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Yu-Ting Yuan1Andy Chern1,2*
1Department of Chinese Medicine, Taipei City Hospital, Renai Branch, Taipei, Taiwan
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Mixed incontinence (MI) symptom is the primary reason for those patients with prostate cancer surgery to go to the doctor in the Traditional Chinese Medicine Clinic. MI not only affects the patient’s quality of life but also may increase the risk of urinary tract chronic disease. This case report presents the Traditional Chinese medicine diagnosis and treatment process for a patient with prostate cancer surgery who suffered from MI symptoms for more than six months. The primary symptoms include the interval between two urinations less than one hour and the presence of Urge incontinence (UI) when subject to an abdominal strain. The doctor then adopted the treatment strategy: dispersing stagnated liver qi for reliving qi stagnation as the primary treatment method in combination with the supplemental treatments of warming, smoothing, dredging blood channels, and invigorating the kidney.
Furthermore, supplemented peripatetic powder and cyperus were used as the core prescription. As to the supplemental medicines, AN ZHONG SAN and mugwort leaf was used to warm, smooth, and dredge the lower burner, and Sang Piao Xiao San was used to soothe the nerves, invigorate the kidney and reduce urination as well. After being treated for over one month, the MI symptom of the patient continuously improved. For example, the interval between two urinations was appreciably extended from 1 hour to 1 - 2 h. In addition, the frequency of UI was significantly reduced under abdominal strain conditions. Up to date, the literature related to the MI disease associated with patients with prostate cancer surgery is very scarce. However, this case report demonstrates a very effective curative effect via the treatment approach of dispersing stagnated liver qi for reliving qi stagnation. Thus, it may be helpful as a reference in future clinical work.
【Keywords】Prostate cancer; Traditional Chinese Medicine; dispersing stagnated
liver Qi for reliving Qi stagnation; warming, dredging blood channels
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262.3 疏肝行氣溫經通絡法治療攝護腺癌術後混合性尿失禁病例報告
