台北市中医师公会中医药研究论丛

公会简介

理事长的话

公会沿革

公会章程

221.16 中药治疗新发脆弱性骨折的急性疼痛病例报告

TJ TCM.22(1) : 171-176, 2019

DOI : 10.6516/TJTCM.201903_22(1).0016

中药治疗新发脆弱性骨折的急性疼痛病例报告

Case Report: Pain Relieve of Acute Fragility Fracture by Traditional Chinese Medicine

吴佩青*

佛教慈济医疗财团法人台北慈济医院中医部中医内科

【摘要】

本病例为一位95 岁的女性，过去并无重大疾病，2018/01/05 因急性背痛约一周来诊，疼痛量表(VAS) =10，已使用过西药止痛药但效果不佳。检查发现胸腰椎多节脆弱性骨折，中医证型为湿热痹，使用清热利湿中药治疗。追踪发现病患服药後疼痛改善，VAS=2。在新发脆弱性骨折疼痛的病患，如果止痛药效果不佳，可以尝试中药治疗来缓解疼痛，传统中医辨证论治的止痛效果是可以立即且有效的。

【关键词】脆弱性骨折、疼痛、湿热痹

Wu, Pei-Ching M.D.*

Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical

Foundation, New Taipei City, Taiwan

【Summary】

The case to be reported here involved a 95 year-old healthy female who was visited our traditional Chinese medicine clinic on January 5, 2018. She presented to the clinic complaining of low back pain, VAS = 10, about one week earlier. And NSAID was ineffective for her low back pain. The image result showed that there were fragility fracture of multiple vertebral bodies. The concept of traditional chinese medicine of the patient’s symptom is “Dampness-heat Impeding” and this treatment is adjusting the meridian system through “Clear Heat, Drain Dampness” formula. After receiving traditional Chinese mendition treatment, the follow-up result of the Patient revealed that the VAS=2. The acute fragility fractures may cause severe pain. Thus, some medical therapies for treating these pain were proposed, such as NSAID. Through the positive report in this case, we suggest traditional Chinese medicine may be a safer, simpler, cheaper and more effective treatment for severe pain for acue fragility fractue.

Keywords：Fragility fracture, Pain, Dampness-heat Impeding

	台北市中医师公会　官网：http://www.tpcma.org.tw　地址：台北市中正区青岛西路11号3楼 E-mail：tp.cma@msa.hinet.net　电话：(02)2314-3456(代表号)　传真：(02)2314-8181	线上浏览人数
		总浏览人数:7696547 2013.12.9 网页更新