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中醫藥研究論叢
 263.8 中藥治療僵直性脊椎炎之病例報告
TJ TCM.26(3) : 103-114, 2023
DOI : 10.6516/TJTCM.202309_26(3).0008
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中藥治療僵直性脊椎炎之病例報告
Chinese herbal medicine for alleviating the
patient with Ankylosing Spondylitis: A case report
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吳育瑜 1,2 顏見明 1 林虹均 1 陳國豐 1 張清貿 1,3,4,*
1 臺北榮民總醫院傳統醫學部，臺北，臺灣
2 慈濟大學學士後中醫學系，花蓮，臺灣
3 國立陽明交通大學傳統醫藥研究所，臺北，臺灣
4 國立陽明交通大學醫學系，臺北，臺灣
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【摘要】
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36 歲男性患有僵直性脊椎炎（Ankylosing spondylitis），患者於2020 年 02 月 10 日至臺北榮民總醫院傳統醫學部門診就診，主要症狀為腰背痠痛、俯仰 不利、晨僵。中醫辨證為痰溼熱瘀阻筋脈、胃失和降、肝鬱化火、肝腎虧虛，治則為清熱除溼、活血通絡、和胃降逆、疏肝清熱、滋養肝腎。持續追蹤治療 11 次後，患者腰部痠痛、俯仰不利、晨僵、全身麻木、善太息等症狀均顯著改善。患者於就診傳統醫學部門診後未服用西藥治療，本病例報告顯示使用中藥治療可有效緩解僵直性脊椎炎之複雜症狀，可提供中藥治療相關疾病之參考。
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【關鍵詞】僵直性脊椎炎、清熱除溼、活血通絡
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Yu-Yu Wu1,2 Chien-Ming Yen1 Hong-Chun Lin1 Kuo-Feng Chen1 Ching-Mao Chang1,3,4,*
1 Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
2 School of Post-baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
3 Institute of Traditional Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
4 Faculty of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
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【Summary】
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This 36-year-old male diagnosed as Ankylosing spondylitis, and his chief symptoms of back pain, pitching, and morning stiffness bothered him. Due to these discomforts, he came to Taipei Veterans General Hospital on Feb 10, 2020 for Chinese herbal medicine therapy. The Tradition Chinese Medicine (TCM) pattern included “Phlegm, dampness, heat and blood stasis blocking tendons and veins” , “stomach disharmony”, “Liver depression transforms fire” and “Liver and kidney deficiency”, while its treatment is “Clearing heat for removing dampness” , “Promoting blood circulation for removing obstruction in collaterals”, “Harmonizing stomach and lowering adverse qi”, “Soothing the liver and clearing heat” and “Nourishing the liver and kidney”. After following up about 11 times, the patient effectively improved the symptoms of waist soreness, pitching, morning stiffness, general numbness and other symptoms. The patient did not take conventional medicine after TCM therapy, and this Case report showed that TCM therapy could relieve the symptoms of Ankylosing spondylitis without conventional medicine. It could provide another new concept for TCM therapy.
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【Keywords】Ankylosing Spondylitis, Clearing heat for removing dampness, Promoting blood circulation for removing obstruction in collaterals
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