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中医药研究论丛
 202.11 针刺治疗创伤性肩关节炎病例报告
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针刺治疗创伤性肩关节炎病例报告
Treatment of Traumatic Shoulder Arthritis by Acupuncture: A Case Report
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黄义钧1,2,4 范振虢1,2 张哲铭1,2 林荣志1,3,4*
1 中山医学大学附设医院中西整合医疗科，台中，台湾
2 中国医药大学中医学系，台中，台湾
3 中山医学大学医学系，台中，台湾
4 中华针灸医学会，台中，台湾
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【摘要】
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创伤造成的肩关节周围炎及其引发的後续肩关节痛是种常见的问题，西医处置主要是固定/ 手术治疗以及後续复健，然而仍常见有患者改善幅度有限。而传统中医针对治疗肩关节有好的疗效，提供患者更多的选择。本文讨论了两种不同创伤：近端肱骨闭锁性骨折及肩部肌肉撕裂伤造成的肩关节痛，采用了局部取穴如臑会TE13、肩TE14、臂臑LI14、肩LI15、巨骨LI16 等及远端取穴如支沟TE6、曲池LI11、尺泽LU5 等穴位进行针刺治疗，5 至7 个月疗程後患者的主观疼痛感大幅减轻，且客观活动幅度、旋转角度亦增加，对於中医针灸治疗创伤性关节炎之疗效，提供一份临床实证的有效案例。
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【关键词】
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针刺治疗、创伤性肩关节炎
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Yi-Chun Huang1,2,4 Chen-Kuo Fan1,2 Che-Ming Chang1,2 Jung-Chih Lin1,3,4*
1Department of Integrated Chinese Medicine and Medicine, Chung Shan Medical University
Hospital, Taichung, Taiwan
2Department of Chinese Medicine, China Medical University, Taichung, Taiwan
3Department of Medicine, Chung Shan Medical University, Taichung, Taiwan
4Chinese Medical Association of Acupuncture, Taichung, Taiwan
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【Summary】
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It is a common problem for subsequent shoulder joint pain due to traumatic shoulder joint arthritis. This article discusses two cases of partial shoulder pain and movement range restriction caused by shoulder joint arthritis due to proximal humeral fracture and shoulder muscle laceration. After differential diagnosed with meridian theory, several acupuncture points (TE11, TE14, LI14, LI15, LI16 and TE6, LI11, LU5) were selected to treat these two patients. After acupuncture treatment for 5 to 7 months, there are obvious improvements not only subjective pain scale but also objective movement range. It is an effective case report for clinical evidence.
Keywords：Acupuncture, Shoulder joint arthritis, Shoulder pain
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