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233.10 济生肾气丸与肾着汤化裁治疗摄护腺肥大诱发频尿之病例报告

TJ TCM.23(3) : 129-140,2020

DOI : 10.6516/TJTCM.202012_23(3).0009

济生肾气丸与肾着汤化裁治疗摄护腺肥大诱发频尿之病例报告

A Case Report of Using Modified Ji Sheng Shen Qi Wan and Shenzhu Tang in Treating Benign

Prostatic Hyperplasia Induced Urinary Frequency

吕秉勋1　黄建荣1　戴有志1,2*

1 佛教慈济医疗财团法人台北慈济医院中医部，台北，台湾

2 慈济大学学士後中医学系，花莲，台湾

【摘要】

良性摄护腺肥大（benign prostatic hyperplasia，BPH）与老化有关连，大多数的男性随着年龄的增长，都可能会遭遇此问题。摄护腺肥大造成的排尿不利、频尿或尿失禁都会对生活作息带来很大的影响，手术虽能解决问题，但术後的副作用如疼痛与阳痿，令人却步，而药物只能缓解症状，却无法根治，且药物的副作用也让人困扰。本案介绍一位71 岁患者尿频逐渐加重已两年且服用甲型肾上腺素阻断剂会产生不适之副作用，在服用济生肾气丸与肾着汤化裁一个月後，改善困扰患者许久的频尿、夜尿与尿失禁的症状，其国际摄护腺徵状评分表（international prostate symptom score，IPSS）评分从25 分降至14 分，改善程度优於服用西药三个月的治疗成效，生活品质也因此获得改善。

【关键词】摄护腺肥大、频尿、国际摄护腺徵状评分表、济生肾气丸、肾着汤

Ping-Hsun Lu1Chien-Jung Huang1Yu-Chih Tai1,2*

1Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical

Foundation, Taipei, Taiwan

2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan

【Summary】

Benign prostatic hyperplasia (BPH) is a common disorder increases as men age. Slow or prolonged stream, hesitancy, frequent urination, nocturia, urgency and incontinence caused by BPH will have a great impact on quality of life. Although surgery can solve the problem, but the adverse effects of pain and impotence are prohibitive. Drugs can only relieve the symptoms but cannot cure the BPH, and the side effects of the drugs are disturbing. This case introduces a 71-year-old patient whose urinary frequency has gradually increased for two years, and taking an epinephrine blocker will cause unpleasant side effects. After taking modified Ji Sheng Shen Qi Wan and Shenzhu Tang for one month, his symptoms of frequent urination, nocturia and incontinence were improved. The International Prostate Symptom Score (IPSS) score reduces from 25 points to 14 points and the quality of life is also improved. The degree of improvement is better than the treatment effect of taking western medicine for three months.

【Keywords】Benign Prostatic Hyperplasia; Frequent Urination; International

Prostate Symptom Score; Ji Sheng Shen Qi Wan; Shenzhu Tang

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