小兒腦炎後遺症之針灸治療病例報告

Acupuncture Therapy for Pediatric Encephalitis and the Sequelae: A Case Report

陳培鑫(Pei-Hsin Chen) ； 張順昌(Shun-Chang Chang) ； 陳運泰(Yun-Tai Chen)

《台灣中醫兒童暨青少年科醫學會雜誌》 1卷1期 (2021/06) Pp. 34-44

https://doi.org/10.29620/JTCMACA.202106_1(1).0004

摘要

腦炎（encephalitis）是一中樞神經系統的感染性疾病，病毒感染是最常見的病因，小兒患者感染腦炎常需入院經歷數週的治療，經驗療法常使用抗病毒藥物acyclovir或使用抗生素ceftriaxone，並採用支持療法處理意識狀態惡化、癲癇發作與發燒等問題。腦炎於中醫觀點中，則是屬於小兒暑溫引起急驚風的範疇，主要治療原則為清熱、祛風、豁痰，並依照患者病程與證型隨證治之。除中藥使用外，針灸治療亦可緩解癲癇的發作。本例患者於會診中醫初期意識不佳、躁動不安且時有癲癇發作，本院中醫部以寧心安神並兼以清熱之原則進行針灸治療，患者預後良好，意識清醒且於住院期間癲癇並無再度發作。以本案例之資料紀錄與各界分享，並僅供日後小兒暑溫造成驚風之患者以中藥藥物與針灸治療參考。

關鍵字

腦炎 ； 針灸 ； 癲癇 ； 驚風 ； 中醫

並列摘要

Encephalitis is an infectious disease of the central nervous system, and viruses are the most frequently identified etiology, so pediatric patients may need to receive the treatment for weeks in hospital. The empiric treatment can use acyclovir or ceftriaxone, and the supportive treatment for reducing complications such as consciousness, seizures, and fever is needed. Encephalitis coincides with seizure belongs to 小兒暑溫 (pediatric shŭ wēn , summer febrile disease of pediatrics) and 驚風 (jing fēng, acute convulsion) in traditional Chinese medicine. The therapeutical principle ＂expulsing pathogen, clearing heat, dispelling pathogenic wind and reducing phlegm＂ is adjusted by the syndrome type of patients. Besides Chinese herbal medicine, acupuncture can also relieve seizure attack. In this case with disturbed consciousness, delirium, and seizure, we adopted the acupuncture treatment with the therapeutical principle of ＂relieving mental stress and clearing heat.＂ The patient's prognosis is good, his consciousness was clear and no seizure attack was recorded. Here we presented a case report to provide the reference of traditional Chinese medicine and acupuncture treatment for jing fēng which was caused by pediatric shŭ wēn.

並列關鍵字

encephalitis ； acupuncture ； seizure ； jing fēng ； traditional Chinese medicine