Add-on Therapy With Traditional Chinese Medicine Ameliorates Chronic Neutropenia and Constipation in a Child: A Case Report

中醫輔助治療兒科的慢性嗜中性白血球低下和便秘：病例報告

鄭為仁(Wei-Jen Cheng) ； 吳書睿(Shu-Ruei Wu) ； 陳志豪(Chih-Hao Chen) ； 余爵至(Jue-Zhi Yu) ； 胡心瀕(Hsin-Pin Hu) ； 林揆喨(Kuei-Liang Lin) ； 曾薇蓁(Wei-Chen Tseng) ； 姜智釗(Chih-Chao Chiang)

《台灣中醫兒童暨青少年科醫學會雜誌》 2卷1期 (2022/06) Pp. 32-41

https://doi.org/10.29620/JTCMACA.202206_2(1).0004

摘要

Chronic neutropenia and constipation are important problems without an effective treatment in pediatric patients. Herein, we report the case of an 11-month-old boy with chronic neutropenia and severe constipation who visited a traditional Chinese medicine (TCM) clinic. He had been taking laxatives since he was four months of age, but the effects were not satisfactory. Problems such as defecation pain and blood-tinged hard stool were still present. He was also diagnosed with neutropenia at 7 months of age and received several doses of granulocyte colony-stimulating factor for frequent skin infections. However, the absolute neutrophil count remained low. After taking xiang sha liu jun zi tang and ma zi ren wan for 3 months, both neutropenia and constipation improved. In conclusion, TCM may be a practical and auxiliary choice for treating chronic neutropenia and severe constipation in pediatric patients.

關鍵字

traditional Chinese medicine ； pediatrics ； constipation ； neutropenia

並列摘要

慢性嗜中性白血球低下和便秘是兒科疾病中的重要議題。本病例報告描述一名男孩因4個月大出現的便秘和7個月大開始的嗜中性白血球低下於11個月大時就診中醫。這名男孩服用軟便的西藥，但解便的疼痛哭鬧和大便帶血等狀況依舊存在。另外，他因為反覆的皮膚感染而注射了白血球生長激素，但絕對嗜中性白血球數量並沒有顯著的上升。經過中醫四診，我們開立香砂六君子湯和麻子仁丸的處方，經過3個月的療程，這名男孩的便秘和白血球低下的狀況都獲得改善。因此，中醫或可在類似的便秘或者慢性嗜中性白血球低下的兒科病人上扮演有效的輔助角色。

並列關鍵字

中醫 ； 兒科 ； 便祕 ； 嗜中性白血球低下