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Mei-yi Wu1Yu-Chih Tai 1*
1Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation,Taipei, Taiwan
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A 35-year-old female teacher is a case of type 2 DM for 6 years without medical control. April 28th, 2016, she suddenly saw an image becoming two horizontal ones when eyes turning to left and felt dizziness. Next day, the symptom got worse and she even felt numbness on her hands and feet palms. After examination, the diagnosis was left CN6 palsy, related to DM s/p oral antidiabetic drug. But she didn’t get better and gradually felt lower limbs weak. Then she went to a medical center on May 13th, 2016. the discharge diagnosis was Acute inflammatory demyelinating polyneuropathy (AIDP) s/p plasma exchange. After treatment, even some symptoms improved, she still suffered from diplopia when eyes turning left and peripheral numbness in 4 limbs. So she went to Taipei Tzu Chi hospital to search for Chinese medical help on May 25th, 2016. After Chinese medical four examinations, the main diagnosis was interior liver wind and exterior wind caused diplopia. The second diagnosis was Qi deficiency and blood stasis
caused numbness in 4 limbs. We use acupuncture to expel the wind and also use Chinese medicine to supply Qi, invigorate the blood and rectify her underlying body constitution at the same time. After Chinese treatment in 1 month, symptoms improved a lot. Reviewing the case, we thought the acute neurologically symptoms were closely related to “wind”, and Chinese treatment is effective for
this case.
【Keywords】diplopia, CN6 palsy, Acute inflammatory demyelinating polyneuropathy(AIDP), wind evil, acupuncture
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212.13 神经源性复视病例报告
