運用溫經行氣化瘀法治療子宮內膜異位症痛經之病例報告

Using Warming Meridian Conducting Qi Dispel Blood Stasis Therapy for Dysmenorrhea with Endometriosis: A Case Report

張馨慧(Chang Hsin-Huei) ； 賴彥雄(Lai Yen-Hsiung) ； 陳盈佑(Chen Ying-Yu)

《中醫婦科醫學雜誌》 24期 (2019/12) Pp. 64-81

https://doi.org/10.30030/JTCGM.201912_(24).0007

摘要

本病例為一位36歲未婚女性，經行左下腹疼痛拉扯感已二十年。七年前曾因非經期出血點滴施行左側卵巢巧克力囊腫切除手術，超音波檢查診斷子宮腺肌症。巧克力囊腫為異位的子宮內膜長在卵巢內，子宮腺肌症則為異位的子宮內膜，長在子宮肌肉層內。患者近兩個月因工作壓力情緒緊張，經來疼痛加重，故至中醫求診。七月十六日初診時為排卵前期，經診斷證型為胞宮寒凝氣滯血瘀及肝氣鬱，治療方針為溫經散寒行氣止痛活血化瘀及疏肝。八月二日經來左下腹痛減，持續配合中醫治療痛經。九月經來已無下腹痛。

關鍵字

巧克力囊腫 ； 子宮腺肌症 ； 溫經 ； 行氣 ； 化瘀

並列摘要

This case is a 36-year-old unmarried woman who has been suffered from menstrual cramps in her left lower abdomen for 20 years. She underwent left ovarian cystectomy for abnormal uterine bleeding, and an ultrasound diagnosis was adenomyosis seven years ago. Due to work pressure and mental stress, dysmenorrhea was worsened in the past two months. When she sought treatment at our traditional Chinese medicine clinic on July 16, she was undergoing a pre-ovulation period. Her TCM patterns were the combination of coagulated cold in the womb, qi stagnation, blood stasis, and liver qi stagnation. The treatment principles were warming meridian, dispersing cold, conducting qi, dispelling blood stasis, and relieving stagnated liver qi. On August 2nd, menstrual pain in the left lower abdomen decreased. She continued to take Chinese medicine to treat dysmenorrhea. She has no menstrual pain in the left lower abdominal during her period in September.

並列關鍵字

chocolate cyst ； adenomyosis ； warming meridian ； conducting Qi ； dispel blood stasis

參考文獻

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