ntegration of Traditional Chinese and Western Medicine for the Treatment of Sjögren Syndrome with Chief Complaint of Parotid Gland Enlargement: A Case Report
An 81-year-old male patient presented with a noticeable swelling in front of his left ear for one month, accompanied by symptoms such as dry mouth and dry eyes. The initial treatment plan was surgical removal of the lump. However, due to concerns about surgical risks, the patient sought treatment at the Center of Traditional Medicine of Taipei Veterans General Hospital on September 16, 2022. Based on the four diagnostic methods of Traditional Chinese Medicine (TCM), the patient was diagnosed with "Liver and Kidney Yin Deficiency with generation of Fire, Liver Qi Stagnation, and Dual Qi-Yin Deficiency". The TCM treatment was to "Clear Heat and Nourish Yin, Replenish the Liver and Kidney, Relieve Liver Depression, and Tonify Qi to generate Fluid". Given the patient’s family history and other symptoms, he was also recommended to undergo related examinations in the Rheumatology outpatient department. In November 2022, he was diagnosed with Sjögren’s syndrome and the surgery was temporarily suspended while he was treated with Western medication. Under continuous follow-up treatment in both TCM and Western Medicine, the recurring swelling in front of the ear of this patient had diminished. And the symptoms such as dry mouth, dry eyes, and dry, itchy skin significantly improved. TCM Tongue diagnosis also showed reduced cracks, and an increase in tongue coating and tongue fluid. This case report shows that the Integrated TCM and Western medicine can effectively alleviate the dryness and lymphadenopathy symptoms of Sjögren’s syndrome, while also could be monitored and prevented the possible progression of the disease into lymphoma. It serves as a reference for the experience of treating Sjögren’s syndrome and lymphoma with TCM.
281.12中西醫結合治療以腮腺腫大為主訴之修格蘭氏症病例報告
