅能彎曲約10度，在接受一般復健治療改善有限故轉由中醫治療。中醫給予內服龜鹿二仙膠丸（500mg）每日8顆，針對左膝附近穴位進行針灸，根據當日病況選用以下穴位，包含穴位：血海、梁丘、足三里、陽陵泉、陰陵泉、委陽、陰谷、合陽、浮隙、膝關、曲泉等。在接受9次針灸治療以及藥物治療約1個月後，左膝關節活動改善，活動度增加到60度，主觀的患處疼痛與緊繃感也大幅改善。未來可藉由此案例提供予同道治療類似病症之參考。

關鍵字

膝關節僵硬 ； 髕骨骨折 ； 中醫 ； 針灸治療

並列摘要

This case report was a 39-year-old female patient who accidentally fell and caused a fracture of the left patella. After receiving orthopedic surgery and internal fixation, the left knee joint was stiff and could only bend about 10 degrees. The improvement was limited after receiving general rehabilitation treatment. Switch to Chinese medicine treatment. Chinese medicine gives oral Guilu Erxian Capsules (500mg) 8 capsules a day, and acupuncture at acupoints near the left knee. The following acupoints are selected according to the condition of the day: Xuehai (SP10), Liangqiu (ST34), Zusanli (ST36), Yanglingquan (GB34), Yinlingquan (SP09), Weiyang (BL39), Yingu (KI10), Heyang (BL55), Fuxi (BL38), Xiguan (LV07), Ququan (LV08). After receiving 9 acupuncture treatments and medications for about 1 month, the movement of the left knee joint improved, the range of motion increased to 60 degrees, and the subjective pain and tightness of the affected area were also greatly improved. In the future, this case can be used to provide reference for the same treatment of similar diseases.

並列關鍵字

knee stiffness ； patella fracture ； traditional Chinese medicine ； acupuncture treatment

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