中醫居家醫療病例報告－頻尿

本病例報告為一位86歲女性，有強迫症的病史，自2018年因駝背情況加劇，自尊心受創不想外出見人，時常頭暈加上運動量減少，肌肉量逐漸下降，導致無法久站久走。2020年開始小便頻數，幾乎是半小時就要上一次廁所，作息日夜顛倒，夜晚無法安睡。為避免頻尿情形加重，患者飲食量大幅減少，但因足不出戶患者拒絕外出就醫之一切醫療行為，家屬聽聞中醫開始有居家醫療服務，故致電至本院求助，經主治醫師診察後判斷為肝腎陰虛型的頻尿，接受大約四個多月的中藥處方及針灸治療後，現在患者頻尿情形大幅減少，OABSS量表分數從11分變成1分，以此病例分享中醫居家醫療之經驗，供臨床醫師參考運用。

關鍵字

中醫居家醫療；頻尿；中藥處方與針灸

並列摘要

This case report is an 86-year-old woman with a history of obsessive-compulsive disorder. Since 2018, her hunchback condition has worsened, her self-esteem has been damaged, and she doesn't want to go out to see people. She is often dizzy and the amount of exercise has been reduced, and the muscle mass has gradually decreased, making it impossible to stand and walk for a long time. Since 2020, she has started to urinate frequently and she has to go to the bathroom almost every half an hour. In order to avoid aggravation of frequent urination, the patient's food intake was greatly reduced. However, due to all the medical behaviors of the patient who stayed at home being refused, the family members heard that the Chinese medicine doctor started to provide home medical services, so they called the clinic for help. It is a type of frequent urination of liver and kidney yin deficiency. After receiving Chinese medicine prescriptions and acupuncture treatment for more than four months, the patient's frequent urination has been greatly reduced. The OABSS scale score has changed from 11 points to 1 point. This case shares the experience of home medical care with Traditional Chinese medicine for clinicians' reference and use.