產後憂鬱症伴隨恐慌發作的中醫治療病例報告

Traditional Chinese Medicine for Postpartum Depression with Panic Attack - A Cases Report

楊淑婷(Shu-Ting Yang) ； 陳朝宗(Chao -Tsung Chen) ； 林舜穀(Shun-Ku Lin) ； 陳美如(Mei-Ru Chen)

《中醫內科醫學雜誌》 16卷1期 (2018/06) Pp. 54-67

https://doi.org/10.7102/JTCIM.201806_16(1).0006

摘要

一名37歲女性本有焦慮症病史，因生產哺乳、照顧嬰兒的壓力，出現產後恐慌症發作兼憂鬱傾向，愛丁堡產後憂鬱症評估量表由Cox、Holden和Sagovsky學者發展篩檢產後憂鬱之量表為總分超過13分，代表極可能已受憂鬱症所苦。經中醫辨證論治為肝鬱腎虛，中陽不運的鬱症，主要選用一貫煎養陰疏肝，五苓散溫陽滲濕，緩解恐慌症發作的頭暈、心悸等合併症，隨著恐慌症發作頻率降低，病患不再焦慮，憂鬱傾向也隨之改善。

關鍵字

產後憂鬱症 ； 恐慌症發作 ； 中醫

並列摘要

A 37-year-old woman had a history of anxiety. She was suffering from postpartum depression with panic attacks disorder due to the pressure of lactation and caring for infants. Cox JL, Holden JM, Sagovsky R developed the 10- item Edinburgh Postnatal Depression Scale, which 13 points above mean postnatal depression. The traditional Chinese medicine diagnosis and treatment of kidney deficiency and liver qi stagnation, syndrome of spleen yang insufficiency depression, the main selection of ,Yi Guan Jian ,the liver reinforcing decoction and Wuling powder used to warm spleen yang and drain dampness , relieve panic attacks dizziness, palpitations and other complications, with the frequency of panic attacks decreased , The patient is no longer anxiety, depression tends to improve.

並列關鍵字

Postpartum depression ； Panic disorder Attack ； Traditional Chinese medicine

參考文獻

陳芝瑜(2011)。產後憂鬱症。家庭醫學與基層醫療。26(12)，497-501。

Cox, JL,Holden, JM,Sagovsky, R(1987).Detection of postnatal depression: development of the 10- item Edinburgh Postnatal Depression Scale.Br J Psychiatry.150,782-6.

Li, Yongle,Chen, Zijie,Yu, Ning,Yao, Keyu,Che, Yiwen,Xi, Yupeng,Zhai, Shuangqing(2016).Chinese Herbal Medicine for Postpartum Depression: A Systematic Review of Randomized Controlled Trials.Evidence-Based Complementary and Alternative Medicine.2016

Mandrioli, R.,Mercolini, L.,Raggi, M. A.(2008).Benzodiazepine Metabolism: An Analytical Perspective.Current Drug Metabolism.9(8),827-844.

王春香、陳桂蓮、龍梅(2011)。解鬱湯治療產後抑鬱症27 例[。中國實驗方劑學雜誌。17(9)，292。