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中医药研究论丛
 221.11 少阴病外感中医疗法病例报告
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TJ TCM.22(1) : 129-134, 2019
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少阴病外感中医疗法病例报告
A Case Report on Treating Shao-Yin type Epidemic
Myalgia with Traditional Chinese Medicine
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叶信甫1,2 赖荣年3,4,5*
1 天主教中华圣母修女会医疗财团法人天主教圣马尔定医院家庭医学科，嘉义，台湾
2 国立阳明大学传统医药研究所，台北，台湾
3 中国医药大学附设医院中医部，台中，台湾
4 中国医药大学中医学系，台中，台湾
5 台湾中医家庭医学医学会，台北，台湾
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【摘要】
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本篇病例报告将以一位疑似流行性肌痛症(epidemic myalgia) 的38 岁女性求诊中医之病例，由於恶寒、怕冷、头痛、肌肉酸痛的症状为主，诊断为少阴病，在麻黄附子细辛汤为主方搭配散肿溃坚汤、一次针刺疗法的治疗下，二日痊愈，其治疗方式在不同阶段的诊断及思路，可以作为日後对於这类疾病治疗的叁考。
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【关键词】少阴病、外感、流行性肌痛症、中医药
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Hsin-Fu Yeh1,2 Jung-Nien Lai3,4,5*
1Department of Family Medicine, St. Martin De Porres Hospital, Chiayi, Taiwan
2Institute of Traditional Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan
3Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan
4The School of Chinese Medicine, China Medical University, Taichung, Taiwan
5Taiwan Association Traditional Chinese Medicine of Family, Taipei, Taiwan
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【Summary】
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Background: Epidemic myalgia is a disease that presents with fever and myalgia of the trunk due to an acute enterovirus infection. In western medicine, this disease is seldom reported in Southeast Asia and Taiwan. However, patients with epidemic myalgia tend to seek traditional Chinese medicine for acupuncture and Chinese herbal therapy. This article aims to highlight a case of suspected epidemic myalgia
which differentiated as the Shao-Yin type exogenous febrile disease according to traditional Chinese medicine symptoms.
Case presentation: A 38-year-old woman presented with fever, sweating, chills, and acute episodes of headache, chest tightness and back pain for three days. Following treatment with acupuncture at GV24 and BL3, the fever subsided and the symptoms of headache and back pain relieved immediately. Furthermore, the disease was totally cured barely two days later using traditional Chinese medicine treatment.
Conclusions: Based on this case report, epidemic myalgia differentiated as the Shao-Yin type according to traditional Chinese medicine symptoms could be rapidly relieved via acupuncture and traditional Chinese medicine therapy.
Keywords：Shao-Yin Disease, Exogenous Febrile Disease, Epidemic Myalgia, Traditional Chinese Medicin
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