中醫藥研究論叢

291-8 中醫針灸居家照護顱腦損傷合併下肢水腫病例報告

TJ TCM.29(1) : 105-118, 2026

DOI : 10.6516/TJTCM.202603_29(1).0008

中醫針灸居家照護顱腦損傷合併下肢水腫病例報告

A Case Report on Home-Based Acupuncture Care for Lower Limb Edema Secondary to Traumatic Brain Injury

王軍3,4,*蔡金川2,3,4林新杰3,4陳�ㄩ�5林原禾3李長殷1,3,4陳冠佐3,4,*

【摘要】
本病患為53歲男患者,在2023年04月為閃避公車不慎與違規車輛發生車禍當場昏迷,病況穩定後返家進行復健治療,治療後左下肢傷力大及下肢水腫症狀持續,情志抑鬱寡歡,於2024/07/31開始進行接受居家醫療照護整合計畫之中醫訪視。期間以針灸及傷科手法治療持續8次,患者左下肢張力及下肢水腫症狀改善,行走功能進步,可使用助行器在室內活動,說明了中醫參與居家醫療照護整合計畫不僅使患者加速改善下肢張力、下肢水腫、促進患者行動能力及生活品質,更彰顯中醫在居家照護的可行性。
【關鍵詞】中醫 ;下肢水腫 ; 針灸;居家醫療整合照護; 顱腦損傷
【Summary】
This case report describes a 53-year-old male patient who sustained a traumatic brain injury (TBI) in April 2023 after being struck by an illegally parked vehicle while avoiding a bus, resulting in an immediate loss of consciousness. Following stabilization, the patient returned home to undergo rehabilitation. Despite conventional therapy, he experienced persistent left lower limb hypertonia, edema, and emotional depression. On July 31, 2024, the patient initiated a Traditional Chinese Medicine (TCM)-based home care program under an integrated medical care plan. Over the course of eight sessions, acupuncture and TCM manual therapy were applied, resulting in improved left lower limb tone, reduced edema, and enhanced mobility. The patient progressed to using a walker for indoor activities. This case highlights the potential of TCM in home-based care for improving limb tone, edema, mobility, and overall quality of life in patients with TBI, demonstrating the feasibility and benefits of incorporating TCM into integrated home care programs.
【Keywords】
Traditional Chinese Medicine ; Lower Limb Edema ; Acupuncture ; Integrated Home Medical Care ; Traumatic Brain Injury