中医药研究论丛

212.12 伤科手法治疗青少年脊椎侧弯之病案分析
TJ TCM.21(2) : 125-136, 2018
伤科手法治疗青少年脊椎侧弯之病案分析
Adolescent Idiopathic Scoliosis Treated with Chinese Traumatology: A Case Report
许雅婷1 黄建荣1,3 陈建霖1,2 黄蕙棻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
3 国立师范大学健康促进与卫生教育研究所博士班,台北,台湾
【摘要】
本病例是位13 岁的国中女学生,因身材矮小至各大医院小儿科及骨科求诊,诊断为胸腰椎脊椎侧弯,父母不希望以背架及复健治疗,希望以中医处理脊椎侧弯,本病患经处方活血化瘀、强筋健骨中药及伤科理筋复位手法治疗後,3 个月的疗程使脊椎侧弯曲度从40 度到15 度,长高1 公分,过敏性鼻炎也好转,经过中医伤科内服外治手法,疗效显着。
【关键词】青少年脊椎侧弯、伤科手法、知柏地黄丸
Ya-Ting Hsu1Chien-Jung Huang1,3Chien-Lin Chen1,2Hui-Fen Huang1,2*
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
3Graduate Institute of health promotion and health education, National Normal University,
Taipei, Taiwan
【Summary】
This case is a 13-year-old middle school female student has short stature, so she went to pediatric and orthopedic clinics and diagnosed with thoracolumbar scoliosis. Her parents refused back brace and rehabilitation in favor of treatment with Chinese medicine. After receiving three months of treatment with Chinese traumatology sinew manipulation methods in combination with blood-quickening stasis-transforming as well as bone and sinew strengthening medicine, the patient achieved an additional 1cm of growth and the Cobb’s Angle was reduced from 40 to 15 degrees. The patient also experienced significant relief from chronic allergic rhinitis. This case demonstrates the positive therapeutic effect of Chinese manipulations in combination with Chinese medicine in the treatment of adolescent scoliosis.
【Keywords】Adolescent Scoliosis, Chinese Traumatology, Zhi Bai Di Huang Wan