中医药研究论丛

202.19 心主神明应用於消化道疾患之治疗
心主神明应用於消化道疾患之治疗
The Theory of “Heart Controls Mental and Emotional Activities” in Treating Digestive Disorders Applying
吴政颖1 陈端仪1 洪培修1 方建喨1,2*
1 戴德森医疗财团法人嘉义基督教医院中医部,嘉义,台湾
2 国立中正大学心理学研究所,嘉义,台湾
【摘要】
59 岁女性,自述有睡眠障碍十馀年,曾至西医诊所与本院精神科长期服用抗焦虑药物。近一年来随着搬家环境改变与亲人过世,致使情绪紧绷、睡眠障碍等症状加重,并出现严重耳鸣与目胀,且开始每天好发嗳气而影响日常生活。嗳气偶有食物味道,伴有咽阻感。频率阵发一日数次,好发在紧张时,且过程中症状发作持续不断,注意力转移时嗳气症状减。今年年中起接受中医介入後耳鸣、目胀症状发作频率减、眠差改善,但仍持续胃脘胀与紧张时嗳气不断。原以柴胡疏肝汤等方加减治疗,改善效果不佳;後改以甘麦大枣汤加减治疗,病人自述有获得明显改善。
【关键词】
嗳气、功能性消化不良、情绪、自主神经系统
 
Cheng-Ying Wu1 Duan-Yi Chen1 Pei-Hsiu Hung1 Chien-Liang Fang1,2*
1Department of Chinese Medicine, Ditmanson Medical Foundation Chia-yi Christian
Hospital, Chiayi, Taiwan
2Institute of Psychology, National Chung Cheng University, Chiayi, Taiwan
【Summary】
A 59 years old female, whom suffered from sleeping disorders more than 10 years, and had been seeing doctors in western medicine clinics and Psychiatric of ChiaYi Christian Hospital for long term anti-anxiety medications. During the past year, the patient experienced environmental changing by moving and death of relative which exacerbated the symptoms of emotional tension and sleeping disorder. Moreover, started having seriously tinnitus and eye bilges, also companied with severity belching and affected daily life. It companied food taste while the belching happened, and abnormal sensation of throat. The frequency was several times a day, and occurred often when feeling tense. The symptoms of belching continued, and only reduced when attention diversion. Since taking Chinese medicine treatment from the mid of 2016, the patient indicated the frequencies of tinnitus and eye bilges reduced, and sleeping disorder was improved. Yet, the epigastric distention and belching still continued while under stresses. At the beginning of this treatment, mending with ChaiHuShuGan decoction but the improvement was not well; then treated with GanMaiDaZao decoction, that the patient showed significant improvement.
Keywords Belching, Functional Dyspepsia, Emotional, Autonomic Nerves System