中医药研究论丛

202.10 针灸调整筋膜结构治疗重度持续性气喘之病例报告

 

针灸调整筋膜结构治疗重度持续性气喘之病例报告
Case Report of Treating Severe Persistent Asthma with Acupuncture to Adjust Fascia Structure
廖敏芳1 王竹君2 陈艺文3 章雅纯4 沈邑颖2*
1 嘉义基督教医院中医部,嘉义,台湾
2 关山慈济医院中医科,台东,台湾
3 德睿中医诊所,新北,台湾
4 吉安中医诊所,新北,台湾
【摘要】
气喘是一种慢性呼吸道炎症反应,主要表现是支气管痉挛,伴随着阵发性呼气困难及喘鸣,又称哮喘。本病例为一自幼即罹患气喘之53 岁女性患者,近2 年多次因气喘发作入住加护病房,来本院中医部求诊时,正处於气喘的发作期,症状为呼吸喘促费力,以致无法平躺睡眠,胸闷、咳嗽、痰量多、色黄、质黏稠难咳出,伴随大便不畅、小便量少。长期因气喘而导致的胸廓变形与胸胁筋膜紧绷,见胸锁乳突肌肿硬、颈肿、胸廓高肿、胸骨角肿,经过三次诊治,病患气喘发作之症状以及频率获得明显的改善,并减少对吸入剂药物的依赖。急则治其标,以袪邪为主,内以中药清热化痰,兼袪瘀通络,以恢复肺宣发肃降之功能。久病导致身体结构改变,外以针灸调整筋膜为主,令结构恢复正常,呼吸困难减少,气血随之顺畅。并以拨罐活血化瘀、散郁热,放血疏通经气等方式,内外兼治,双管齐下,加强疗效,提供了中医治疗气喘的新思维。
【关键词】
气喘、哮喘、活血化瘀法、拨罐、放血、疏肝汤
 
Liao Min-fang1 Wang Zhu-jun2 Chen Yi-wen3 Zhang Ya-pure4 Shen Yi-ying2*
1Department of Chinese Medicine, Chia-Yi Christian Hospital, Chiayi, Taiwan
2Department of Chinese Medicine, Kuanshan Tzu Chi, Taitung, Taiwan
3De Rui Chinese medicine clinic, New North City, Taiwan
4Ji’an Chinese medicine clinic, New North City, Taiwan
【Summary】
Asthma is a chronic respiratory inflammation, the main performance is bronchial spasm, accompanied by paroxysmal exhalation difficulties and wheezing, also known as asthma. This case is a 53-year-old female patients suffering from asthma from childhood, nearly 2 years due to asthma attack admitted to intensive care unit.To the hospital department of medicine for treatment,she was in the onset of asthma, the symptoms of difficulty breathing, so that could not lie down sleep, chest tightness, coughing with yellow and viscous putum,accompanied by constipation and oilguria.Thoracic deformity and thoracic fascia tight was caused by long-term asthma,accompanied by sternocleidomastoid muscle swelling hard, neck swelling, thoracic hyperplasia, sternal swollen. After three visits, the symptoms and frequency of asthma episodes were significantly improved and the dependence on inhalants was reduced. Relieving the secondary symptoms first in treating acute disease, relieving the primary symptoms in treating chronic disease.
We used traditional chinese medicine to reduce sputum, remove heat to restore lung function.We used acupuncture to adjust the fascia changed by chronic illness, so that the structure was returned to normal, difficulty of breathing was reduced, circulation of qi and blood was smooth.We provided a new thinking of treating asthma in chinese medicine by cupping therapy,bloodletting therapy, etc.
Keywords: Asthma, Promoting blood circulation for removing blood stasis, Cupping therapy, Bloodletting therapy, Sparse liver soup