濕熱型黃疸之中醫會診病例報告

Case Report of Traditional Chinese Medicine Treatment in Damp-Heat Jaundice

游志勤(Iou Chih-Chin)

《中醫藥研究論叢》 18卷2期 (2015/09) Pp. 100-107

https://doi.org/10.6516/TJTCM.2015.18(2)100

摘要

本病患者為44歲B型肝帶原者，為機場搬運工需輪值三班，此次因黃疸、腹脹、全身倦怠無力，食慾不振，尿液橘紅色而入院治療，西醫診斷為急性肝炎，初入院（99/8/2）之ALT／AST：1755／1511，經過西醫治療後，患者自覺療效有限（99／8／6之ALT／AST：1452／1113，TBI：15.10），故於8／9—8／23會診中醫治療。中醫診斷為濕熱型黃疸，採用清熱利濕為主，健脾順氣、芳香化濕為輔之治法，經過四次會診，患者病況及急性肝炎引起的各項症狀明顯改善，同時99／8／19之肝指數明顯下降（ALT：117，AST：120，TBI：9.10）。由於中醫治療療效顯著，故藉此案例探討中醫治療此病之病因、病機及方藥，以供各位同道治療此病之參考。

關鍵字

陽黃 ； 濕熱型黃疸 ； 茵陳蒿湯 ； 急性肝炎

並列摘要

The 44-year-old patients was a hepatitis B carrier.He is an airport porters needing rotating three shifts.Due to jaundice, abdominal distension, general malaise, weakness, loss of appetite and urine orange, He was diagnosed as chronic hepatitis B with acute exacerbation and admittd to our hospital for intensive treatment.ALT / AST was 1755/1511 when admission. after Western medicine treatment was employed, the patient thought medicine worked with limited efficacy (99/8/6 of ALT / AST: 1452/1113, TBI: 15.10).He was arranged forconsultation of TCM treatment during the periond of 8/9 to 8/23. TCM diagnosed of damp-heat jaundice, The mainrule wasclearing away heat and promoting diuresis and was supplemented by strenghening spleen and dispersing stagnated Qi,and eliminating dampness with drug of fragrant flavor. after four consultation, patient condition and the symptom caused by acute hepatitis showed prominett improvement. Abnormally Elevated liver function lab decreased significantly in 99/8/19 index (ALT: 117, AST: 120, TBI: 9.10). Due to significant effect of Chinese medicine therapy, I payed attention to explore the disease's etiology, pathogenesis and prescriptionsby this case treated by traditional Chinese medicine.I wishedtha it is beneficial to reference in treatment of the diseasefor you fellow afterlater.

並列關鍵字

Yang Huang ； damp-heat jaundice ； YCHT ； acute hepatitis

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