桑螵蛸散加減加針灸治療頻尿夜尿之病例報告

老年性頻尿、急尿及夜尿常與攝護腺肥大相關，也是中醫臨床常見疾病，常見症狀如頻尿、急尿、夜尿、餘尿感及尿失禁。本病例報告患者為一名81歲男性，患有攝護腺肥大數十年，近3－4年頻尿、急尿及夜尿症狀加重，影響日常生活。經門診口服科學中藥及針灸治療後，頻尿由一日20行改善至8－10行，急尿症狀減，尿失禁幾乎未發生，夜尿也由5行減至2行。生活品質大幅改善。顯示中藥左以針灸治療能有效改善老年患者頻尿、急尿、夜尿及攝護腺肥大。

關鍵字

前列腺肥大；攝護腺肥大；夜尿；頻尿；中藥；針灸

並列摘要

Hypertrophy of the prostate is a common clinical disease in elder patients of Chinese medicine. Common symptoms of hypertrophy of the prostate are urinary frequency, urinary urgency, nocturia, residual urine and urinary incontinence. The patient in this case report is an 81-year-old male with hypertrophy of the prostate for decades. In recent 3-4 years, the symptoms of urinary frequency, urinary urgency and nocturia were exacerbated and lead to reduced quality of life. After oral Chinese medicine coupled with acupuncture treatment in the outpatient department, the frequency of urine was improved from 20 times to 8-10 times per day, the symptom of urinary urgency slowed down, urinary incontinence was almost non-occurring, and nocturia was reduced from 5 times to 2 times per night. The quality of life has been improved dramatically. Our report shows that acupuncture treatment combined with traditional Chinese medicine can effectively improve the symptoms of urinary frequency, urinary urgency, nocturia and prostate hypertrophy in elderly patients.