Scalp Acupuncture for the Treatment of Japanese Encephalitis
黃俐瑜1林郁甯1王健豪1林經偉1,*
1花蓮慈濟醫院中醫部，花蓮，台灣
【摘要】
日本腦炎(Japanese Encephalitis，JE)是由日本腦炎病毒所引起的急性腦膜腦
炎，受損部位包含腦、脊髓以及腦膜，致死率約20%至30％，存活病例中約30%
至50％有神經性後遺症包括不正常肌張力、語言障礙、運動肌無力、腦神經及
錐體外系統異常的神經功能缺損。本篇以一名54歲男性患者，反覆發燒持續一
週，至花蓮慈濟醫院就診後，隔日仍有反覆發燒以及喉嚨痛、流鼻水、咳嗽有
痰與頭痛的情形，再次至急診檢查與治療，入院後經衛生署疾病管制署確診為
2023 年花蓮首例日本腦炎，住院期間因納差、下肢無力與反應遲緩而會診中醫
，出院後並於中醫門診持續治療，針灸以百會、四神聰、足運感區、神庭、眉
衝、本神、頭維、囟會為主，昏迷指數GCS由E4V1M4進步至E4V5M6，希
望本病案能提供日本腦炎之中醫輔助治療的臨床參考。
【關鍵詞】日本腦炎、針灸、中醫、流行性乙型腦炎、Japanese Encephalitis、JE、
頭皮針
【Summary】
Japanese Encephalitis (JE) is an acute meningitis caused by the Japanese Encephalitis virus, primarily affecting the brain, spinal cord, and meninges. The mortality rate of JE is approximately 20% to 30%. Among survivors, about 30% to 50% suffer from neurological sequelae, including abnormal muscle tone, speech impairments, motor weakness, cranial nerve dysfunction, and extrapyramidal system abnormalities. This case study focuses on a 54-year-old male who presented with recurrent fever persisting for a week before seeking treatment at Hualien Tzu Chi Hospital. Despite initial medical intervention, the patient still continued to experience fever, sore throat, rhinorrhea, productive cough, and headache, prompting further emergency evaluation. The patient was subsequently diagnosed by Taiwan Centers for Disease Control as the first confirmed case of Japanese Encephalitis in Hualien in 2023. During his hospitalization, he was consulted by traditional Chinese medicine (TCM) specialist due to poor appetite and lower limb weakness. After discharge, the patient continued to receive TCM outpatient therapy, primarily involving acupuncture at Baihui(GV20), Sishencong(EX-HN1), Foot Motor Sensory Area, Shenting(GV24), Meichong(BL3), Benshen(GB13), Touwei(ST8), and Xinli(GV22). Notably, the patient’s Glasgow Coma Scale (GCS) score improved from E4V1M4 to E4V5M6. This case aims to provide valuable insights for clinical practice of Japanese Encephalitis with traditional Chinese medicine.
【Keywords】
Japanese Encephalitis； JE； acupuncture； traditional Chinese medicine； scalp acupuncture
282.10頭皮針應用於日本腦炎的病例報告
