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中醫治療不寧腿症候群之病例報告

A Case Report of Restless Leg Syndrome Treated with Traditional Chinese Medicine

摘要


這是一位旅居加拿大溫哥華30多年的68歲王小姐的中醫醫案。自述:25歲生子產後,因乳房發脹疼痛(懷疑診斷:急性乳腺炎),婆婆教其用冰塊冰鎮雙乳房,雙手持握冰塊約一個小時,自認這是造成日後困惱40多年痼疾的主因。主訴:每晚入睡後約1-2小時,經常發生3-5次不等的雙下肢大抖動、且伴隨夜眠中斷多次,白天不發生。長期困惱,海內外尋醫罔效。治療經過:王小姐在短短7週內,耐心接受醫師診療慣用的三種中醫療法,大幅改善病情。本醫案提早健保局於2021年3月啟動新制的「複雜性針灸適應症」,提供患者多方位的治療方法。後記:王小姐為痊癒表示感謝,致贈施醫師一本「佛教概觀史表」、及頌持有靈驗感應的「日本蓮華經」,以誌謝。

並列摘要


This was a Chinese medicine case of a 68-year-old Miss Wang who had lived in Vancouver, Canada for more than 30 years. Self-report: After giving birth at the age of 25, due to breast swelling and pain (suspected diagnosis: acute mastitis), her mother-in-law taught her to use ice cubes to cool her breasts and hold the ice cubes in both hands for about an hour. She believed that this was a chronic disease that caused trouble for more than 40 years in the future chiefly. Chief complaint: After falling asleep about 1-2 hours every night, there were often 3-5 times of large shaking of the lower limbs, and many interruptions of night sleep, which did not occur during the daytime. Long-term trouble, seeking doctors at home and abroad was ineffective. Treatment process: In just 7 weeks, Ms. Wang patiently accepted the three traditional Chinese medicine treatments commonly used by Dr. Shih, which greatly improved her condition. In this medical case, the National Health Insurance Bureau launched a new "complex acupuncture indication" in March of 2021 to provide patients with multi-faceted treatment methods. Postscript: Ms. Wang expressed her gratitude for her recovery, and presented Dr. Shih with a "Buddhism Overview History Form" and the "Japanese Lotus Sutra" with a spiritual inspiration. Thank you for this.

參考文獻


孫紅彪、王家祥、樊正陽:《傳薪錄──華夏中醫拾珍》第三輯;吳建華,不寧腿綜合徵案。中國科學技術出版社2019:103-104。
王幸福:《杏林薪傳》(典藏版)一位中醫師的不傳之秘;第四講:醫案解讀,多年抽搐。中國科學技術出版 2019:169。
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施松杉:臨床拔罐發揮,台灣中醫臨床醫學雜誌,2005;11(3):231-38。

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