台北市中医师公会中医药研究论丛

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231.14 夜间频尿的中医疗法病案报告

TJTCM.23(1) : 177-184, 2020

DOI : 10.6516/TJTCM.202003_23(1).0014

夜间频尿的中医疗法病案报告

Treatment of Nocturia by Traditional Chinese Medicine: A Case Report

黄天姮1　陈怡真1,2,3*

1 佛教慈济医疗财团法人花莲慈济医院中医部，花莲，台湾

2 慈济大学学士後中医学系，花莲，台湾

3 国立东华大学教育与潜能开发学系教育博士班，花莲，台湾

【摘要】

夜尿（nocturia），指夜间醒来小便。长期夜间频繁起床解尿，中断了正常睡眠，影响生活品质。本篇病案是一位67 岁女性患者以夜尿、双膝关节疼痛为主证。患者至西医检查无器质性病变後，建议观察追踪。从脏腑别通和脏腑气化关联的思路，予以羌活胜湿汤，改善了患者夜尿的困扰。民众可能会误以为夜尿是老化现象，而忽略其潜在的危机。恼人的夜尿问题除了影响睡眠品质之外，可能会提高抑郁症、某些慢性疾病的风险。

【关键词】夜尿、脏腑别通、羌活胜湿汤

Tien-Heng Huang1Yi-Chen Chen1,2,3*

1Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical

Foundation, Hualien, Taiwan

2Tzu Chi University School of Post-Baccalaureate Chinese Medicine, Hualien, Taiwan

3Department of Education and Human Potentials Development, National Dong-Hwa

University, Hualien, Taiwan

【Summary】

Nocturia is defiend to wake up at night and on the regular basis to urinate. Waking up and urinating during the night for long time disrupt the person’s normal sleep and influence the quality of life. This case reports demonstrates a 67-yearold female with nocturia and bilateral knee pain for long time. After taking examination and making sure that no organic disease, the doctor recommends observation and tracking. This article is based on the theory of Zang-fu extraordinary connection（脏腑别通）, in order to explore the relationship of Qi transformation between Zang（脏）and Fu（腑）. This case was given the Qiang Huo Sheng Shi Tang（羌活胜湿汤）to improve the patient’s long-term nocturia.People may mistakenly believe that nocturia is an aging phenomenon and ignore its potential crisis. The problem of annoying nocturia, in addition to affecting sleep quality, may increase the risk of depression and certain chronic diseases.

Keywords： nocturia, Zang-fu extra-ordinary connection, Qiang Huo Sheng Shi Tang

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