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血栓性靜脈炎中醫治療病例報告

TCM Treatment on Thrombophlebitis: A Case Report

摘要


血栓性靜脈炎(thrombophlebitis)典型的急性表現爲小腿和腳踝疼痛和腫脹,並伴隨著小腿的壓痛。小腿血栓:臨床症狀常不明顯,患者有輕微小腿疼痛、壓痛,活動後甚。大腿血栓:起病急驟,整個患肢疼痛、壓痛;少數患者患肢青紫。多發於人體下肢,雖爲臨床常見病,又爲纏綿難愈或愈後易發之患。而於動、靜脈炎發病因素較多,臨床症狀亦不盡相同,治療也有就異。《素問•痹論篇》曰:“痹在於脈,則血凝而不流。”下肢深部靜脈炎屬中醫學“脈痹”、“股腫”範疇。此症臨床上常見於老年人,因無法完成短距離的步行,而深深影響生活品質,本例在中醫治療後,症狀已獲得改善,因此提出報告。

並列摘要


The typical acute symptoms of thrombophlebitis include pressure pain and swelling of ankle and leg. Thrombophlebitis of leg: no obvious clinical symptoms. Patients often feel minor pain and pressure of the leg that worsen after activities. Throbophlebitis of thigh: The onset is usually fast and acute with pain and pressure of the affected limb. Some patients might have bruised limb. Thrombophlebitis often occurs in the lower extremities, but the treatment varies according to inflammation of arteries or veins. In the ”Bi Chapter” of the ”Plain Question”, it mentions ”if Bi exists in the vein, the blood is static without flowing”. Thrombophlebitis of lower extremities belongs to ”Vein Bi” and ”Swelling Hip” in TCM. It often seen in seniors who cannot walk short distance and results in bad living quality. This case has satisfactory improvement after TCM treatment.

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