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中医药研究论丛
 202.18 更年期皮肤结节之病例报告
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更年期皮肤结节之病例报告
A Case Report of Menopause with Skin Nodules
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洪晨昕1 邱诗方1 邱媛贞1 李孟真2 杨舒渝1* 王人澍1
1 台中慈济医院中医部，台中，台湾
2 朝阳科技大学应用化学系，台中，台湾
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【摘要】
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一名52 岁女性於停经一年多前在颈部及额头陆续出现多颗皮肤结节，西医诊断为皮脂腺囊肿。此次至中医就诊乃因左侧腰部皮肤出现一颗两公分扁圆形结节，边缘规则，近於肤色，表面平滑，重按之则局部结节区域疼痛，西医诊断为脂肪瘤，中医辨证为痰核，以心肾不交为本，痰瘀互结为标，治则为交通心肾，理气活血，化痰散结，故以生脉饮合二至丸益气养阴为主要处方，辅以化痰散结药物，门诊六次共服中药两个月後，左侧腰部皮肤结节逐渐缩小消失，颈部及额头多颗皮肤结节数量及大小亦有明显减少的情况。
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【关键词】
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脂肪瘤、皮肤结节、痰核、更年期
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Chen-Shin Hung1 Shih-Fang Chiu1 Yuan-Chen Chiu1
Meng-Jen, Lee2 Shu-Yu Yang1* Ren-Shu Wang1
1Department of Chinese Medicine, Taichung Tzu Chi Hospital, Taichung, Taiwan
2Department of Applied Chemistry, Chaoyang University of Science and Technology,
Taichung, Taiwan
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【Summary】
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A 52-year-old woman complained of multiple skin nodules appearing on her neck and forehead around menopause. She sought medical advice due to a flat-round skin nodule diagnosed of lipoma on her left side of waist one week ago. Slightly hard without exudate, it was diagnosed as “phlegm node” by Traditional Chinese medicine. The pattern identification of this patient with multiple skin nodules was noninteraction of the heart and kidney as well as syndrome of intermingled phlegm and blood stasis. Our principles and methods of treatment were interaction of the heart and kidney to treat the root; moreover, rectifying qi and dispersing phlegm, quickening the blood and transforming stasis. Noninteraction of the heart and kidney was the main cause of the patient’s condition so we prescribed Shengmai Yin and Erzhi pills as the main prescription. After taking Chinese medicine for two months, the skin nodule on her left side of waist gradually shrank and finally disappeared; furthermore, the number and the size of multiple skin nodules on her neck and forehead also significantly reduced.
Keywords：Lipoma, Skin nodules, Phlegm node, Menopause
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