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中醫治療小兒盜汗之病例報告

A Case Report Night Sweat in Children Treated with Chinese Medicine

摘要


本病例為一位4歲3個月男童,本身有缺鐵性貧血,自一年多前表現夜眠盜汗,並有感冒次數增加,曾到西醫門診但無明確診斷,因此到中醫門診尋求治療,中醫診斷為營衛不和,透過科學中藥桂枝湯加減的治療6週後,患童的盜汗症狀在2個月內緩解,且期間無感冒症狀,為一個中醫治療兒童盜汗的有效案例。由於西方醫學,對於小兒盜汗較少相關文獻,透過中醫文獻的蒐集與整理,思考小兒盜汗的病機與其治療方式,提供此一臨床有效案例給同道參考。

關鍵字

中醫 小兒盜汗 小兒汗證 桂枝湯

並列摘要


This case is a 4-year-3-month-old boy, with iron-deficiency anemia. He was noticed with night sweat during sleeping for one year, and increasing times of flu with the symptoms of fever, rhinorrhea, cough. The boys was brought to pediatric clinic without clear diagnosis. Thus, he was brought to traditional Chinese medicine clinic for further evaluation and treatment. He was diagnosed with disharmony between ying and wei. After treatment with Gui Zhi Tang for six weeks, the symptoms improved obviously in two months, without night sweat and flu. Due to few data was discussed in western medicine, we provide a well curative case for discussion of Chinese medicine with Gui Zhi Tang in treatment of night sweat in children.

並列關鍵字

children night sweat Chinese medicine Gui Zhi Tang

參考文獻


Gerald W Smetana, MD, (2021.06), Evaluation of the patient with night sweats or generalized hyperhidrosis, 2020.08.25, from: Uptodate.
崔淑蘭、張軍瑞、薛曉琳、王天芳(2020):《中醫診斷學》中觀於問汗內容爭議。中醫臨床研究,24,10。
蔣燕(2004):自汗、盜汗辨析。上海中醫藥雜誌,9,5-6。
MJ Lea, RC Aber, Descriptive epidemiology of night sweats upon admission to a university hospital, South Med Journal, 1985 Sep, 78(9), 1065-1067.
James W Mold 1, Migi K Mathew, Shuaib Belgore, Mark DeHaven, Prevalence of night sweats in primary care patients: an OKPRN and TAFP-Net collaborative study, J Fam Pract., 2002, 51(5), 452.

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