台北中医医学杂志

95.9 中医针伤科病例一妈妈手
中医针伤科病例一妈妈手
Cases of Acupuncture and Injury in Traditional Chinese Medicine: A Case Report
李冈桦 吴建隆*
台北市立联合医院林森中医昆明院区
【摘要】
狭窄性腱鞘炎发生在桡骨茎突部,称为桡骨茎突狭窄性腱鞘炎,又称为De Quervains Tenovaginitis Stenosans,俗称妈妈手。因为外展拇长肌和伸拇短肌的肌腱和鞘膜之间过度摩擦,使纤维性鞘膜异常加厚,造成肌腱隧道阻塞或狭窄,从中医角度看是筋伤结果导致瘀血气滞、经气不通而痛。多发生於家庭妇女、包装工人或长期使用手部动作的人。利用中医针灸可有很好的疗效。
本病例为59 岁陈女士,选用合谷、肩井、後溪、养老、曲池、阳溪、足三里等穴位,治疗後疼痛明显改善,活动较灵活,针刺配合行手法处理,获得明显的疗效。
【关键词】中医伤科妈妈手
 
Gang Hua LiJian Long Wu*
Taipei City Hospital, KunMing Branch
【Summary】
A 59 year-old female patient suffered from right wrist radial pain implicated thumb, activity unfavorable lasting three months, because the pain she came to Taipei City Chinese Medicine Outpatient Center for visit, diagnosed as radial stem stenosis tendon synovitis (stenosing tenosynovitis). Under acupuncture therapy by benefit the temperature sutra, and he ying tong bi to treat, the effect of relaxing the muscle to restore health was finally achieved.
Keywords stenosing tenosynovitis, acupuncture